Health

Is it OK to give a client with eczema enhancements?

September 14, 2008 | Bookmark +

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.

Answer

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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What’s the cause of the pinkish-red oval area on the pad of my client’s toes?

I have a client who has a recurring problem with her fourth toes during the winter months. Both of her “ring finger” toes develop a pinkish-red oval area on the pad. Then a month later, when I see her again, the skin has become dry and hard like a callus, with the layers of skin peeling away to reveal a deeper, dark epicenter.  It’s extremely painful for her and, needless to say, we do not touch it. But it clears up in the summer when she’s wearing open-toed sandals, so I suspect it has to be due to the boots she wears in the winter. Plus she never puts lotion on her feet or uses a foot file in between visits. What do you think causes this?

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What are the big white spots on my natural-nail client’s nails?

I have a client who has been with me for about two years. She used to wear acrylic nails but has been a natural nail client for eight months or so. She has these white spots on her nails — big spots that are dry, but not flaky, right in the middle of the nail. I did try to buff them lightly but they do not come off or grow off. I had a new client come in last week who had the same on her toenails. She said it started after she had a pedicure done at another salon. Can you help?

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