Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2022; 10(26): 9447-9453
Published online Sep 16, 2022. doi: 10.12998/wjcc.v10.i26.9447
Systemic lupus erythematosus presenting with progressive massive ascites and CA-125 elevation indicating Tjalma syndrome? A case report
Jun-Di Wang, Yan-Fei Yang, Xian-Feng Zhang, Jiao Huang
Jun-Di Wang, Xian-Feng Zhang, Jiao Huang, Department of Rheumatic Disease, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China
Yan-Fei Yang, Department of Respiratory Disease, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou 310000, Zhejiang Province, China
Author contributions: Huang J and Wang JD found interesting cases and designed the manuscript; Yang YF wrote the manuscript; Zhang XF provided revision guidance and the basis for polishing and publishing; All authors reviewed and approved the final version of the manuscript.
Supported by Zhejiang Provincial Health Commission Medical and Health Science and Technology Project, No. 2020KY686.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Jiao Huang, MD, Associate Chief Physician, Department of Rheumatic Disease, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, No. 261 Huansha Road, Hangzhou 310000, Zhejiang Province, China.
Received: April 23, 2022
Peer-review started: April 23, 2022
First decision: June 16, 2022
Revised: July 6, 2022
Accepted: August 11, 2022
Article in press: August 11, 2022
Published online: September 16, 2022
Core Tip

Core Tip: We report a special case of a systemic lupus erythematosus patient presenting with pseudo- pseudo Meigs’ syndrome. She presented with ascites and elevated CA-125 in the absence of benign or malignant ovarian tumor and no pleural effusions, which is an unusual presentation for this rare condition: Tjalma syndrome can present with massive ascites alone without pleural or pericardial effusions.