A Case of Tjalma Syndrome Coincidentally Accompanied by an Ovarian Teratoma Successfully Treated with Intravenous Immunoglobulin-G Adjunctive Therapy
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¹ÚÀº°æ(Park Eun-Kyoung) - Pusan National University School of Medicine Department of Internal Medicine
À̽±Ù(Lee Seung-Geun) - Pusan National University School of Medicine Department of Internal Medicine
À̼±Èñ(Lee Sun-Hee) - Pusan National University College of Medicine Department of Internal Medicine
À̽ÂÁØ(Lee Seong-Jun) - Pusan National University School of Medicine Department of Internal Medicine
³²À±Á¤(Nam Yoon-Jeong) - Pusan National University School of Medicine Department of Internal Medicine
¹ÚÁöÇý(Park Ji-Hye) - Pusan National University School of Medicine Department of Internal Medicine
±è±ÙÅÂ(Kim Geun-Tae) - Kosin University College of Medicine Department of Internal Medicine
¹Ú¿µÀº(Park Young-Eun) - Malgeunsem Hospital
ÀÌÁ¤¿í(Lee Joung-Wook) - Busan St. Mary¡¯s Medical Center
ÀÌÁØÈñ(Lee Jun-Hee) - Ilsin Christian Hospital Department of Internal Medicine
¹é½ÂÈÆ(Baek Seung-Hoon) - Ilsin Christian Hospital Department of Internal Medicine
Abstract
Tjalma or pseudo-pseudo Meigs¡¯ syndrome is a clinical con-dition that is characterized with ascites, pleural effusion, and increased serum CA-125 levels in patients with systemic lu-pus erythematosus (SLE) without the presence of ovarian tumor. On the other hand, Meigs¡¯ and pseudo-Meigs¡¯ syn-dromes represent the same manifestations with ovarian tumor. In this case report, we present a 43-year-old SLE pa-tient suffering from Tjalma syndrome with the coexistence of incidental ovarian teratoma, who was successfully treated with intravenous immunoglobulin-G adjunctive therapy af-ter inadequate response to surgical excision of the ovarian tumor, steroid, and cyclophosphamide pulse therapy.
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Systemic lupus erythematosus, Intravenous im-munoglobulin, Ascites, Pleural effusion
KMID :
0388220140210020077
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