PEDIATRICS Vol. 83 No. 1 January 1989, pp. 146
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Hair Shampooing Technique and Pediatric Vulvovaginitis

JEFFREY L. BROWN MD1

1 Department of Pediatrics, United Hospital, 406 Boston Post Rd, Port Chester, NY 10573

For many years there has been a general awareness that bubble bath products may cause pediatric vulvovaginitis. Presumably, detergent and perfume ingredients enter the child's open labia while she is seated in bathtub water and may not be removed when she leaves the tub. Perfumes are well known as skin-sensitizing agents, and detergents, such a lauryl sulfate, can remove natural skin oils and denature skin proteins. Damage to the stratum corneum skin barrier may result in redness, cracking, scaling, and papular lesions.