A patient relates that she has received a weekly manicure and pedicure in various commercial salons within and outside of the United States for many years.You caution the patient that because standards of sterilizing equipment used in salons vary,she has an increased risk of

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Hepatitis B is transmitted by percutaneous exposure to infectious blood.The disease can be transmitted if the equipment used in a manicure or a pedicure comes in contact with the blood of a client who has hepatitis B and is used on another client without being sterilized.Equipment should be sterilized between clients.To eliminate this risk,patients can bring their own equipment to be used during a manicure or pedicure.A Staphylococcus infection of the skin and subcutaneous tissues suggests cellulitis.Candidiasis is a yeast infection that normally occurs in the axillae,inframammary areas,groin,and gluteal regions.It causes patches that are beefy red in color,pruritic,and erythematous.Herpes simplex I virus causes lesions that are red papules,vesicles,open sores,and crusts,typically on the face and in the mouth.

A Patient Relates That She Has Received a Weekly Manicure