Hydroxychloroquine Monitoring — RACP Paediatrics MCQ

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ModerateRheumatologyHydroxychloroquine MonitoringRACP Paediatrics

A 12-year-old girl with SLE on hydroxychloroquine asks about monitoring. What specific monitoring is required for long-term hydroxychloroquine use?

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Correct answer: E — Annual ophthalmological examination for retinal toxicity

Hydroxychloroquine can cause irreversible retinal toxicity (bull's eye maculopathy). Annual ophthalmological screening (OCT and visual fields) is recommended after 5 years of use or earlier if risk factors present.

Reference: RCH Melbourne – 2024