A client cancels her massage therapy appointment because she has hand, foot, and mouth disease. Her therapist is grateful but wants to know when it will be safe to work with the client again. Oh, by the way, the client also has strep throat and lupus. Does that make a difference? Find out on this episode of “I Have a Client Who . . .” Pathology Conversations with Ruth Werner. Sponsors:     Books of Discovery: www.booksofdiscovery.com   Anatomy Trains: www.anatomytrains.com  MassageBook: www.massagebook.com Elements Massage: www.elementsmassage.com/abmp   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist’s Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP’s partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner’s books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                        Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Acropustulosis: Symptoms, Causes, Treatment, and More (2017) Healthline. Available at: https://www.healthline.com/health/acropustulosis (Accessed: 3 July 2024).   Diagnostic Department and Public Health Laboratories, Hellenic Pasteur Institute, Athens, Greece. et al. (2023) ‘A case of hand-foot-and-mouth disease in a systemic lupus erythematosus patient presenting as late complication onychomadesis’, Open Journal of Clinical and Medical Case Reports, 9(39). Available at: https://doi.org/10.52768/2379-1039/2150.   Disease Alert: Foot-and-Mouth Disease (no date). Available at: https://www.aphis.usda.gov/livestock-poultry-disease/cattle/foot-and-mouth (Accessed: 3 July 2024).   Faulkner, C.F. et al. (2003) ‘Hand, foot and mouth disease in an immunocompromised adult treated with aciclovir’, The Australasian Journal of Dermatology, 44(3), pp. 203–206. Available at: https://doi.org/10.1046/j.1440-0960.2003.00679.x.   Hand-Foot Syndrome: What It Is, Causes & Treatment (no date). Available at: https://my.clevelandclinic.org/health/diseases/24105-hand-foot-syndrome (Accessed: 3 July 2024).   ‘Hand-Foot-and-Mouth Disease (HFMD): Practice Essentials, Background, Pathophysiology’ (2024). Available at: https://emedicine.medscape.com/article/218402-overview (Accessed: 3 July 2024).   It’s Not Strep Throat: Treating Hand, Foot, and Mouth Disease | University of Utah Health (2018). Available at: https://healthcare.utah.edu/the-scope/kids-zone/all/2018/11/its-not-strep-throat-treating-hand-foot-and-mouth-disease (Accessed: 3 July 2024).   Li, Z., Jiang, N. and Xu, Y. (2016) ‘The concurrence of subacute cutaneous lupus erythematosus and hand-foot syndrome in a patient undergoing capecitabine chemotherapy’, Australasian Journal of Dermatology, 57(1), pp. e14–e16. Available at: https://doi.org/10.1111/ajd.12224.   Qin, L. et al. (2019) ‘Identification of immune and metabolic predictors of severe hand-foot-mouth disease’, PLoS ONE, 14(5), p. e0216993. Available at: https://doi.org/10.1371/journal.pone.0216993.