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J Rheum Dis. 2014 Apr;21(2):77-81. English. Case Report. https://doi.org/10.4078/jrd.2014.21.2.77
Park EK , Lee SG , Byon IS , Lee SH , Lee SJ , Nam YJ , Park JH , Kim GT , Park YE , Park SH , Lee JW , Lee JH , Baek SH .
Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. sglee@pnuh.co.kr
Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, Korea.
Division of Rheumatology, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Division of Rheumatology, Department of Internal Medicine, Malgeunsem Hospital, Changwon, Korea.
Division of Rheumatology, Department of Internal Medicine, Young-do Hospital, Busan, Korea.
Division of Rheumatology, Department of Internal Medicine, Busan St. Mary's Medical Center, Busan, Korea.
Department of Internal Medicine, Ilsin Christian Hospital, Busan, Korea.
Abstract

Tjalma or pseudo-pseudo Meigs' syndrome is a clinical condition that is characterized with ascites, pleural effusion, and increased serum CA-125 levels in patients with systemic lupus erythematosus (SLE) without the presence of ovarian tumor. On the other hand, Meigs' and pseudo-Meigs' syndromes represent the same manifestations with ovarian tumor. In this case report, we present a 43-year-old SLE patient suffering from Tjalma syndrome with the coexistence of incidental ovarian teratoma, who was successfully treated with intravenous immunoglobulin-G adjunctive therapy after inadequate response to surgical excision of the ovarian tumor, steroid, and cyclophosphamide pulse therapy.

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