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July 1982

Generalized Rash From Whirlpools and Hot Tubs

Author Affiliations

Tacoma, Wash

Arch Dermatol. 1982;118(7):452. doi:10.1001/archderm.1982.01650190006007

To the Editor.—  The eruption Dr Blaugrund refers to in the October 1981 Archives (117:603) is a folliculitis, is exceedingly common, and is sweeping the nation paralleling the popularity of whirlpools, spas, and hot tubs. It has also occurred in swimming and wading pools of various sizes.We published an article concerning this entity1 in an attempt to gain maximum readership, and the article has been referenced in several dermatologic publications.2,3 A case report was also published recently.4 In our report, we alluded to the possibility of this disorder progressing to something more than a passing nuisance. Indeed, skin lesions and septic illness developed in a woman, requiring hospitalization and therapy given for systemic effect for the Pseudomonas aeruginosa infection acquired from her hot tub (V. Fowler, MD, unpublished data, May 1981). The National Spa and Pool Institute, the International Spa and Tub Institute, and national, state,