To the Editor.—
In the treatment program of the "discomforting nuisance of pruritus ani," Parrish et al1 and Hyman and Wallace2 emphasize the importance of thorough anal cleansing, especially after defecation. For more than 20 years, we have used a special cream cleanser, rather than bar soaps or special wipes, in both the treatment and prevention programs of pruritus ani. This cream cleanser was originally used for many years in the cleansing routine for occupational dermatitis of the hands.3 The cleanser contains PEG—8 disteareate, sodium N-lauroyl sarcosinate, oleoyl sarcosine, cupric sulfate, sodium borate, tetrasodium dicarboxyethyl stearyl sulfosuccinamate, triethanolamine, and propyl and methyl parasept. It is called "Frederick Harper Special Formula Cleanser."After defecation and after wiping with moistened toilet paper, a small amount of the cleanser is applied to the anal region and into the crypts. Fecal contamination is often found in these crypts. If no
Goldman L. A Cream Cleanser for Anal Hygiene in the Treatment of Pruritus Ani. Arch Dermatol. 1980;116(12):1346. doi:10.1001/archderm.1980.01640360020005
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