Abstract
The important role of cleansing agents applied to the skin in the causation of industrial dermatitis has been stressed by a number of writers. It is worthy of emphasis that trade dermatitis is caused annually in an enormous number of cases not by the substances encountered at work but by the removal of these substances with methods harmful to the skin. 1 Soap and water constituted a contributory factor in the production of eruptions in at least 249 of Downing's 2 series of 2,000 cases of cutaneous disease arising in industry. Horner 3 remarked that he had observed more cases in which dermatitis was due to the improper use of cleansing agents than cases in which the dermatitis was due to contact in the occupation. For the purpose of this study we questioned in detail all patients and other persons employed in industry concerning the manner in which they washed
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