Meigs' syndrome: a rare cause of recurrent pleural effusion in scleroderma.

Abstract:

:Meigs' syndrome represents a triad of pleural effusion, ascites, and an ovarian tumor, usually benign, occurring together. We describe here a case of Meigs' syndrome in a patient with systemic sclerosis, the first such report to our knowledge, in systemic sclerosis. A 53-year-old woman with systemic sclerosis presented with recurrent right-sided pleural effusion, which led to symptoms of shortness of breath, chest tightness, and a non-productive cough. Physical examination revealed a palpable, mobile mass in the right lower quadrant, in addition to typical physical features of scleroderma. Thoracentesis yielded exudative pleural fluid with cytology negative for malignancy. Pleural biopsy was consistent with inflammatory changes, but negative for malignancy. CT scan of the chest, abdomen, and pelvis revealed a soft tissue mass in the pelvis, which appeared to arise from the left ovary. The patient's cancer antigen 125 (CA-125) level was elevated at 222 U/mL (normal range, 0-30 U/mL). The patient underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histology of the left ovarian mass was consistent with an ovarian fibrothecoma, a benign tumor of the ovary. At her 1-month follow-up appointment, the patient had complete resolution of the right-sided pleural effusion. To date, at 10 months past the initial presentation, she has not had recurrence of pleural effusion. Although rare, Meigs' syndrome should be considered as a possible cause of recurrent serositis in women with rheumatologic diseases. Removal of the ovarian tumor leads to prompt resolution of the serositis.

journal_name

Rheumatol Int

authors

Su F,Cummings KW,Krigman H,Ranganathan P

doi

10.1007/s00296-012-2437-x

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

2647-51

issue

10

eissn

0172-8172

issn

1437-160X

journal_volume

33

pub_type

杂志文章
  • Intravitreal bevacizumab for severe vaso-occlusive retinopathy in systemic lupus erythematosus.

    abstract::Severe vaso-occlusive retinopathy is a relatively rare form of retinopathy in systemic lupus erythematosus (SLE). We report two patients with severe vaso-occlusive retinopathy in SLE who were treated with intravitreal bevacizumab (IVB). (Patient 1) A 35-year-old woman presented with left visual loss and was diagnosed ...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-011-2139-9

    authors: Lee WJ,Cho HY,Lee YJ,Lee BR,Shin JP

    更新日期:2013-01-01 00:00:00

  • Long-term follow-up of 89 patients with giant cell arteritis: a retrospective observational study on disease characteristics, flares and organ damage.

    abstract::The objective of the study is to investigate the clinical characteristics and long-term prognosis including flares and organ damage in patients with giant cell arteritis (GCA) from a tertiary referral centre and compare these features in different subgroups. In this retrospective observational study, patients with GCA...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-020-04730-1

    authors: Ince B,Artan S,Yalcinkaya Y,Artim-Esen B,Gul A,Ocal L,Inanc M

    更新日期:2021-02-01 00:00:00

  • Antineutrophil cytoplasmic antibodies in patients with systemic lupus erythematosus: prevalence, antigen specificity, and clinical associations.

    abstract::Fifty-five patients with systemic lupus erythematosus (SLE) were examined for antineutrophil cytoplasmic antibodies (ANCA) by indirect immunofluorescence (IIF). Enzyme-linked immunosorbent assay (ELISA) for ANCA against myeloperoxidase (MPO), lactoferrin (LF), proteinase 3 (PR3), elastase (HLE), and bactericidal/perme...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s002960100108

    authors: Manolova I,Dancheva M,Halacheva K

    更新日期:2001-07-01 00:00:00

  • Pattern-based diagnosis and screening of differentially expressed serum proteins for rheumatoid arthritis by proteomic fingerprinting.

