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Systemic lupus erythematosus presenting with progressive massive ascites and CA-125 elevation indicating Tjalma
Jun-Di Wang1, Yan-Fei Yang2, Xian-Feng Zhang1
1Department of Rheumatic Disease, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.
Background:
Ascites, pleural effusion and raised CA-125 in the absence of malignancy in systemic lupus erythematosus is known as Tjalma syndrome.
Case Summary:
We report a special case of a systemic lupus erythematosus patient presenting with Tjalma 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.
Conclusion:
Tjalma syndrome can present with massive ascites alone without pleural or pericardial effusions.
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