A Case of Pseudo-Pseudo Meigs Syndrome as the Initial Presentation of Systemic Lupus Erythematosus
Division
East Florida
Hospital
Kendall Regional Medical Center
Document Type
Case Report
Publication Date
2-7-2023
Keywords
systemic lupus erythematosus, autoimmune diseases, differential diagnosis
Disciplines
Diagnosis | Immune System Diseases | Internal Medicine
Abstract
Systemic lupus erythematosus (SLE) is a multigenic disease leading to chronic inflammatory states within organ systems. When associated with ascites, pleural effusions, and elevated CA-125 levels, it is known as pseudo-pseudo Meigs syndrome. It is a clinical diagnosis without findings of benign or malignant ovarian tumors in patients with SLE. We present a patient case of a 42-year-old woman who presented with episodic and progressively worsening ascites, bilateral pleural effusions, and elevated CA-125 levels without any evidence of benign or malignant tumors as the initial manifestation of SLE.
Publisher or Conference
Annals of Internal Medicine Clinical Cases
Recommended Citation
Diez DE, Lara J, Cotto Velez D, et al. A case of pseudo-pseudo Meigs syndrome as the initial presentation of systemic lupus erythematosus. AIM Clinical Cases. 2023;2:e220770. doi:10.7326/aimcc.2022.0770