Respir Case Rep. 2012; 1(2): 29-32 | DOI: 10.5505/respircase.2012.77487

Yellow Nail Syndrome

Veli Cetinsu
Edirne Goverment Hospital

Yellow Nail Syndrome (YNS)’ is a clinical condition characterized with the yellow colouring of the nails, pleural effusion, bronchectasis, sinusitis, and lymphedema. The ethiology of YNS is unknown. It is widely accepted that this syndrome is originated from an anomaly of the lymphatic vessels and there is no Mendelian inheritance. Male and female ratio is equal. The most significant finding is the yellow colouring of the nails and can be misdiagnosed as fungal infection in some cases. Pleural effusion and sinusitis findings should accompany this condition and can be encountered with some malignant and autoimmune diseases. Nail findings can regress with the treatment of the underlying malignant diseases. Rare cases associated with tuberculosis or myocardial infarction has also been reported. Alpha-tocopherol is reported to be effective in the treatment of YNS in the literature. In this study we present a rare case 40 years old male YNS patient enclosing accompany the syndrome like coughing, shortness of breath, sputum production, stertorous respiration and yellow colouring of the nails.

Keywords: pleural effusion, sinusitis, bronchiectasis, yellow nail, lymphedema, autoimmune disease

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Sarý týrnak sendromu

Veli Cetinsu
Edirne Devlet Hastanesi

Sarý týrnak sendromu, týrnaklarda sarý renk deðiþikliði, plevral sývý, bronþektazi, sinüzit ve lenfödemle karakterize nadir bir sendromdur. Etyolojisi bilinmemektedir. Genel kabul edilen görüþe göre lenfatik damarlardaki bir anomali sonucu geliþmektedir. Mendelian geçiþ bulunmamaktadýr. Kadýn erkek oraný eþittir. En önemli semptom týrnaklarýn sararmasýdýr ve bazen mantar infeksiyonlarý ile karýþtýrýlýr. Plevral mayi ve sinüzite ait semptomlar bulunur ve bunlarda otoimmun hastalýklar ve bazý maling hastalýklara rastlanabilir. Malign hastalýklarýn tedavisi sonrasý týrnak semptomlarý gerileyebilir. Bazen tüberküloz ve miyokard enfarktüsünden sonra da oluþtuðu bildirilmiþtir. Alfa tokoferolun etkili olduðunu söyleyen yayýnlar bulunmaktadýr. Bu yazýda, öksürük, nefes darlýðý, hýrýltýlý solunum, balgam çýkarma ve týrnaklarda sararma þikayetleri olan 40 yaþýndaki bir erkek hastayý sunuyoruz.

Anahtar Kelimeler: plevral efüzyon, sinusit, bronþektazi, sarý týrnak, lenfödem, otoimmun hastalýklar

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