1
|
Benassaia E, Abba S, Fourgeaud C, Mihoubi A, Vignes S. Yellow Nail Syndrome: Analysis of 23 Consecutive Patients and Effect of Combined Fluconazole-Vitamin-E Treatment. Dermatology 2023; 240:343-351. [PMID: 38071959 DOI: 10.1159/000535577] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 11/27/2023] [Indexed: 04/06/2024] Open
Abstract
INTRODUCTION Yellow nail syndrome (YNS), a very rare disorder of unknown etiology, is characterized by a triad associating yellow nails, respiratory manifestations, and lymphedema. YNS treatment remains non-codified. METHOD This retrospective study was conducted from January 2008 to December 2022 in a single tertiary department exclusively dedicated to lymphatic diseases. All consecutive patients with YNS were included. RESULTS Thirteen men and 10 women were included. Three patients had yellow nails at birth or during childhood. For the other 20 patients, median (Q1-Q3) age at first sign was 50.8 (43-61) years, with first-YNS-sign-to-diagnosis interval of 17 (10-56) months. For 4 patients, YNS was associated with primary intestinal lymphangiectasia. The first YNS sign was chronic cough (45.5%), followed by yellow nails (27.3%), chronic sinusitis (18.2%), and lymphedema (9.1%). At first consultation for all patients, 69.6% had the complete triad, all had yellow nails and cough, 82.6% had chronic sinusitis, and 69.6% had lymphedema. Twelve patients' lymphedema involved only the lower limb(s), 2 the lower and upper limbs, and 2 the lower and upper limbs and face. Nineteen (82.6%) patients were prescribed fluconazole (100 mg/day [n = 8] or 300 mg/week [n = 11]) combined with vitamin E (1,000 mg/day) for a median of 13 months. Responses were complete for 4 (21.1%) patients, partial for 8 (42.1%), and therapeutic failures for 7 (36.8%). CONCLUSIONS YNS is a rare disease that almost always starts with a chronic cough. Despite inconstant efficacy, fluconazole-vitamin E in combination can be prescribed to treat yellow nails.
Collapse
Affiliation(s)
- Erwin Benassaia
- Department of Lymphology, Centre National de Référence des Lymphoedèmes Primaires, Hôpital Cognacq-Jay, Paris, France
| | - Sarah Abba
- Department of Lymphology, Centre National de Référence des Lymphoedèmes Primaires, Hôpital Cognacq-Jay, Paris, France
| | - Caroline Fourgeaud
- Department of Lymphology, Centre National de Référence des Lymphoedèmes Primaires, Hôpital Cognacq-Jay, Paris, France
| | - Amina Mihoubi
- Department of Lymphology, Centre National de Référence des Lymphoedèmes Primaires, Hôpital Cognacq-Jay, Paris, France
| | - Stéphane Vignes
- Department of Lymphology, Centre National de Référence des Lymphoedèmes Primaires, Hôpital Cognacq-Jay, Paris, France
| |
Collapse
|
2
|
Devilee RAC, Röntgen SL. [Unexpected diagnosis after abnormal ecg]. Ned Tijdschr Geneeskd 2023; 167:D7723. [PMID: 37823881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
A 60-year-old man was referred to the outpatient clinic due to dyspnea of effort and productive coughing and rhinorrhea. Physical examination revealed swollen ankles and yellow, hyperkeratotic nails. HRCT showed bronchiectasis. This triad of symptoms indicates yellow nail syndrome. Vitamin E improved the yellow nails, while optimal expiration techniques alleviated respiratory symptoms.
Collapse
Affiliation(s)
- Robin A C Devilee
- Elisabeth-TweeSteden ziekenhuis,afd. SEH, Tilburg
- Contact: Robin A.C. Devilee
| | | |
Collapse
|
3
|
Boersma AR, Boersma WG. [A man with yellow nails]. Ned Tijdschr Geneeskd 2023; 167:D7780. [PMID: 37742122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/25/2023]
Abstract
A 60-year-old man was referred to the outpatient clinic due to dyspnea of effort and productive coughing and rhinorrhea. Physical examination revealed swollen ankles and yellow, hyperkeratotic nails. HRCT showed bronchiectasis. This triad of symptoms indicates yellow nail syndrome. Vitamin E improved the yellow nails, while optimal expiration techniques alleviated respiratory symptoms.
