“…Measurements of TEWL, SCH and SSpH are affected by various endogenous, as well as exogenous factors, which have been discussed in detail elsewhere. 4,10,14,17,19,23,24 Endogenous factors include the age, gender and ethnicity of the participants, anatomical positions on which measurements are taken, state of the skin (moisture, sweat, sebum, disease state), as well as genetic predisposition. 4,5,10,21 Exogenous factors include ambient temperature, relative humidity, time of day, skin contamination, application of cleanser, creams or detergents, topical application of cosmetic products, occlusion and even topical antibiotics.…”