The goal of an effective cleanser is to encompass, loosen, and promote easy removal of accumulated surface cutaneous debris, inclusive of natural skin secretions (i. e., sebum, desquamating corneocytes), dirt, microorganisms, and externally applied products (i. e., cosmetics, skin care products, medication residue) (6,29,30). As cleansing is a regular “daily ritual” for many cultures, the choice of an effective and nonirritating cleanser is significant. Cleansers containing irritant or abrasive components may enhance loss of epidermal integrity and barrier function. Improper or aggressve cleansing and overbathing are common causes of epidermal insult, irritation, and xerosis (4,6,29-31).
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