RT Journal
A1 Parks TD
T1 PErfume dermatitis
JF JAMA
JO JAMA
YR 1969
FD October 20
VO 210
IS 3
SP 559
OP 559
DO 10.1001/jama.1969.03160290111043
UL http://dx.doi.org/10.1001/jama.1969.03160290111043
AB To the Editor:— 
    Drs. Keith, Reich, and Bush (209:269, 1969) reported dermatitis in the anogenital region and coincident use of perfumed toilet paper. They did not conduct patch tests. It seems unlikely that the perfume in toilet paper could cause any effect as all of it reaches the paper by diffusion. The method of perfuming a toilet-paper roll involves placing the perfume on the inner core, not on the paper itself. The amount of perfume thus added amounts to less than 0.02% of the weight of the roll.The high incidence (4%) of patients who reacted to perfumes in patch tests by Rothenborg and Hjorth must be viewed in context.1 All of these subjects were already afflicted with dermatitis. They were challenged with 5% solution of perfume which is about 5 times that found in the usual toilet soap and more than 250 times that added to toilet