Case Report
J Rheum Dis 2014; 21(2): 77-81
Published online April 30, 2014
© Korean College of Rheumatology
A Case of Tjalma Syndrome Coincidentally Accompanied by an Ovarian Teratoma Successfully Treated with Intravenous Immunoglobulin-G Adjunctive Therapy
Correspondence to : Seung-Geun Lee
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.
Keywords Systemic lupus erythematosus, Intravenous im-munoglobulin, Ascites, Pleural effusion
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Case Report
J Rheum Dis 2014; 21(2): 77-81
Published online April 30, 2014
Copyright © Korean College of Rheumatology.
A Case of Tjalma Syndrome Coincidentally Accompanied by an Ovarian Teratoma Successfully Treated with Intravenous Immunoglobulin-G Adjunctive Therapy
Eun-Kyoung Park1, Seung-Geun Lee1, Ik Soo Byon2, Sun-Hee Lee1, Seong-Jun Lee1, Yoon-Jeong Nam1, Ji-Hye Park1, Geun-Tae Kim3, Young-Eun Park4, Seong-Hu Park5, Joung-Wook Lee6, Jun-Hee Lee7, Seung-Hoon Baek7
Department of Internal Medicine, Pusan National University School of Medicine1, Busan, Department of Ophthalmology, Pusan National University Yangsan Hospital2, Yangsan, Division of Rheumatology, Department of Internal Medicine, Kosin University College of Medicine3, Malgeunsem Hospital4, Changwon, Young-do Hospital5, Busan St. Mary’s Medical Center6, Department of Internal Medicine, Ilsin Christian Hospital7, Busan, Korea
Correspondence to:Seung-Geun Lee
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.
Keywords: Systemic lupus erythematosus, Intravenous im-munoglobulin, Ascites, Pleural effusion
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