Collapse
Affiliation(s)
- Anton R Boersma
- Canisius Wilhelmina Ziekenhuis, afd. Longgeneeskunde, Nijmegen
- Contact: Anton R. Boersma
| | - Wim G Boersma
- Noordwest Ziekenhuisgroep, afd. Longgeneeskunde, Alkmaar
| |
Collapse
|
4
|
Abstract
Yellow nail syndrome (YNS) is a rare disease comprising the clinical triad of yellow nail discoloration, pleural effusion, and lower limb lymphedema. We encountered a difficult-to-treat case of YNS in which the diagnosis was finally made based on intranodal lymphangiography. An 84-year-old man was admitted to our hospital with pleural effusion and yellow-green discoloration of the nails, accompanied by onychomycosis and limb lymphedema. Intranodal lymphangiography revealed a slow contrast flow and narrowing of the thoracic duct, suggesting lymphatic duct dysplasia and leading to the diagnosis of YNS.
Collapse
Affiliation(s)
- Takahiro Uchida
- Department of Respiratory Medicine, Saitama Medical University Hospital, Japan
- Department of Respiratory Medicine, Saitama Medical University International Medical Center, Japan
| | - Yoshitaka Uchida
- Department of Respiratory Medicine, Saitama Medical University Hospital, Japan
| | - Masao Takahashi
- Department of Diagnostic Radiology, Saitama Medical University Hospital, Japan
| | - Kenji Masaki
- Department of Respiratory Medicine, Saitama Medical University Hospital, Japan
| | - Hideaki Sato
- Department of Respiratory Medicine, Saitama Medical University Hospital, Japan
| | - Hidetoshi Iemura
- Department of Respiratory Medicine, Saitama Medical University Hospital, Japan
| | - Shun Shinomiya
- Department of Respiratory Medicine, Saitama Medical University Hospital, Japan
- Department of Respiratory Medicine, Saitama Medical University International Medical Center, Japan
| | - Hidetoshi Nakamura
- Department of Respiratory Medicine, Saitama Medical University Hospital, Japan
| | - Makoto Nagata
- Department of Respiratory Medicine, Saitama Medical University Hospital, Japan
| |
Collapse
|
5
|
Abdalla A, Jamous F. Yellow Nail Syndrome: A Case Presentation and a Review of Management Options. S D Med 2021; 74:368-371. [PMID: 34461002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Yellow nail syndrome (YNS) has traditionally been thought of as a triad of exudative pleural effusion, yellow nails, and lymphedema. More recently, in addition to the hallmark yellowish nail discoloration, the diagnostic criteria required an associated lymphedema and/or chronic respiratory manifestations including pleural effusions, bronchiectasis or chronic sinusitis. Etiology remains unknown and treatment is supportive and directed towards patient's specific complaints. While described alongside multiple endocrine, lymphatic and autoimmune disorders, its most ominous association is malignancy, raising YNS as a possible paraneoplastic condition. Here we present the case of an 80 years-old female with worsening restrictive airway disease and acquired yellow nails, with development of dyspnea, cough and leg edema. Recurrent exudative lymphocyte predominant pleural effusion was treated definitively with pleurodesis. Her leg edema and yellow nails were treated conservatively. We describe previous case reports and series in the literature, outline therapeutic options and discuss prognosis.
