“…Most soaps and cleansers sufficiently remove skin surface dirt; however, this may cause long-term interference of the skin-barrier function, manifesting as dry, red, itchy and inflamed skin, particularly in atopic and elderly patients. [16] Although some detergents are safe to use, highly alkaline detergents affect the physiologically protective 'acid mantle' of the skin by decreasing the fat content. [16,17] Soaps and detergents can increase skin pH, disrupting the SC and inducing irritant contact eczema and pruritus, which seem to be worse during winter, particularly in patients with atopic eczema and those with dry and sensitive skin.…”