Systemic lupus erythematosus presenting with progressive massive ascites and CA-125 elevation indicating Tjalma syndrome? A case report

Table 1 Reported cases of pseudo-pseudo Meigs syndrome

Year	Ref.	Gender	Age	Naive SLE	CA1251	Ascites	Pleural effusion	Pericardial effusion	Nausea/vomiting	Dyspnea	Hypoproteinemia	Proteinuria	ANA	dsDNA	SSA	Low complement	Leukopenia	Anemia	Thrombocytopenia	APS	Treatment	Outcome
2005	Tjalma[13]	Female	38	Yes	887	+	+			+	+							+	+	+	MP + AZA	Remission
2005	Schmitt et al[1]	Female	33	Yes	2287	+	+			+	+	+	+	+		+	+	+	+	+	MP + MMF + HCQ	Remission
2008	Ural et al[14]	Female	38	Yes	1229	+	+			+			+	+	+	+					MP + HCQ	Remission
2011	Bes and Soy[15]	Female	47	Yes	233	+	+	+	+	+			+	+		+	+	+			MP + HCQ	Remission
2012	Dalvi et al[3]	Female	56	No	70.1	+	+		+				+	+		+	+				MP + MMF	Remission
2013	Bes et al[16]	Female	42	Yes	91.3	+	+	+	+	+	+	+	+	+		+			+		MP + CYC + AZA	Remission
2013	Lee et al[17]	Female	29	Yes	345	+	+	+	+	+	+	+	+	+		+	+	+	+	+	MP + HCQ	Remission
2013	Lee et al[17]	Female	54	No	344.9	+	+	+			+	+	+	+		+	+		+		MP + MMF	Remission
2016	Cheah et al[7]	Female	34	No	1613.8	+	+				+		+			+		+			MP + HCQ	Remission
2016	McVorran et al[18]	Female	40	Yes	307	+	+	+		+			+	+		+					MP	Remission
2019	Torres Jiménez et al[19]	Female	14	Yes	59	+	+	+		+	+		+	+		+		+	+		MP + CYC + MMF + RTX	Remission
2018	Zampeli et al[20]	Female	40	No	85	+	+	+		+	+		+	+	+	+	+	+			MP + CYC + MMF	Remission
2019	Awad et al[21]	Female	43	No	80	+	+				+	+	+	+		+		+			MP + MMF + HCQ	Remission
2019	Tansir et al[22]	Female	22	Yes	2025	+	+	+			+	+	+	+		+		+	+	+	MP + CYC + HCQ + AZA	Remission
2019	Li et al[23]	Female	24	No	949	+	+	+		+	+		+			+	+				MP + MMF	Remission
2019	Ahmed et al[24]	Female	44	Yes	227	+	+		+		+		+	+	+	+					MP + AZA	Remission
2019	Gao et al[6]	Female	44	Yes	360.8	+	+			+	+	+	+	+	+	+	+	+			MP + HCQ + LEF	Remission
2021	Quintero-Muñoz et al[25]	Female	33	No	187	+	+		+	+	+	+	+	+	+	+	+			+	MP + MMF + HCQ + CYC	Death
2021	Meena et al[26]	Female	23	No	230.5	+	+			+	+		+	+		+		+		+	MP + HCQ + AZA	Remission
2022	Karadeniz et al[27]	Female	33	No	476	+	+	+	+	+	+	+	+	+		+					MP + MMF + HCQ	Remission
2022	Current case	Female	23	Yes	1685	+			+		+		+		+	+			+		MP + HCQ	Remission

¹U/mL.

ANA: Antinuclear antibodies; dsDNA: Anti-double-stranded DNA antibodies; SSA: Anti-Sjögren's syndrome-related antigen A; APS: Antiphospholipid syndrome; MP: Methylprednisolone; AZA: Azathioprine; MMF: Mycophenolate mofetil; HCQ: Hydroxychloroquine; CYC: Cyclophosphamide; RTX: Rituximab; LEF: Leflunomide.