Collapse
Affiliation(s)
- Abdelmohaymin Abdalla
- Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota
| | - Fady Jamous
- Avera Medical Group - Pulmonary, Critical Care and Sleep Medicine, Sioux Falls, South Dakota
- University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota
| |
Collapse
|
6
|
Affiliation(s)
- Soumya Chatterjee
- Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio
- Orthopaedic and Rheumatologic Institute, Department of Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, Ohio
| | - Elliott Chandler Dasenbrook
- Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio
- Cleveland Clinic Adult Cystic Fibrosis Program and Bronchiectasis Center, Cleveland, Ohio
- Respiratory Institute, Department of Pulmonary and Critical Care Medicine, Cleveland Clinic, Cleveland, Ohio
| |
Collapse
|
7
|
Shakshouk H, Lehman JS. Yellow Nails. Mayo Clin Proc 2020; 95:966-967. [PMID: 32370857 DOI: 10.1016/j.mayocp.2020.01.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Accepted: 01/31/2020] [Indexed: 11/25/2022]
|
8
|
Frankel D, Zaias N. Hereditary Yellow Nail without a Syndrome. Skinmed 2019; 17:73-74. [PMID: 30888955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
A 40-year-old woman presented with clinical features of yellow nail syndrome (YNS). She had no past or present associated lymphatic or respiratory abnormalities. She was accompanied by her 12-year-old daughter, who also demonstrated clinical features of YNS. Similarly, the daughter had no past or present associated lymphatic or respiratory abnormalities. At the time of evaluation, a specific treatment was not initiated for mother or daughter. (SKINmed. 2019;17:73-74).
Collapse
Affiliation(s)
- DeeVa Frankel
- Department of Podiatry, Mount Sinai Medical Center, Miami Beach, FL
- Advanced Footcare Inc, Miami, FL
| | - Nardo Zaias
- Greater Miami Skin and Laser Center, Miami Beach, FL
- Department of Dermatology, Mount Sinai Medical Center, Miami Beach, FL
| |
Collapse
|
9
|
Imai R, Nakatani R, Nakaoka H, Tomishima Y, Jinta T, Chonabayashi N, Tamura T. Yellow Nail Syndrome Patients with Diffuse Panbronchiolitis-like Pulmonary Manifestation. Intern Med 2019; 58:553-556. [PMID: 30210127 PMCID: PMC6421143 DOI: 10.2169/internalmedicine.1466-18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2018] [Accepted: 06/19/2018] [Indexed: 11/30/2022] Open
Abstract
Yellow nail syndrome (YNS) is a rare clinical syndrome characterized by a triad of yellow thick nail, lymphedema and respiratory diseases. We experienced 2 cases of YNS with diffuse panbronchiolitis (DPB)-like pulmonary manifestation. Since YNS might be hidden to those who have been diagnosed with DPB, physicians should be alert to recognize nail signs of YNS in case of DPB refractory to macrolide therapy. We hereby review previous case reports of YNS and discuss its pulmonary manifestations.
Collapse
Affiliation(s)
- Ryosuke Imai
- Division of Pulmonary Medicine, Thoracic Center, St. Luke's International Hospital, Japan
| | - Ryo Nakatani
- Internal Medicine, St. Luke's International Hospital, Japan
| | - Hiroshi Nakaoka
- Department of Respiratory Medicine, Chikamori Hospital, Japan
| | - Yutaka Tomishima
- Division of Pulmonary Medicine, Thoracic Center, St. Luke's International Hospital, Japan
| | - Torahiko Jinta
- Division of Pulmonary Medicine, Thoracic Center, St. Luke's International Hospital, Japan
| | - Naohiko Chonabayashi
- Division of Pulmonary Medicine, Thoracic Center, St. Luke's International Hospital, Japan
| | - Tomohide Tamura
- Division of Pulmonary Medicine, Thoracic Center, St. Luke's International Hospital, Japan
| |
Collapse
|
10
|
Lübbert C, Kunz M. Yellow Nail Syndrome. Dtsch Arztebl Int 2017; 114:874. [PMID: 29271348 PMCID: PMC5763003 DOI: 10.3238/arztebl.2017.0874b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Affiliation(s)
- Christoph Lübbert
- *Fachbereich Infektions- und Tropenmedizin, Klinik und Poliklinik für Gastroenterologie und Rheumatologie, Department für Innere Medizin, Neurologie und Dermatologie, Universitätsklinikum Leipzig,
| | - Manfred Kunz
- **Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Department für Innere Medizin, Neurologie und Dermatologie, Universitätsklinikum Leipzig
| |
Collapse
|
11
|
Abstract
Yellow nail syndrome (YNS) is a constellation of clinical findings including at least 2 of the 3 features of thickened yellow nails, respiratory tract involvement, and lymphedema. We report the case of a middle-aged man presenting with dystrophic, thickened yellow nails; an idiopathic pericardial effusion in the absence of pleural effusion(s); and unilateral apical bronchiectasis found on computed tomography of the chest. This represents a unique presentation of YNS as the first report of a patient with YNS and a pericardial effusion in the absence of pleural effusions and lymphedema and is the 11th case report of YNS with pericardial effusion.
