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Perhaps you can get to another dermy for a second opinion?

My understanding is that they usually prefer to take a skin biopsy from an affected area, as well as an unaffected area. This dermy doesn't seem to be too well versed in lupus skin biopsies.

The dermy was quite likely just giving you that traditional speech about anything and everything that can go wrong with any medical procedure to get informed consent. Of course, it's upsetting to hear that sort of thing but I'm very certain the risks from a skin biopsy are quite low for any adverse effect.

I would proceed ahead with the biopsy in your shoes because I know of many people who have negative blood tests but are diagnosed with lupus from skin or even kidney biopsy (combined of course with symptoms consistent with lupus).
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