Putting my sex educator hat on:
If a client has any kind of broken skin they're aware of, be it due to a cut, scratch, eczema, psoriasis, etc., it's a good idea to let their provider know (ahead of session is best, but at least at the start of the session). Broken skin for any reason is a risk factor and we need to be aware of that to adjust the session accordingly (barriers, etc.). Not all skin conditions result in broken skin all the time, and noncontagious conditions can result in broken skin so these are separate issues.
If a client or provider has a contagious skin condition (impetigo, MRSA, scabies, herpes/cold sores particularly if active) it's common politeness and good sexual ethics to disclose this before contact occurs so that the other party or parties involved can make an informed decision about how they want to manage that risk.
It's entirely possible, especially based on body type, not wearing glasses in the shower, etc., to not be aware one has broken skin in hard-to-reach areas so I don't automatically think the worst of people but I do gently inform, encourage testing or a dermatology appointment if appropriate, and then handle the situation accordingly based on the likely causes, area affected, and so forth. No need to make someone feel shame around their body unless they are knowingly exposing others to increased risk without informed consent.
I've actually seen several gents who very likely had no idea they had mild psoriasis. While I notice, I don't mention it unless broken skin is at issue. Providers: know your skin conditions!
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