medical image of the week: yellow nail syndrome

medical image of the week: yellow nail syndrome

;Wesselius LJ
journal of photochemistry and photobiology b: biology 2017 Vol. 15 pp. 230-231
283
lj2017southwestmedical

Abstract

No abstract available. Article truncated at 150 words. A 67-year-old woman with a previous history of yellow nail syndrome presented with a long history of cough, increased sputum production, recurrent swelling in her lower extremities and recurrent respiratory infections. Physical examination revealed non-pitting edema in the lower extremities and discolored nails (Figure 1). A thoracic CT scan showed bronchiectasis in the left upper lobe (Figure 2). She did not have a history of pleural effusions or chronic sinusitis. Yellow nail syndrome is very rare disorder associating yellow nail discoloration, bronchiectasis and lymphedema (1). Other frequent manifestations include sinusitis and recurrent pleural effusions. The disease is most frequently isolated but may be associated with other diseases implicating the lymphatic system, autoimmune diseases or cancers. The symptoms result from lymphatic impairment but the cause of the impairment is unknown. Treatment is symptomatic for each component. Vitamin E, combined with fluconazole, is usually prescribed to treat yellow nails and achieves a …

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