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To the Editor.—
An increasingly popular wearing apparel among youth, even for semiformal wear now, is the turtleneck. This can aggravate acne when acne spreads down below the angle of the jaw onto the neck. The probable factors are friction and increasing heat, especially from the polyesters and other synthetic fabrics. Most of the turtleneck materials are synthetics rather than the cooler cotton, since synthetics are more easily washed. Acne of the neck is always more difficult to treat with the usual topical therapies because of the easier primary irritation of the skin of the neck than that of the face. This includes our current use of the topical antibiotic preparations with their effective solvents. Patients have been observed with clearing of the acne of the face and persistence of acne on the neck because of turtleneck material. This type of clothing also appears to continue postinflammatory redness and even
Goldman L. Turtleneck Shirt and Sweater Acne. Arch Dermatol. 1977;113(1):109. doi:10.1001/archderm.1977.01640010111022