{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:55:17Z","timestamp":1792688117307,"version":"4.5.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Tjalma syndrome, also known as pseudo\u2010pseudo Meigs syndrome, is a rare complication of systemic lupus erythematosus (SLE) characterized by ascites, pleural effusion, and elevated CA\u2010125 levels in the absence of malignancy. We report a case of a 22\u2010year\u2010old woman with SLE presenting with vulvar swelling, severe polyserositis, nephritis, and progressive respiratory failure. SLE was confirmed by strongly positive anti\u2010dsDNA with low complement levels. Despite immunosuppressive and supportive therapy, the patient's condition rapidly worsened, and she died due to hyperkalemia\u2010induced ventricular fibrillation. This case highlights the diagnostic challenges of Tjalma syndrome, the need for thorough exclusion of malignancy, and the importance of early immunosuppression in preventing fatal outcomes.<\/jats:p>","DOI":"10.1002\/ccr3.72352","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T04:33:02Z","timestamp":1777005182000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Tjalma Syndrome\u2014A Rare but Real Manifestation of Systemic Lupus Erythematosus"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2841-446X","authenticated-orcid":false,"given":"Zaid","family":"Khan","sequence":"first","affiliation":[{"name":"Internal Medicine Lady Reading Hospital  Peshawar Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amina","family":"Asad","sequence":"additional","affiliation":[{"name":"Internal Medicine Lady Reading Hospital  Peshawar Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waseef","family":"Ullah","sequence":"additional","affiliation":[{"name":"Internal Medicine Lady Reading Hospital  Peshawar Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3058-1073","authenticated-orcid":false,"given":"Luqman","family":"Muhammadi","sequence":"additional","affiliation":[{"name":"Rokhan Institute of Higher Education  Jalalabad Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"StatPearls [Internet]","author":"Justiz Vaillant A. 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R.","year":"2019","journal-title":"Reumatologia Clinica"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72352","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72352","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72352","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T08:39:40Z","timestamp":1781253580000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72352"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/ccr3.72352"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72352","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-09-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72352"}}