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Serositiscan be noted in 10-16% of patients followed for systemic lupus erythematosus (SLE). They are by far dominated by pleural and pericardial effusions; ascites, however, remains extremely rare. The ascites associated with SLE is exceptionally primitive due to lupus peritonitis with only a few sporadic cases reportedin the medical literature. It may exceptionally be the first manifestation revealing SLE representing a real diagnostic and therapeutic challenge for clinicians.
We report an original observation of isolated massive ascites due to lupus peritonitis revealing systemic lupus a 28-year-old Tunisian woman.
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