Hello, I have gone through your query and understand your concern. 1. Lupus can affect all the lung tissues like membrane lining of the lungs, the lungs themselves, the blood vessels within the lungs, and the diaphragm. 2. If you are taking steroids for Lupus, then you are more prone for infection and other lung diseases. 3. Lupus can also cause what’s called interstitial lung disease (ILD). it is a inflammation and fibrosis of lung tissue. 4. Lupus may affect the blood vessels in the lungs and may lead to pulmonary hypertension. Your Pulmonologist will examine the lung carefully and he may order 1. Pulmonary function tests like Spirometry to check how is your lung and its ability in respiration. 2. X-Ray- he may advise this to find any opacity or other features of lung disese. 3. CT- Chest- to rule out any lymph nodes and nodules in lung He may enquire about the difficulty breathing, shortness of breath, pain while breathing , coughing, or increasing shortness of breath while exercising or chest pain, fatigue, weakness, and even palpitations. He may prescribe the drugs for COPD and other lung diseases based on his findings and investigation reports. Hope this helps. Please write back for further queries. Wishing you good health.