Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Yellow Nail Syndrome in Which Intranodal Lymphangiography Contributed to the Diagnosis
Takahiro UchidaYoshitaka UchidaMasao TakahashiKenji MasakiHideaki SatoHidetoshi IemuraShun ShinomiyaHidetoshi NakamuraMakoto Nagata
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JOURNAL OPEN ACCESS

2021 Volume 60 Issue 22 Pages 3599-3603

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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.

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© 2021 by The Japanese Society of Internal Medicine
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