In Reply The Letter to the Editor from Dr Watkins and colleagues about our Review on SLE raises the important topic of congenital heart block risk for the infants of pregnant individuals with SLE and anti-Ro/SSA antibody positivity. Although our article mentioned the association between anti-Ro/SSA antibody and neonatal lupus erythematosus, an acquired inflammatory syndrome that may include congenital heart block, further discussion was beyond the scope of our Review.
