Anonymous
I had a massage only by hands without oil and I have psoriasis on some parts and I’m scared if the psoriasis maybe bleed a little or no if there is any scratch on these parts and if her hand may be have any scratches 
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helpline-volunteer
Hi there,

Thank you for your inquiry. From what we gather from the question, you were asking about the possibility of HIV transmission from broken skin (as a result of psoriasis) that was potentially bleeding while being in contact with another individual who may have had scratches on her hand. From the information provided, this scenario is determined to be No Risk (transmission of HIV is not possible in the given scenario).

From the HIV Transmission Equation (see below), HIV transmission requires HIV particles in a bodily fluid (e.g. blood) to have direct access to the bloodstream through a High, Low, or Negligible Risk activity.

In this situation, you mentioned that you were not sure if your skin was bleeding. Unless the masseuse had long artificial nails that were cutting into your skin, it is highly unlikely that you would have received anything more than superficial cuts during this scenario. A superficial cut is a small cut that "does not involve fat or muscle tissue" (i.e., leaves the deeper skin layers intact) and is not bleeding heavily (1).
A superficial cut would not be large enough to allow HIV particles to have sufficient access to the bloodstream, a necessary condition of the HIV Transmission Equation. Furthermore, unless the masseuse had large, activity bleeding wounds, small scratches on her hands/fingertips would not permit sufficient transfer of blood in the first place.

Recommendation: There are no evidence or no documented cases of transmission. Refer to a healthcare professional for more personalized answers.

All the best,
AIDS Vancouver Online/Helpline, Shirley

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Helpline Transmission Equation  (1).jpg
Additional Resources: 
(1) 
Lacerations (Cuts) Without Stitches
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