I have worked as a home help for many years and usually I tend to people that are disabled or suffering from illnesses. I recently started working for someone who suffers from scleroderma. I have noticed lately that when I shake his hand or look at his face, his skin is pulled really tight. Could this be telangiectasias?
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I don't know, I think that your client has to take himself to the doctor to know for sure. Have you discussed your concerns with him? Good for you for being such an observant and caring house help. I bet you are one in a million! Don't be afraid to offend your client, and please do bring up your concerns.
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