Pseudo-pseudo Meigs' syndrome in a patient with systemic lupus erythematosus

Dalvi S. R., Yildirim R., Santoriello D., Belmont H. M.

LUPUS, vol.21, no.13, pp.1463-1466, 2012 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 13
  • Publication Date: 2012
  • Doi Number: 10.1177/0961203312461291
  • Journal Name: LUPUS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1463-1466
  • Keywords: Systemic lupus erythematosus, Meigs' syndrome, ascites, hypoalbuminemia, CA-125, ASCITES
  • Eskisehir Osmangazi University Affiliated: No


Pseudo-pseudo Meigs' syndrome (PPMS) is a rare manifestation of patients with systemic lupus erythematosus (SLE), defined by the presence of ascites, pleural effusions and an elevated CA-125 level. We describe a patient with longstanding lupus who presented with localized lymphadenopathy and subsequently developed massive chylous ascites with marked hypoalbuminemia. A brief historical overview of Meigs' syndrome and related entities is presented, along with a discussion of the differential diagnosis of hypoalbuminemia and ascites in an SLE patient. In addition, we speculate on the optimal therapeutic intervention in such a patient. Lupus (2012) 21, 1463 1466.