바로가기메뉴

본문 바로가기 주메뉴 바로가기

A Case of Yellow Nail Syndrome: Misdiagnosis as Congestive Heart Failure

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2011, v.71 no.1, pp.46-49
Byeong Joo Bae (Konkuk University)


Sun Jong Kim (Konkuk University)

Won Dong Kim (Konkuk University)
  • Downloaded
  • Viewed

Abstract

Yellow nail syndrome (YNS) is a rare disorder of unknown cause associated with yellow nails, lymphedema and respiratory manifestations. It was first described by Samman and White in 1964, and to date, approximately 150 cases have been reported. The diagnosis of YNS is essentially a clinical one and based on the presence of characteristic findings. We report a case of YNS of a 62-year-old female who presented with a 4-month history of dyspnea and recurrent pleural effusion. The patient had a 5-year history of leg swelling and dyspnea. She had been managed with medications for congestive heart failure (CHF) for two years and she was referred to our hospital for further evaluation and management.

keywords
Yellow Nail Syndrome, Lymphedema, Pleural Effusion

Reference

1.

1. Samman PD, White WF. The "yellow nail" syndrome. Br J Dermatol 1964;76:153-7.

2.

2. Hiller E, Rosenow EC 3rd, Olsen AM. Pulmonary manifestations of the yellow nail syndrome. Chest 1972; 61:452-8.

3.

3. Emerson PA. Yellow nails, lymphoedema, and pleural effusions. Thorax 1966;21:247-53.

4.

4. Beer DJ, Pereira W Jr, Snider GL. Pleural effusion associated with primary lymphedema: a perspective on the yellow nail syndrome. Am Rev Respir Dis 1978;117: 595-9.

5.

5. Bull RH, Fenton DA, Mortimer PS. Lymphatic function in the yellow nail syndrome. Br J Dermatol 1996;134: 307-12.

6.

6. Battaglia A, di Ricco G, Mariani G, Giuntini C. Pleural effusion and recurrent broncho-pneumonia with lymphedema, yellow nails and protein-losing enteropathy. Eur J Respir Dis 1985;66:65-9.

7.

7. D'Alessandro A, Muzi G, Monaco A, Filiberto S, Barboni A, Abbritti G. Yellow nail syndrome: does protein leakage play a role? Eur Respir J 2001;17:149-52.

8.

8. Maldonado F, Ryu JH. Yellow nail syndrome. Curr Opin Pulm Med 2009;15:371-5.

9.

9. Maldonado F, Tazelaar HD, Wang CW, Ryu JH. Yellow nail syndrome: analysis of 41 consecutive patients. Chest 2008;134:375-81.

10.

10. Szolnoky G, Lakatos B, Husz S, Dobozy A. Improvement in lymphatic function and partial resolution of nails after complex decongestive physiotherapy in yellow nail syndrome. Int J Dermatol 2005;44:501-3.

Tuberculosis & Respiratory Diseases