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Modern Rheumatology Case Reports Volume 5, 2021 - Issue 2
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Case Reports

Is there any relationship between massive ascites and elevated CA-125 in systemic lupus erythematosus? Case report and review of the literature

Elias Quintero-Muñoza Research Division, Fundación Universitaria de Ciencia de la Salud (FUCS), Bogotá, ColombiaCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-4426-4310View further author information
ORCID Icon,
María Alejandra Gómez Pinedaa Research Division, Fundación Universitaria de Ciencia de la Salud (FUCS), Bogotá, ColombiaView further author information
,
Carolina Araque Parrab Internal Medicine Department, Hospital Infantil Universitario de San José. Fundación Universitaria de Ciencia de la Salud (FUCS), Bogotá, ColombiaView further author information
,
Camilo Alfonso Vallejo Castillob Internal Medicine Department, Hospital Infantil Universitario de San José. Fundación Universitaria de Ciencia de la Salud (FUCS), Bogotá, ColombiaView further author information
,
Víctor Ortega Marrugoc Radiology Department, Hospital Infantil Universitario de San José. Fundación Universitaria de Ciencia de la Salud, Bogotá, ColombiaView further author information
,
Juan Bonilla Jassird Pathology Department, Hospital Infantil Universitario de San José. Fundación Universitaria de Ciencia de la Salud, Bogotá, ColombiaView further author information
,
José Fernando Polo Nietod Pathology Department, Hospital Infantil Universitario de San José. Fundación Universitaria de Ciencia de la Salud, Bogotá, ColombiaView further author information
,
Rafael Parra-Medinad Pathology Department, Hospital Infantil Universitario de San José. Fundación Universitaria de Ciencia de la Salud, Bogotá, ColombiaORCID Iconhttps://orcid.org/0000-0002-8428-5837View further author information
ORCID Icon &
Adriana Rojas-Villarragae Research Institute. Fundación Universitaria de Ciencia de la Salud (FUCS), Bogotá, ColombiaORCID Iconhttps://orcid.org/0000-0003-3145-2440View further author information
ORCID Icon show all
Pages 292-299 | Received 16 Oct 2020, Accepted 19 Mar 2021, Published online: 20 Apr 2021

References

  • Fernández-Ávila DG, Bernal-Macías S, Rincón-Riaño DN, et al. Prevalence of systemic lupus erythematosus in Colombia: data from the national health registry 2012–2016. Lupus. 2019;28(10):1273–1278.
  • Tansir G, Kumar P, Pius A, et al. Pseudo-pseudo Meigs' syndrome: a rare presentation of systemic lupus erythematosus. Reumatismo. 2019;71(2):108–112.
  • Prasad S, Abujam B, Lawrence A, et al. Massive ascites as a presenting feature of lupus. Int J Rheum Dis. 2012;15(1):e15–e16.
  • Huang L-L, Xia HH-X, Zhu S-L. Ascitic fluid analysis in the differential diagnosis of ascites: focus on cirrhotic ascites. J Clin Transl Hepatol. 2014;2(1):58–64.
  • Forouhar-Graff H, Dennis-Yawingu KA, Parke AL. Insidious onset of massive painless ascites as initial manifestation of systemic lupus erythematosus. Lupus. 2011;20(7):754–757.
  • Meigs JV. Fibroma of the ovary with ascites and hydrothorax-Meigs’ syndrome. Am J Obstet Gynecol. 1954;67(5):962–987.
  • Torres Jiménez AR, Solís-Vallejo E, Céspedes-Cruz AI, et al. Tjalma syndrome (pseudo-pseudo Meigs’) as initial manifestation of juvenile-onset systemic lupus erythematosus. Reumatol Clin. 2019;15(5):e41–3–e43.
  • Tjalma WAA. Ascites, pleural effusion, and CA 125 elevation in an SLE patient, either a Tjalma syndrome or, due to the migrated Filshie clips, a pseudo-Meigs syndrome. Gynecol Oncol. 2005;97(1):288–291.
  • Schmitt R, Weichert W, Schneider W, et al. Pseudo-pseudo Meigs' syndrome. Lancet. 2005;366(9497):1672.
  • Awad A, Essam M, Ezzat A, et al. Systemic lupus erythematosus with lupus nephritis presented with recurrent massive ascites: a case of pseudo-pseudo meigs syndrome. Arch Rheumatol. 2019;34(2):243–244.
  • Ahluwalia J, Sreedharanunni S. The laboratory diagnosis of the antiphospholipid syndrome. Indian J Hematol Blood Transfus. 2017;33(1):8–14.
  • Bottoni P, Scatena R. The role of CA 125 as tumor marker: biochemical and clinical aspects. Adv Exp Med Biol. 2015;867:229–244.
  • Yang Z, Liang Y, Li C, et al. Serum CA 125 elevation is independently associated with serositis in SLE patients. Clin Exp Rheumatol. 2012;30(1):93–98.

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