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Severe contact dermatitis as a result of an antiseptic bath oil.

June 24th, 2008 · 2 Comments

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Severe contact dermatitis as a result of an antiseptic bath oil.

Australas J Dermatol. 2004 Feb;45(1):73-5

Authors: Storer E, Koh KJ, Warren L

Siblings aged 7 and 5 years developed extensive truncal and flexural inflammation and desquamation unresponsive to standard eczema therapy. After delays in diagnosis, subsequent history revealed prior use of an antiseptic bath oil in a much stronger concentration than recommended. The case illustrates the severe irritant contact dermatitis that can arise following inadequate dilution of antiseptic bath oils, presumably as a result of skin contact with benzalkonium chloride and triclosan. Features that may direct attention to such irritant dermatitis are flexural predominance with superficial desquamation and rapid improvement after avoidance of exposure to the antiseptic solution.

PMID: 14961916 [PubMed - indexed for MEDLINE]

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2 responses so far ↓

  • 1 jlcgroup // Jun 25, 2008 at 10:15 am

    Too much of anything is no good–especially Triclosan–which the EPA has classified as a PCB. With specific respect to hand hygiene products, benzalkonium chloride has actually won praises from those suffering from skin irritations (ezcema and dermatitis), as this appears to offer a significant benefit..brands include Soapopular (http://www.soapyusa.com), HandClenz and select others. Stay away from hand sanitizer products that contain Triclosan-most if not all are NOT rinse free products–and labels advise to wash after applying…(which leads one to ask, why would I use it, if I’m washing with soap and water?

  • 2 beautyscientist // Jun 27, 2008 at 3:25 pm

    I am pretty sure I know which brand of bath oil is being talked about in this report. Although one can never be sure, I am pretty confident that it is the benzalknoium chloride that is the problem here. There are definite drawbacks with triclosan, but it is not generally irritant. In fact it has some anti-inflammatory properties.

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