Would you continue belimumab in high risk lupus patients with overlapping scleroderma features with ILD who become pregnant and who are already on HCQ and azathioprine?   

If "high risk" means at high risk of flare or increased disease activity, then "yes." I always have a shared decision-making conversation with the patient first. This almost always occurs well before conception/pregnancy, as I strongly believe in contraception and pregnancy conversations early in th...