    abstract::The objective of this study was to search for proteomic patterns distinguishing patients with rheumatoid arthritis (RA) from healthy controls, biomarker candidates specific for early RA, and proteins reflecting disease activity, by profiling of serum proteins using magnetic bead-based (MB) separation and matrix-assist...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-010-1407-4

    authors: Long L,Li R,Li Y,Hu C,Li Z

    更新日期:2011-08-01 00:00:00

  • Diagnosis of Raynaud's phenomenon by 99mTc-pertechnetate hand perfusion scintigraphy: a pilot study.

    abstract::We assess the usefulness of 99mTc-pertechnetate hand perfusion scintigraphy in patients with Raynaud's phenomenon (RP). The study population consisted of 18 patients with primary RP, 25 patients with secondary RP within systemic sclerosis (SSc), and ten healthy individuals. Gamma camera dynamic first-pass study during...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-016-3584-2

    authors: Pavlov-Dolijanovic S,Petrovic N,Vujasinovic Stupar N,Damjanov N,Radunovic G,Babic D,Sobic-Saranovic D,Artiko V

    更新日期:2016-12-01 00:00:00

  • Gait as predictor of physical function in axial spondyloarthritis: the prospective longitudinal FOLOMI (Function, Locomotion, Measurement, Inflammation) study protocol.

    abstract::Axial spondyloarthritis (axSpA) is a chronic inflammatory rheumatic disease affecting predominantly sacroiliac joints and axial skeleton. axSpA progression being irregular and hardly predictable, identifying functional decline is particularly important in patient with axSpA to allow delivery of timely and targeted int...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-019-04396-4

    authors: Soulard J,Vuillerme N,Gaudin P,Grange L,Baillet A,Cracowski JL,Juvin R,Vaillant J

    更新日期:2019-10-01 00:00:00

  • Calcaneus bone mineral density in Japanese women with rheumatoid arthritis.

    abstract:OBJECTIVES:The aim of this study was to investigate the relationships among bone mineral densities (BMD) in the calcaneus and leg activity of daily living (L-ADL) in rheumatoid arthritis (RA) patients. METHODS:We measured and compared calcaneus BMD using single X-ray absorptiometry and lumbar spine and femoral neck BM...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-003-0421-1

    authors: Doi S,Kushida K,Miyamoto S,Sekioka Y,Suzuki M,Inoue T,Nagano A

    更新日期:2005-04-01 00:00:00

  • Comparing fibromyalgia patients from primary care and rheumatology settings: clinical and psychosocial features.

    abstract::The aim of this study was to compare clinical symptoms, perceived health status, health resource use and psychosocial features in fibromyalgia (FM) patients at different health care levels. A total of 315 participants were recruited from primary care (PC) (n=101) and rheumatology settings (RS) (n=214). Subjects comple...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-008-0818-y

    authors: Boyer AL,Mira Pastor MA,Calatayud NP,Lopez-Roig S,Cantero Terol MC

    更新日期:2009-08-01 00:00:00

  • Is intraarticular sodium hyaluronate injection an alternative treatment in patients with adhesive capsulitis?

    abstract::The aim of this study was to compare the efficacy of sodium hyaluronate (SH) injection with the most common treatment methods, intraarticular steroid injection and physical therapy modalities in patients with adhesive capsulitis (AC). A total of 95 shoulders of 90 patients were included in the study and were randomize...

    journal_title:Rheumatology international

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00296-005-0022-2

    authors: Calis M,Demir H,Ulker S,Kirnap M,Duygulu F,Calis HT

    更新日期:2006-04-01 00:00:00

  • Renal cell carcinoma presenting as Henoch-Schönlein purpura with leukocytoclastic vasculitis, hematuria, proteinuria and abdominal pain.

    abstract::Some infectious, rheumatic, allergic diseases, and malignancies have been associated with leucocytoclastic vasculitis (LCV). LCV and cancer occur most frequently in patients with hematological malignancies such as lymphomas and leukemias. There have been a few prior cases reported of LCV associated with renal cell car...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-009-1063-8

    authors: Hong YH

    更新日期:2010-08-01 00:00:00

  • Assessing quality of life of self-reported rheumatic patients.

