Consider this example:

#if defined(FOO)  // warning: use #ifdef instead
int x;
#elif defined(BAR)  // but it becomes inconsistent with this one
int y;
#else
int z;
#endif

Here we use if defined because we don't have elifdef until C++23, so we want to keep consistency. However the check warns about it.

Not sure how difficult it would be to implement or if it's worth at all, but would be nice if the check was smart enough to understand this use case (possibly under an option). Otherwise if we think it's too niche of a use case I can just close this and NOLINT it :)