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Ahmed A, Y. Yousif M, Abdelmageed I, Eljack MMF, Abbasher Hussien Mohamed Ahmed K, Tarig AbdAlla Mohamed M, Abdelkareim G. Mohammed S, B. Salih E, H. Osman D. Yellow nail syndrome in an elderly sudanese female: A case report. Clin Case Rep 2022; 10:e05809. [PMID: 35600028 PMCID: PMC9107919 DOI: 10.1002/ccr3.5809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 04/13/2022] [Accepted: 04/19/2022] [Indexed: 11/17/2022] Open
Abstract
Yellow nail syndrome is a rare lymphatic abnormality without clear pathogenesis. Hereby, we report a 70‐year‐old Sudanese female patient who presented with recurrent cough, recurrent lower limb swelling, and yellowish nail discoloration diagnosed as yellow nail syndrome but unfortunately passed away due to acute respiratory distress syndrome (ARDS). The co‐existence of recurrent respiratory affection and non‐pitting edema in patients of more than 40 years should raise suspicion of yellow nail syndrome even in absence of sinusitis, bronchiectasis, or positive family history.
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Affiliation(s)
- Abdelmuniem Ahmed
- Physiology department Faculty of Medicine University of Gezira Gezira Sudan
| | - Mohamed Y. Yousif
- Resident Physician Sudanese medical specialisation board Khartoum Sudan
| | - Isam Abdelmageed
- Consultant chest physician Hasahesa teaching hospital Gezira Sudan
| | | | | | | | | | | | - Dina H. Osman
- Faculty of Medicine University of Gezira Gezira Sudan
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Almeida Issa MC, de Oliveira Bento C, Vaz de Campos F, Severo Alves de Melo A, de Alencar Araripe Junior A, Pantaleão L. Yellow nail syndrome and overlap syndrome of autoimmune hepatitis and cholangitis: A rare association or an atypical presentation? Ann Dermatol Venereol 2020; 147:881-884. [PMID: 32616323 DOI: 10.1016/j.annder.2020.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2019] [Revised: 01/19/2020] [Accepted: 03/10/2020] [Indexed: 10/24/2022]
Affiliation(s)
- M-C Almeida Issa
- Department of dermatology, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - C de Oliveira Bento
- Department of dermatology, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.
| | - F Vaz de Campos
- Department of dermatology, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | | | | | - L Pantaleão
- Department of Pathology, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
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Hsu TY, Lin CC, Lee MD, Chang BPH, Tsai JD. Titanium Dioxide in Toothpaste Causing Yellow Nail Syndrome. Pediatrics 2017; 139:peds.2016-0546. [PMID: 27940507 DOI: 10.1542/peds.2016-0546] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/31/2016] [Indexed: 12/17/2022] Open
Abstract
Yellow nail syndrome (YNS) is an uncommon disorder, the classic triad of which consists of yellow nails, lymphedema, and respiratory symptoms. Few pediatric cases have been reported. We report a 9-year-old girl with yellowish nail discoloration for 1 year accompanied by respiratory symptoms, including chronic cough, recurrent pneumonia, bronchiectasis, and chronic sinusitis. The patient was diagnosed with YNS. Knowing that a relationship between YNS and titanium has been reported, we collected her nail clippings and detected titanium in them by energy dispersive radiograph fluorescence. This patient's titanium exposure may have come from her habit of swallowing children's toothpaste. With meticulous avoidance of swallowing toothpaste, she had amelioration of her yellow nail discoloration as well as diminution of her respiratory symptoms. We reevaluated her nail clippings for titanium 3 years later, and no titanium was detected. This observation suggests that avoiding titanium exposure could alleviate the symptoms of YNS. This is the first report of YNS in a pediatric patient that demonstrates a relationship between YNS and titanium. We review the previous reports of pediatric patients with YNS.
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Affiliation(s)
- Ting-Yuan Hsu
- Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan
| | - Chun-Chen Lin
- Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan.,Department of Medicine, MacKay Medical College, Taipei, Taiwan.,MacKay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan
| | - Ming-Dar Lee
- Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan.,Department of Medicine, MacKay Medical College, Taipei, Taiwan
| | - Brian Pin-Hsuan Chang
- Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan.,Department of Medicine, MacKay Medical College, Taipei, Taiwan.,Department of Pediatrics, Taipei Medical University Hospital, Taipei, Taiwan; and
| | - Jeng-Daw Tsai
- Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan; .,Department of Medicine, MacKay Medical College, Taipei, Taiwan.,Department of Pediatrics, Taipei Medical University Hospital, Taipei, Taiwan; and.,Department of Pediatrics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
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Pontarelli E, Goodhue C, Merritt R, Anselmo D. Chylous ascites following Kasai portoenterostomy: Case study and review of the literature. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2013. [DOI: 10.1016/j.epsc.2013.05.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Letheulle J, Deslée G, Guy T, Lebargy F, Jego P, Delaval P, Desrues B, Jouneau S. Le syndrome des ongles jaunes : présentation de cinq cas. Rev Mal Respir 2012; 29:419-25. [DOI: 10.1016/j.rmr.2011.09.046] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2011] [Accepted: 09/26/2011] [Indexed: 10/28/2022]
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Abstract
PURPOSE OF REVIEW The yellow nail syndrome (YNS) is a rare disorder of unknown cause characterized by the triad of yellow and thickened nails, lymphedema and respiratory manifestations. We review the current state of knowledge, particularly regarding the diagnosis and management of this disorder. RECENT FINDINGS Available data suggest acquired lymphatic dysfunction to be the predominant mechanism underlying the clinical manifestations of YNS. The clinical features are variable among individuals diagnosed to have this disorder, and these features can vary over time. Although many disorders have been reported to be associated with YNS, there is no consistent theme in these associations. Longevity of patients with YNS is modestly reduced when compared with a control population. There is no specific treatment for YNS, but most patients can be managed with supportive measures aimed at ameliorating various clinical manifestations. SUMMARY The pathogenesis of YNS remains poorly defined. The diagnosis is established on the basis of characteristic clinical features including abnormal nails, lymphedema and respiratory manifestations. The clinical course is generally benign, and current treatment aims to control the various clinical manifestations of this obscure disease process.
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