    abstract::The aims of this study were to assess the health-related quality of life (HRQoL) in patients with self-reported rheumatic diseases (RD), to classify self-reported rheumatic patients in groups according to their health state and to explore the associations between health status and sociodemographic variables. Data came...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-016-3517-0

    authors: Ferreira PL,Gonçalves SP,Ferreira LN,Pereira LN,Antunes P,Gouveia N,Rodrigues A,Canhão H,Branco J

    更新日期:2016-09-01 00:00:00

  • Macrophage activation syndrome in children with systemic juvenile idiopathic arthritis and systemic lupus erythematosus.

    abstract::Macrophage activation syndrome (MAS) is a hyper-inflammatory disorder secondary to a rheumatic disease such as systemic juvenile idiopathic arthritis (SJIA) and systemic lupus erythematosus (SLE). We aimed to present the characteristics of our pediatric MAS patients. Clinical features, laboratory parameters, treatment...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-016-3545-9

    authors: Aytaç S,Batu ED,Ünal Ş,Bilginer Y,Çetin M,Tuncer M,Gümrük F,Özen S

    更新日期:2016-10-01 00:00:00

  • Elevated levels of nitrate in rheumatoid arthritis.

    abstract::Nitric oxide (NO) is a free radical that plays important roles in many physiological and pathological processes. Evidence suggests that NO participates in the pathogenesis of inflammatory reactions in many autoimmune and inflammatory diseases such as rheumatoid arthritis (RA). The purpose of this study was to evaluate...

    journal_title:Rheumatology international

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s002960100105

    authors: Onur O,Akinci AS,Akbiyik F,Unsal I

    更新日期:2001-05-01 00:00:00

  • The Hindi version of the Juvenile Arthritis Multidimensional Assessment Report (JAMAR).

    abstract::The Juvenile Arthritis Multidimensional Assessment Report (JAMAR) is a new parent/patient-reported outcome measure that enables a thorough assessment of the disease status in children with juvenile idiopathic arthritis (JIA). We report the results of the cross-cultural adaptation and validation of the parent and patie...

    journal_title:Rheumatology international

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00296-018-3957-9

    authors: Aggarwal A,Khubchandani R,Sawhney S,Rahman MT,Agarwal M,Consolaro A,Bovis F,Ruperto N,Paediatric Rheumatology International Trials Organisation (PRINTO).

    更新日期:2018-04-01 00:00:00

  • Differential immunological response of patients with rheumatoid arthritis towards two different Epstein-Barr virus strains: inhibition of interleukin-1 release by the B95-8, but not the P3HR-1 virus strain.

    abstract::An abnormal immune response towards the Epstein-Barr virus (EBV) has been documented in patients with rheumatoid arthritis (RA). To investigate whether these findings are due to the transformation event caused by EBV, RA blood mononuclear cells and monocyte-enriched preparations were incubated with two different EBV s...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/BF00271873

    authors: Häupl T,Burmester GR,Hahn G,Feige U,Rordorf-Adam C,Kalden JR

    更新日期:1989-01-01 00:00:00

  • Drug-induced lupus in anti-TNF-alpha therapy and its treatment with rituximab.

    abstract::We report three patients with rheumatoid arthritis (RA) who were treated with anti-TNF-α agents and who developed drug-induced lupus (DIL). Two of them received etanercept and the remainder adalimumab. We also present the favorable response observed with the withdrawal of the anti-TNF-alpha agents and the introduction...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-011-2137-y

    authors: Diaz JC,Vallejo S,Cañas CA

    更新日期:2012-10-01 00:00:00

  • Atrioventricular conduction time in rheumatoid arthritis.

    abstract::The atrioventricular conduction time (P-R interval) was determined in 189 women and 90 men with rheumatoid arthritis (RA). Only three women and one man were found to have pathological prolongation of the P-R interval. However, a significant prolongation of the P-R interval, within normal range, was seen in women with ...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/BF00541337

    authors: Jurik AG,Møller P

    更新日期:1985-01-01 00:00:00

  • High frequencies of HLA-B27 in Chinese patients with suspected of ankylosing spondylitis.

