title: A case of mixed connective tissue disease with pseudo-pseudo Meigs' syndrome (PPMS)-like features.
abstract: Pseudo-pseudo Meigs' syndrome (PPMS) has been reported to be a rare presentation of patients with systemic lupus erythematosus (SLE). However, such a presentation is not common in other forms of connective tissue disease. We presented a case of gross ascites, pleural effusion, and marked elevation of CA-125 level (PPMS-like features) that led to a diagnosis of MCTD. The patient responded to systemic steroid therapy.
authors.affiliation: Division of Rheumatology, Department of Medicine, Hospital Tuanku Ja'afar Seremban, Malaysia cheeken78@gmail.com.
authors.forename: C K
authors.initials: CK
authors.lastname: Cheah
authors.affiliation: Division of Rheumatology, Department of Medicine, Hospital Tuanku Ja'afar Seremban, Malaysia.
authors.forename: S
authors.initials: S
authors.lastname: Ramanujam
authors.affiliation: Division of Rheumatology, Department of Medicine, Hospital Tuanku Ja'afar Seremban, Malaysia.
authors.forename: N
authors.initials: N
authors.lastname: Mohd Noor
authors.affiliation: Division of Rheumatology, Department of Medicine, Hospital Tuanku Ja'afar Seremban, Malaysia.
authors.forename: C
authors.initials: C
authors.lastname: Gandhi
authors.affiliation: Division of Rheumatology, Department of Medicine, Hospital Tuanku Ja'afar Seremban, Malaysia.
authors.forename: Beryl A
authors.initials: BA
authors.lastname: D Souza
authors.affiliation: Division of Rheumatology, Department of Medicine, Hospital Tuanku Ja'afar Seremban, Malaysia.
authors.forename: S C
authors.initials: SC
authors.lastname: Gun
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000473:pathology; D008539:Meigs Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D008775:Methylprednisolone / Q000008:administration & dosage; D008947:Mixed Connective Tissue Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D011239:Prednisolone / Q000008:administration & dosage; D011859:Radiography; D011928:Raynaud Disease / Q000473:pathology*
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone; D008775:Methylprednisolone
keywords: CA-125; Mixed connective tissue disease; pseudo-pseudo Meigs’ syndrome