“…The use of tanning devices has been associated with acute adverse reactions such as a form of skin fragility known as pseudoporphyria (Murphy et al, 1990;Weiss and Jung, 1990) and lentigines (Salisbury et al, 1989;Kadunce et al, 1990) that have been noted in case reports. There have also been case reports of induction (Fruchter and Edoute, 2004) and exacerbation (Stern and Docken, 1986) of systemic lupus erythematosus.…”