Surfactant-induced irritant reactions may be elicited by several endog
enous and exogenous factors. Among these, surfactant concentration, an
d duration and frequency of exposure play important roles. The study f
ocuses on the influence of water temperature in determining damage of
the skin barrier. 10 subjects of both sexes entered the study. 4 areas
(4 x 4 cm(2)) were randomly selected on the volar forearm and were tr
eated with a daily open application of 5% sodium lauryl sulphate for 4
days. The solutions were at 3 temperatures: 4 degrees, 20 degrees and
40 degrees C. One site served as untreated control. On the 5th day, s
kin irritation was evaluated using transepidermal water loss (TEWL) me
asurements, erythema (a value), skin reflectance (L* value), hydratio
n (capacitance) and desquamation (stripping). The results show a signi
ficant effect of the solution's temperature in determining skin irrita
tion (P < 0.001). Skin damage was higher in sites treated with warmer
temperatures and a highly significant correlation (P < 0.001) between
irritation and temperature was found. In conclusion, the study shows t
hat water temperature during washing has an important effect on the on
set of irritant contact dermatitis.