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When considering the need for a referral to a podiatrist, severe athletes' foot is a significant condition that warrants this action. Athletes' foot is a fungal infection that can cause intense discomfort, itching, and potentially spread if not treated properly. Severe cases may involve extensive skin breakdown, secondary bacterial infections, or chronic recurrence, which may require specialized medical interventions such as prescription antifungal treatments or more advanced care strategies.

Referring a client with severe athletes' foot to a podiatrist ensures they receive expert management that can address complications effectively and help prevent any further issues, including the potential for the infection to affect toenails or spread to other areas of the foot.

In contrast, minor cuts, dry skin, and hangnails are generally manageable within a manicure or pedicure setting. These conditions typically require basic care and can often be treated with proper techniques and products, making a referral to a podiatrist unnecessary for those issues.