Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010
We read with great interest the article by Gardner et al1 in the August issue of the Archives. In our opinion, the authors fail to distinguish between 2 different preservatives: the mixture in a 3:1 ratio of methylchloroisothiazolinone/methylisothiazolinone (MCI/MI) and the nonhalogenated derivative MI alone, which is, according to the article, contained in Cottonelle moist toilet paper (Kimberly-Clark Corporation, Neenah, Wisconsin).
García-Gavín J, Goossens A. Moist Toilet Paper: Allergy to the Nonhalogenated Derivative Methylisothiazolinone Preservative Alone. Arch Dermatol. 2010;146(10):1186. doi:10.1001/archdermatol.2010.279