    abstract::This study was performed to investigate the frequency of human leukocyte antigen (HLA)-B27 in Chinese patients with suspected of ankylosing spondylitis (AS) and to assess the clinical significance of HLA-B27 typing. A total of 1,016 patients suspected of AS were classified into six groups based on one major AS-related...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-009-1148-4

    authors: Liu X,Li YR,Hu LH,Zhou ZM,Chen FH,Ning Y,Yao QF

    更新日期:2010-08-01 00:00:00

  • Is there a predisposition for the development of autoimmune diseases in patients with fibromyalgia? Retrospective analysis with long term follow-up.

    abstract::The objectives of the study were to evaluate the prevalence of antinuclear antibodies (ANA) in patients with fibromyalgia (FM) and the probability of the development of clinically overt connective tissue diseases. Four hundred and fifty FM patients were compared to 129 healthy matched blood donors. ANA testing was per...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-007-0413-7

    authors: Kötter I,Neuscheler D,Günaydin I,Wernet D,Klein R

    更新日期:2007-09-01 00:00:00

  • The effect of gold treatment on monocyte interleukin-1 production in rheumatoid arthritis. A prospective study.

    abstract::Monocyte interleukin-1 (IL-1) production in vitro was studied in 49 patients with rheumatoid arthritis (RA) and 31 controls. Twenty-six of the RA patients were studied prospectively for up to 12 months after beginning chrysotherapy. About half of the patients (group 1) exhibited pretreatment levels of monocyte IL-1 se...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/BF02274840

    authors: Danis VA,Kulesz AJ,Kelly DE,Nelson DS,Brooks PM

    更新日期:1990-01-01 00:00:00

  • Experimental immune mediated arthritis in rhesus monkeys. A model for human rheumatoid arthritis?

    abstract::The induction of experimental arthritis in rhesus monkeys was studied by intradermal immunization of bovine type II collagen and antigens derived from Mycobacterium tuberculosis, Streptococcus pyogenes, and Eubacterium aerofaciens. The tested bacterial antigens proved to be not arthrogenic. Bovine type II collagen ind...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/BF02274777

    authors: Bakker NP,van Erck MG,Zurcher C,Faaber P,Lemmens A,Hazenberg M,Bontrop RE,Jonker M

    更新日期:1990-01-01 00:00:00

  • Anti-Saccharomyces cerevisiae antibodies in patients with systemic lupus erythematosus.

    abstract::Anti-Saccharomyces cerevisiae antibodies (ASCA) had been known to be specific for Crohn's disease but it has been found in many other autoimmune diseases like systemic lupus erythematosus (SLE). Furthermore, cross-reactive epitopes on β2-glycoprotein I (β2GPI) and Saccharomyces cerevisiae were found in SLE patients. T...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-012-2431-3

    authors: Mankaï A,Sakly W,Thabet Y,Achour A,Manoubi W,Ghedira I

    更新日期:2013-03-01 00:00:00

  • Dilemma in management of hemorrhagic myositis in dermatomyositis.

    abstract::Dermatomyositis (DM) is a rare inflammatory disorder affecting the muscle and skin. DM patients can present with spontaneous muscle hemorrhage, a potentially fatal complication. The best practice for management of hemorrhagic myositis in these patients remains unclear. Here we discuss the case of a patient who present...

    journal_title:Rheumatology international

    pub_type: 杂志文章,评审

    doi:10.1007/s00296-019-04501-7

    authors: Chandler JM,Kim YJ,Bauer JL,Wapnir IL

    更新日期:2020-02-01 00:00:00

  • Brucellosis as a rare cause of olecranon bursitis: case-based review.

    abstract::A 51-year-old man shepherd presented with mild pain and swelling of the right posterior aspect of his right elbow. In ultrasonography, the affected bursal space had swelling and effusion. Moreover, the aspiration of the affected bursa revealed an inflammatory profile. Brucella melitensis was detected in aspirated flui...