Collapse
Affiliation(s)
- Laura C Soong
- 1 Medical Student, University of Alberta, Alberta, Canada
| | - Richard M Haber
- 2 Professor of Medicine, University of Calgary, Alberta, Canada
| |
Collapse
|
12
|
Saraya T. [Diagnosis at a Glance]. Nihon Naika Gakkai Zasshi 2016; 105:1069-1071. [PMID: 30168701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
|
13
|
Ro S, Ishii S, Hayashi Y, Kobayashi K, Masaki H, Miyoshi S, Takeda Y, Hojo M, Sugiyama H. Thoracoscopy under Local Anesthesia was Useful for Diagnosing Yellow Nail Syndrome. Intern Med 2016; 55:975-80. [PMID: 27086815 DOI: 10.2169/internalmedicine.55.5247] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
An 80-year-old woman with rheumatoid arthritis and a past history of tuberculosis presented with exertional dyspnea and edema of both legs. Chest X-ray performed on admission showed bilateral pleural effusion. Thoracoscopy under local anesthesia was performed, and vasodilation and non-specific yellowish inflammatory changes were noted in the pleura. A pathological examination showed chronic fibrosing pleuritis in addition to chronic pleural inflammatory changes with lymphoid aggregates. The nails on all fingers and toes were thickened and displayed yellow discoloration, and the edema was resistant to diuretics. Lymphoscintigraphy was conducted, which showed lymphatic drainage abnormalities. The patient was ultimately diagnosed as having yellow nail syndrome.
Collapse
Affiliation(s)
- Shoki Ro
- Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan
| | | | | | | | | | | | | | | | | |
Collapse
|
14
|
Santos VMD, Teixeira CA, Almeida ACA, Santos AMRO, Brito KRM, Ferreira VA. Yellow Nail Syndrome Associated with Pericarditis and Pericardial Effusion: a Case Report. Acta Med Iran 2015; 53:789-792. [PMID: 26749238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Abstract
Yellow nail syndrome (YNS) is an uncommon condition characterized by nail changes, lymphedema, in addition to pulmonary disorders and pleural effusion. Pericarditis and non-cardiac disorders can evolve with pericardial effusions including autoimmune conditions, hypothyroidism, malignancies, tuberculosis, and uremia. A 72-year-old Brazilian woman under treatment for arterial hypertension and hypothyroidism was admitted with pericarditis and pericardial effusion concomitant with yellow nail syndrome. She denied tobacco smoking, alcohol abuse, and similar disorders in her family. Clinical and complementary evaluation ruled out infectious diseases, malignancies, and autoimmune disorders as etiologic factors in this case. Hypothyroidism is a well-known cause of pericardial effusion, the vast majority in the absence of pericarditis, and has been described as an associated condition in some individuals with YNS. Case studies might contribute to better understanding of these causal or casual relationships.
