They can work, but often are so very miserable. I worked until my cancer surgery. I did clerical. There were days where I cringed to have to stand and walk, fortunately I could sit, which hurt but if I didn't move to much I could count the hours till I got home. I think that working during a major flare is cruel punishment. I do believe this condition should be covered under FMLA. It doesn't matter what type of job you do, vulvar LS is affected when you cough or sneeze, any movement causes friction to already compromised skin. I think at this point in time there are more people working with LS out of financial necessity, the fact that so MANY doctors do not know how to diagnosis the condition, and so many women are embarrassed to admit their conditions.