To the Editor:—
In spite of limited exposure, the anogenital region can be affected by a number of irritants, 1 some of which may lead to contact dermatitis.2 These act either as allergens or primary irritants. Causative agents frequently noted are dyes in underclothing, condoms, douches, contraceptive jellies, sanitary napkins, substances carried by the hands, systemic antibiotics, rubber products included in supporters and elastic girdles, soaps, and perfumes. The clinical manifestations of these dermatoses vary with the inciting agent, the affected site, and the individual's allergic responsiveness.In recent months we have noted another interesting variation of this entity; contact dermatitis caused by perfumed toilet papers. The presenting complaint was the acute onset of mild to severe pruritus. The periurethral area and the vagina were involved in the females and the perianal area in both males and females. Local signs of inflammation were noted with occasional evidences of excoriation.