This article overviews research in the interdisciplinary area of textile/skin interaction and related cutaneous intolerance. Microclimate in the skin/clothing system and especially the skin responses relates to the moisture and heat transfer within this system and plays a critical role in skin irritation from textiles. A discussion is then given on skin irritation reactions to textiles, including intolerance caused by chemicals (dyes and finishes) and physical contact/friction. Finally, two skin injuries, blisters and pressure ulcers, which are caused by physical contact, pressure, and friction, are documented. Despite the prevalent problems caused by ill textile/skin interactions, minimal efforts have been devoted to this field. In addition, the in vivo experimental studies infrequently lead to a solid conclusion. The cause may lie in the dramatic variation of skin conditions among individuals as well as among different anatomic sites of the same person. Another reason might be the lack of communications between researchers in the areas of textiles and dermatology.Keywords: Textiles; Human skin; Microclimate; Cutaneous reaction; Irritation
INTRODUCTIONThe skin is a large barrier organ that protects the human body from environmental hazards (heat, cold, chemicals, mechanical forces, etc.) and maintain the integrity of the body, whereas the clothing system provide an extra layer(s) of barrier to enhance the aesthetic, thermophysiological, and sensorial comfort of the wearer. However, direct contact and interactions between textiles and skin may cause reactions, even damage or diseases. This article overviews research in the interdisciplinary area of textile=skin interaction and related skin reactions and injuries. First, a brief description relates microclimate in the skin=clothing system and especially the skin responses to moisture and heat transfer within this system, because this plays a critical role in skin irritation and intolerance caused by textiles. Then follows a discussion on skin irritation reactions to textiles, including dermatitis caused by chemicals (dyes and finishes) and physical contact=friction. Finally, two skin injuries, blisters and pressure ulcers, which are caused by physical contact, pressure, and friction, are discussed. The role that textiles play in the prevention and formation of these injuries is examined.
MICROCLIMATEThe stratum corneum (SC) plays an important role in the clinical appearance of the skin as a result of its water-holding capacity and lipidic content (1,2). From the deeper, highly hydrated layers of the epidermis and dermis, a passive flux of water takes place toward the more superficial SC layers, which have a relatively low water content. This is the so-called transepidermal water loss (TEWL) (3), which is a parameter to evaluate the function of SC as a barrier to prevent excessive water loss.Extensive research work has been published on the topic of TEWL (4À7); however, knowledge about influence of textile materials to TEWL is limited.In 1987, Hatch et al. reporte...