Generalised Blisters and Respiratory distress: A Case of Bullous Systemic Lupus Erythematosus

被引:0
作者
Ren, Mingyuan [1 ,2 ]
He, Yijia [1 ]
Zhang, Jianzhong [3 ]
Zhang, Jinfang [1 ,2 ]
Zhang, Guoqiang [1 ,2 ]
机构
[1] Hebei Med Univ, Dept Dermatol, Hosp 1, Shijiazhuang, Peoples R China
[2] Hebei Tech Innovat Ctr Dermatol & Med Cosmetol Tec, Shijiazhuang, Peoples R China
[3] Hebei Univ Engn, Dept Dermatol, Affiliated Hosp, Handan, Peoples R China
关键词
systemic lupus erythematosus; bullous systemic lupus erythematosus; pleural effusion; Tjalma's syndrome; CA-125; ASCITES; CA-125;
D O I
10.2147/CCID.S484441
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Tjalma's syndrome is a benign combination of ascites, pleural effusion, and elevated CA-125 occurring in patients with systemic lupus erythematosus. Reports of Tjalma's syndrome are scarce. An elevated CA-125 level often suggests the possibility of the presence of a malignant tumor. We report a case of generalised erythema and blisters with pruritus, massive unilateral pleural effusion and elevated CA-125. This patient was finally diagnosed with bullous systemic lupus erythematosus after exclusion of tumour and other maculopapular disorders. We hope that this particular case may provide a more comprehensive and novel diagnostic idea of systemic lupus erythematosus and pleural effusion, avoiding unnecessary anxiety, laboratory tests and surgical interventions.
引用
收藏
页码:1975 / 1979
页数:5
相关论文
共 8 条
[1]  
Aringer M, 2020, EULAR/ACR classification criteria for systemic lupus erythematosus
[2]   Clinical, histological, immunological presentations and outcomes of bullous systemic lupus erythematosus: 10 New cases and a literature review of 118 cases [J].
de Risi-Pugliese, Tullia ;
Aubart, Fleur Cohen ;
Haroche, Julien ;
Moguelet, Philippe ;
Grootenboer-Mignot, Sabine ;
Mathian, Alexis ;
Ingen-Housz-Oro, Saskia ;
Hie, Miguel ;
Wendremaire, Noemie ;
Aucouturier, Francoise ;
Lepelletier, Francois ;
Miyara, Makoto ;
Bader-Meunier, Brigitte ;
Remy, Philippe ;
Fabien, Nicole ;
Frances, Camille ;
Barete, Stephane ;
Amoura, Zahir .
SEMINARS IN ARTHRITIS AND RHEUMATISM, 2018, 48 (01) :83-89
[3]   Diabetes insights [J].
Hirst, J .
LANCET, 2006, 367 (9510) :568-568
[4]   Is there any relationship between massive ascites and elevated CA-125 in systemic lupus erythematosus? Case report and review of the literature [J].
Quintero-Munoz, Elias ;
Gomez Pineda, Maria Alejandra ;
Araque Parra, Carolina ;
Vallejo Castillo, Camilo Alfonso ;
Ortega Marrugo, Victor ;
Bonilla Jassir, Juan ;
Polo Nieto, Jose Fernando ;
Parra-Medina, Rafael ;
Rojas-Villarraga, Adriana .
MODERN RHEUMATOLOGY CASE REPORTS, 2021, 5 (02) :292-299
[5]   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 [J].
Tjalma, WAA .
GYNECOLOGIC ONCOLOGY, 2005, 97 (01) :288-291
[6]   Tjalma's or pseudo-pseudo-Meigs' syndrome:: a case report [J].
Ural, U. M. ;
Kilic, A. ;
Gungor, T. ;
Ozdal, B. ;
Mollamahmutoglu, L. .
CLINICAL AND EXPERIMENTAL DERMATOLOGY, 2008, 33 (03) :363-364
[7]   Systemic lupus erythematosus presenting with progressive massive ascites and CA-125 elevation indicating Tjalma syndrome? A case report [J].
Wang, Jun-Di ;
Yang, Yan-Fei ;
Zhang, Xian-Feng ;
Huang, Jiao .
WORLD JOURNAL OF CLINICAL CASES, 2022, 10 (26) :9447-9453
[8]  
YELL JA, 1995, BRIT J DERMATOL, V132, P921