Ahmed Omnya, Malley Tamir, Kitchen Joanne
Rheumatology Department, Royal Berkshire Hospital, UK.
Oxf Med Case Reports. 2019 Jan 31;2019(2):omy136. doi: 10.1093/omcr/omy136. eCollection 2019 Jan.
Here we report a case of a patient with systemic lupus erythematosus presenting with pseudo-pseudo Meigs' syndrome (PPMS): a triad of pleural effusion, ascites and raised CA-125. There have only been nine other cases reported in the literature. To our knowledge, this is the first to have an oesophago-gastro-duodenoscopy and liver biopsy as part of the diagnostic work up. Its mechanism of action is not yet fully understood but PPMS is a treatable condition that is responsive to immunosuppression. It is therefore important to consider it in patients presenting like this, where alternative diagnoses, including malignancy, have been ruled out.
在此，我们报告一例系统性红斑狼疮患者出现假性梅格斯综合征（PPMS）：表现为胸腔积液、腹水和CA - 125升高的三联征。文献中仅另有9例报道。据我们所知，这是第一例将食管胃十二指肠镜检查和肝活检作为诊断检查一部分的病例。其作用机制尚未完全明确，但PPMS是一种可通过免疫抑制治疗的疾病。因此，对于出现此类症状且已排除包括恶性肿瘤在内的其他诊断的患者，考虑这一疾病很重要。
