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A Case of Yellow Nail Syndrome Manifesting as Chronic Recurrent Pleural Effusion

만성 흉수로 내원하여 황색 조갑 증후군(Yellow Nail Syndrome)으로 진단된 1예

  • Noh, Se Hui (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Gyung-Min (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Chun, Yoon Hee (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Sun Young (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Roh, Jae Hyung (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Tai Sun (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Woo Sung (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 노세희 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 박경민 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 천윤희 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 김선영 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 노재형 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 박태선 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 김우성 (울산대학교 의과대학 서울아산병원 호흡기내과학교실)
  • Received : 2009.10.21
  • Accepted : 2009.10.22
  • Published : 2009.12.30

Abstract

Yellow nail syndrome is a rare cause of pleural effusions. This syndrome is characterized by yellow discoloration of nails, lymphedema, and respiratory disorders, including pleural effusion, chronic bronchitis, bronchiectasis, and chronic sinusitis. The etiology of this syndrome is obscure, but the pathogenesis seems to be related with impaired lymphatic drainage. We report a case of yellow nail syndrome in a 70-year-old female with the typical clinical findings (yellow discoloration of nails, lymphedema, and chronic pleural effusion) of this disorder and with proven lymphatic obstruction on lymphoscintigraphy.

Keywords

References

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