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Is it OK to give a client with eczema enhancements?

September 14, 2008

I have a client with eczema on her hands. Is it OK to give her enhancements? Also can this be passed on to me?

Dr. Rich: Eczema (also called dermatitis) is a scaly, itchy rash that occurs on the hands and other parts of the body. There are several different types of eczema that have different causes and whether you can apply enhancements depends on which type of eczema your client has. None of the types of eczema are contagious, so they can’t be transmitted to you or your other clients. Fortunately, all types of eczema can be treated.

The most chronic type is atopic eczema, which affects the skin in the folds of the knees and elbows as well as the hands. People often have the condition on and off throughout their life because there is a genetic predisposition. It is also sometimes associated with allergies, hay fever, and asthma.

The more common types of hand eczema is contact dermatitis, which has two forms: allergic and irritant. In allergic contact dermatitis (eczema), the client has a specific reaction to substances that cause her skin to break out in eczema. In some cases, these substances are found in nail products so you would not want to use enhancements or other nail products if you suspect that type of reaction for that client.

Irritant eczema can be caused by or exacerbated by irritating substances in the workplace or home. This type of eczema often affects the finger web areas on the hands. Enhancements might further irritate the skin around the cuticle in a client with this type of eczema. If the eczema is not near the fingertips, it would probably be safe to try the enhancements, but if the client experiences any itching or stinging after the service, the product should be removed and use of the product discontinued.

In no situation should products be used on or around an inflamed and irritated cuticle and nail fold because that could exacerbate any type of eczema.

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