Well , presently she needs to be evaluated for the disease activity by doing some routine tests like CRP, ESR
, Urine R/M , for proteins
, RFT etc. . If they are raised that means disease activity is going on . plus there is a concern about the medications she will be on by your doctor . if she is on immunosupressive therapy that needs consideration . so , in nutshell she needs detailed evaluation for lupus
before undertaking any kind of procedure because that may lead to disease flare.