    journal_title:Rheumatology international

    pub_type: 杂志文章,评审

    doi:10.1007/s00296-019-04414-5

    authors: Esmaeilnejad-Ganji SM,Roushan MRH,Ebrahimpour S,Babazadeh A

    更新日期:2019-12-01 00:00:00

  • Diabetic muscular infarct: an unusual cause of extremity pain and dysfunction.

    abstract::Diabetic muscular infarct (DMI) is a rare condition, which begins with acute onset of extremity pain and swelling. Patients usually have long-standing disease and poorly controlled diabetes mellitus (DM). Thigh muscle group is the most commonly involved side, while lower leg involvement is rare. We represent herein a ...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-010-1759-9

    authors: Uçan H,Alemdaroğlu E,Yoldaş TK,Erdem Özdamar S,Akyüz M,Hatipoğlu C

    更新日期:2012-02-01 00:00:00

  • Anterior uveitis in patients with spondyloarthropathies in a single US academic center: a retrospective study.

    abstract::Uveitis may represent an opportunity to diagnose spondyloarthropathies (SpA) earlier and influence treatment decisions. We describe the percentage of acute anterior uveitis (AAU) in a diverse group of SpA patients seen at one academic setting and compare demographic and clinical characteristics according to the presen...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-019-04386-6

    authors: Gevorgyan O,Riad M,Sarran RD,Merrill PT,Block JA,Castrejon I

    更新日期:2019-09-01 00:00:00

  • Testing clinical criteria for systemic lupus erythematosus in other connective tissue disorders.

    abstract::The American Rheumatism Association (ARA) clinical criteria have been tested in systemic lupus erythematosus (SLE), progressive systemic sclerosis, polyarteritis nodosa and polymyositis/dermatomyositis. Hospital admissions from a defined population over the same period were studied. Increased weighting of the scores f...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/BF00541261

    authors: Tan PL,Borman GB,Wigley RD

    更新日期:1981-01-01 00:00:00

  • Punctal plugs versus artificial tears for treating primary Sjögren's syndrome with keratoconjunctivitis SICCA: a comparative observation of their effects on visual function.

    abstract::To compare the effects of treatment with punctal plugs versus artificial tears on visual function for primary Sjögren's syndrome with dry eye. Forty-two eyes of 42 patients with primary Sjögren's syndrome were enrolled and were allocated randomly into artificial tears (AT) group and punctal plugs (PP) group. Ocular Su...

    journal_title:Rheumatology international

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00296-013-2769-1

    authors: Qiu W,Liu Z,Ao M,Li X,Wang W

    更新日期:2013-10-01 00:00:00

  • Primary Sjögren's syndrome in Moroccan patients: characteristics, fatigue and quality of life.

    abstract::Our aim was to evaluate fatigue and quality of life (QoL) in Moroccan patients with primary Sjögren's syndrome (PSS) and determine their correlates with disease-related parameters. Fifty-seven consecutive patients with PSS according to the American-European Consensus group (AEGG) criteria were included. Demographic, c...

    journal_title:Rheumatology international

    pub_type: 杂志文章

    doi:10.1007/s00296-011-2009-5

    authors: Ibn Yacoub Y,Rostom S,Laatiris A,Hajjaj-Hassouni N

    更新日期:2012-09-01 00:00:00

  • A prospective analysis of liver biopsies in rheumatoid arthritis patients receiving long term methotrexate therapy.

    abstract::Baseline and sequential liver biopsies were performed in ten patients with rheumatoid arthritis (RA) treated with methotrexate (MTX) for more than 4 years. Liver biopsies were performed in all patients before the initiation of MTX therapy and were repeated after reaching a cumulative dose of 1500 mg or more. In four p...

    journal_title:Rheumatology international

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF00246875

    authors: Tishler M,Caspi D,Halperin Z,Baratz M,Moshkowitz M,Yaron M

    更新日期:1992-01-01 00:00:00