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KMID : 0388220140210020077
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Journal of the Korean Rheumatism Association
2014 Volume.21 No. 2 p.77 ~ p.81
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A Case of Tjalma Syndrome Coincidentally Accompanied by an Ovarian Teratoma Successfully Treated with Intravenous Immunoglobulin-G Adjunctive Therapy
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Park Eun-Kyoung
Lee Seung-Geun
Lee Sun-Hee
Lee Seong-Jun
Nam Yoon-Jeong
Park Ji-Hye
Kim Geun-Tae
Park Young-Eun
Lee Joung-Wook
Lee Jun-Hee
Baek Seung-Hoon
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Abstract
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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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KEYWORD
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Systemic lupus erythematosus, Intravenous im-munoglobulin, Ascites, Pleural effusion
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