Collapse
|
15
|
Modi A, Reinhardt JF. The Way to a Man's Lungs Is through His Nails: Defining Yellow Nail Syndrome. Del Med J 2015; 87:216-218. [PMID: 26285321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
|
16
|
Crişan-Dabija R, Mihăescu T. A curious case of yellow nail syndrome. Pneumologia 2015; 64:36-38. [PMID: 26016054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The Yellow Nail Syndrome is a rare clinical entity, first described in 1967 by P.D. Samman and W.F. White. The triad slow-growing dystrophic yellow nails, lymphedema and chronic respiratory disorders is the typical manifestation of the disease but some variations have been described as well as associations with chylothorax, chylous ascites, intestinal lymphangiectasia, thyroid abnormalities, malignancies and immunoglobulin A (IgA) deficiency. We present a case of a 55-years-old woman that had an insidious onset of respiratory disorders and chronic sinusitis, suspected to be infectious throughout the hospitalizations, associated with therapeutically neglected autoimmune thyroiditis.
Collapse
|
17
|
Khen-Dunlop N, Amiel J, Delacourt C, Révillon Y. [Enigmatic lymphatic diseases involving the lung]. Rev Pneumol Clin 2013; 69:260-264. [PMID: 23561737 DOI: 10.1016/j.pneumo.2013.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2012] [Revised: 01/22/2013] [Accepted: 02/15/2013] [Indexed: 06/02/2023]
Abstract
Lymphedema associated with other developmental malformations (Milroy syndrome, Hennekam syndrome, Noonan syndrome, Gorham-Stout syndrome, yellow nail syndrome) are unfrequent disease, but explorations led to the identification of genetic mutations that have then been validated in mouse models. However, lymphatic vessels complexity and its proximity with the venous system suggest the need for further researches, especially in the comprehension of pulmonary symptoms.
Collapse
Affiliation(s)
- N Khen-Dunlop
- Service de chirurgie viscérale pédiatrique, hôpital Necker-Enfants-malades, 149, rue de Sèvres, 75015 Paris, France.
| | | | | | | |
Collapse
|
18
|
Saeed RR, Mustafa HM. A 24 year-old male with yellow nail syndrome having bronchiactasis without pleural effusion as a pulmonary manifestation. Indian J Med Sci 2013; 67:184-187. [PMID: 24469563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Yellow nail syndrome is a rare entity of unknown etiology. Classically, it consists of a triad of slow-growing yellow nails of fingers and toes, lymphedema, and pulmonary manifestations mainly pleural effusion. Other pulmonary manifestations also have been described in the literature such as bronchiectasis, recurrent pneumonias, bronchitis, and sinusitis. This paper describes a case of yellow nail syndrome which did not have the classic triad of the condition; he presented with progressive yellow hand and toe nails intermittent lymphedema, bronchctasis, and sinusitis without pleural effusion.
Collapse
Affiliation(s)
- Rebeen R Saeed
- Department of Medicine, General University Teaching Hospital of Sulaimania, Kurdistan, Iraq
| | | |
Collapse
|
19
|
|
20
|
Stollery N. Unusual conditions. Practitioner 2012; 256:36-37. [PMID: 23477019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
|
21
|
Noël-Savina E, Paleiron N, Leroyer C, Descourt R. [Discovery of a yellow nail syndrome with major hypothyroidism]. Rev Pneumol Clin 2012; 68:315-317. [PMID: 22884167 DOI: 10.1016/j.pneumo.2012.06.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2011] [Revised: 06/08/2012] [Accepted: 06/14/2012] [Indexed: 06/01/2023]
Abstract
The yellow nail syndrome is rare. It associates the triad: yellow nails, lymphedema and thoracic events. We report two cases of this syndrome with major hypothyroidism. These observations suggest an association between these two diseases.
