Chemical irritants caused symptoms in only 2 girls (one used uncommon brand of bubble bath and other used home‐made lye soap) Several anecdotal comments about physicians children affectedĥ4 premenarcheal girls (5 months to 12 y)Īge matched case‐control prospective study (level III)Īetiological factors in vulvovaginitis in premenarcheal girls with and without dischargeĪ specific diagnosis could be made for 59% of patients. Also comments on possible role of bubbles in transferring bacteria. Many assumptions stated: “the urethritis and cystitis caused by bubble bath irritants undoubtedly predisposes tissues to complications of a chronic manner”. 7 patients had overt or chemical diabetes mellitus. “Majority” of patients remained “free of urinary tract symptoms” over observed timeĪuthor coined term “bubble bath cystitis” in 1967. Results show majority of cases caused by infectious agents if vaginal discharge presentġ0 adult women cases, only 2 cases discussedĪcute or recurrent urethral bladder irritation precipitated by bubble bathĬessation of bubble bath with “little or no change in therapy” led to symptom subsidence. Toxic‐allergic reaction to bubble bath found to be most common cause for vulvitis (8 girls, all with symptom resolution on discontinuing bubble bath)ħ of the 8 girls that used bubble bath were daughters of “medical or paramedical personnel”. Specific aetiology found in 2/3 patients. Advise to enquire about bubble bath useĥ0 premenarcheal girls (12 days to 13.5 y), 21 controlsĪge matched case‐control study (level III)Īetiological factors in vulvovaginitis in premenarcheal girls Urine cultures negative-did not look at urinary tract infections. One child had meatal stenosis-although exact aetiology unknown, bubble bath reported as “most likely agent responsible”įirst study published with children only 4 cases discussed All children already diagnosed as having urethral/bladder irritation attributable to regular bubble bath use. Resolution of symptoms with bubble bath avoidance and recurrence with reintroduction. Authors' conclusion: “to warn patients against use of soaps”ġ6 children (4.5–10 y) details of only 4 cases given Did not look at urinary tract infections. ?confounding factors (did review Candida albicans, Trichomonas vaginalis, atrophy, and allergens). Avoidance of products caused symptom improvementĪdult patients all attending a private clinic. Relative incidence of aetiological factors in vulvovaginitisĤ1% cases attributed to detergent/soap (bubble bath and bath salt) use. Author advises to ascertain history of product use Supported anecdotal evidence of 2 cases (no details). Author's son (case) compared to twin brother (control) as shared baths. Reintroduction of bubble bath 1 week later led to symptom recurrence within 12 hĪnecdotal evidence. Effect of bubble bath on irritative symptoms of lower urinary tractĪvoidance of bubble bath led to symptom resolution.
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