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To the Editor:—
Acute dermatitis of the scrotum is a common occurrence in the practice of most dermatologists. Often caused by chemical irritants, it is frequently rather resistant to treatment, and hence poses a problem in therapy. In fact, it is often overtreated. No area of the body is more sensitive to contactants, partly due to its secluded, airless position, and partly to its corrugated surface. Such a surface "traps" irritants so that they are removed with more difficulty than from other areas. Many cases are hospital-caused.In the routine daily bed bath given bedridden male patients, the nurses wash all areas except the genital area, using a soap- or detergent-impregnated wash cloth. The genital area is left for the patient to wash. He is handed the usual heavily soaped cloth. In many hospitals this is all. Either there is no rinsing or the rinsing is incomplete. As a result,
Raynolds AH. Scrotal Dermatitis. JAMA. 1967;199(4):283. doi:10.1001/jama.1967.03120040093031