Collapse
Affiliation(s)
- E Noël-Savina
- Service de Pneumologie, Hôpital de la Cavale-Blanche, CHU de Brest, boulevard Tanguy-Prigent, 29609 Brest cedex, France.
| | | | | | | |
Collapse
|
22
|
Modrzewska K, Fijołek J, Ptak J, Wiatr E. [Yellow nail syndrome in a patient with membranous glomerulonephritis]. Pneumonol Alergol Pol 2012; 80:158-162. [PMID: 22370985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
Yellow nail syndrome (YNS) is a condition characterized by yellow-green coloration of nails, respiratory manifestations and lymphoedema. This article presents 52-year-old patient with membranous glomerulonephritis, hospitalized at the National Tuberculosis and Lung Diseases Research Institute in Warsaw, because of suspected allergic aspergillosis. Based on clinical and radiological evaluation the diagnosis of YNS was established. Treatment of renal disease did not affect the course of yellow nail syndrome. During the two-year follow-up, despite stable renal parameters we observed the progression of respiratory manifestations (bronchiectasis, pleural effusions).
Collapse
|
23
|
|
24
|
Avitan-Hersh E, Berger G, Bergman R. Yellow nail syndrome. Isr Med Assoc J 2011; 13:577-578. [PMID: 21991723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
|
25
|
Chavda LK, Vaidya RA, Vaidya ADB. Yellow nail syndrome: missed diagnosis of a rare syndrome. J Assoc Physicians India 2011; 59:258-260. [PMID: 21755767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
A 61 year old male, with a bilateral persistent and recurrent pleural effusion, had undergone frequent tapping over a period of eight months, prior to the referral. The patient was treated earlier to the referral empirically for pulmonary tuberculosis with no response to the treatment. Malignancy was suspected and ruled out. A detailed examination showed that he also had atrophic nails with yellow discoloration and lymphedema of feet. Yellow nail syndrome was diagnosed on the basis of the clinical findings of the triad viz. yellow atrophic nails, lymphedema and bilateral pleural effusions. Pathogenesis still remains elusive for the syndrome. Pleurodesis provided both symptomatic relief and a respite from repeated tapping. The case is presented as a rare condition, which was missed for diagnosis, for quite some time by several specialists.
Collapse
|
26
|
Iheonunekwu N, Adedayo O, Clare A, Cummings C. Yellow nail syndrome in a medical clinic. W INDIAN MED J 2011; 60:99-101. [PMID: 21809722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Yellow nail syndrome is a very rare clinical entity usually diagnosed from a combination of yellow dystrophic nails, lymphoedema and respiratory diseases. The aetiology is not known though dysfunctional hypoplastic lymphatics is speculated. Most cases occur sporadically but few cases may be associated with systemic diseases or may be inherited. This report documents another case in a 56-year old Caribbean female who presented with a six-year history of recurrent respiratory symptoms and later yellow dystrophic nails and lymphoedema. She responded well to vitamin E and oral fluconazole. We also did a short literature review of yellow nail syndrome.
Collapse
Affiliation(s)
- N Iheonunekwu
- Department of Medicine, George Town Hospital, Cayman Islands, West Indies.
| | | | | | | |
Collapse
|
27
|
Félix RHDM, Oliveira HMDN, Sousa CLDAE, Fonseca ARBMD, Albuquerque PRD, Lima SRH. [Yellow nail syndrome]. Rev Assoc Med Bras (1992) 2011; 57:15. [PMID: 21390452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
|
28
|
Abstract
A case of yellow nail syndrome in an 88-year-old man in association with renal cell carcinoma was reported.
Collapse
|
29
|
Watanabe E, Mochiduki Y, Nakahara Y, Kawamura T, Sasaki S. [A case of yellow nail syndrome with bilateral pleural effusion]. Nihon Kokyuki Gakkai Zasshi 2010; 48:458-462. [PMID: 20608092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
A 68-year-old woman, suffering from dyspnea on exertion, was admitted to our hospital. She had noticed her nails become yellow 8 years previously. She had mild bilateral effusion. Examination of the pleural fluid revealed exudates which were lymphocyte-rich, a high concentration of adenosine deaminase (ADA) and elevated serum levels of soluble interleukin-2 receptors. These confirmed the diagnosis of yellow nail syndrome.
Collapse
|
30
|
Gentil-Le Pecq B, Ravel AC. [Yellow nail sydrome]. Rev Prat 2010; 60:13. [PMID: 20222303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
|