In relation to fixing the temporary profile issue after installing KB4532693, three out of four computers in the household did not have any issues but the fourth was affected after updating, found that the user profile that was being used to install the update (my own admin user account) was the only one with the profile issue and not the other two (also admin) accounts that were on the computer as those profiles seemed unaffected by the update.
Tried booting into safe mode, leaving safe mode and trying a few restarts etc which did not seem to work but after removing the KB4532693 update had found my user profile was back to what it should be.
In the end I managed to install the update without any issues and with no broken user profiles by creating a new user administrative local only account and installed the update from there by downloading the update from the Microsoft update catalog.
Note: this might work using windows update from that account too but did not try this as I had paused windows update to prevent the update reinstalling by itself.
The new user account that was created just to install the KB4532693 update also did not appear to have any profile issues afterwards.
The steps I took:
- Uninstalled KB4532693 with the broken profile account, paused windows updates
- Restarted
- Created a new user administrative local only account just for installing the update - I named it "updatetemp"
- Logged in to the newly created user account, installed KB4532693 downloaded from the update catalog
- Restarted
- Signed back into my own user account with no issues.
Hope this helps