Is massage therapy a contraindication for those with cutaneous lupus?
A. In general, massage therapy will have no negative impact on cutaneous lupus. However, there are a few specific instances where caution is advised. Thus, intense or deep, vigorous massage may induce subcutaneous bleeding or visible bruising. This may invoke koebnerization, the process whereby cutaneous lupus may be produced at the sites. Another issue is the use of various oils during massage. If they induce an allergic reaction, cutaneous lupus may also activate at the sites, also due to koebnerization. While these issues may be uncommon, and the benefit of massage for musculoskeletal disease is positive, it is worthwhile for cutaneous lupus patients to be aware and prudent. Q. Can patients with SLE have laser hair removal safely? If so, which kinds of lasers are better for our skin? A. There is some concern about the use of lasers in patients with lupus because of the slight risk of skin redness, swelling, and pigmentary changes. These types of changes could potentially cause skin