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Gout imaging when aspiration unavailable — SCE Rheumatology MCQ

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HardMusculoskeletal investigationsGout imaging when aspiration unavailableSCE Rheumatology

A woman with systemic lupus erythematosus plans pregnancy. Her disease is stable on hydroxychloroquine and she has no drug toxicity. What should usually happen to hydroxychloroquine?

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Correct answer: D — Continue hydroxychloroquine during pregnancy if it remains tolerated

The best answer is “Continue hydroxychloroquine during pregnancy if it remains tolerated”. Continuing hydroxychloroquine reduces lupus flare risk and is generally compatible with pregnancy. Routine cessation can destabilize disease; prolonged high-dose NSAIDs, withdrawal of disease control and anticoagulant substitution are not equivalent or safe strategies.

Reference: BSR prescribing medicines in pregnancy and breastfeeding guideline: https://academic.oup.com/rheumatology/article/62/4/e48/6783014