A rare case of yellow nail syndrome in the emergency room setting: A case report

Jordan S. Elmowitz , Michael E. Nelson
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Abstract

Background

Yellow nail syndrome (YNS) is a rare condition that consists of the following triad: yellowing of the nails, lymphedema, and pulmonary disease. The disease may be difficult to diagnose as all three components of the triad may not be present simultaneously, and on initial evaluation, it can mimic common conditions such as onychomycosis, psoriasis, and lichen planus. This is a case of yellow nail syndrome in the emergency department.

Case report

This is a case of a 31-year-old male who presented to the emergency room with a chief complaint of bilateral lower extremity swelling, yellow discoloration of his fingernails, and productive cough.

Why should an emergency physician be aware of this?

Recognition of the constellation of findings can avoid unnecessary testing, exposure to potentially harmful inappropriate medications, and provide psychologic relief to the patient. Subsequently, this may reduce patient cost, avoid unnecessary side effects, and lead to appropriate disease management.
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急诊室中罕见的黄指甲综合征1例:1例报告
背景:黄指甲综合征(YNS)是一种罕见的疾病,由以下三种症状组成:指甲变黄、淋巴水肿和肺部疾病。这种疾病可能难以诊断,因为三联征的所有三个组成部分可能不会同时出现,并且在最初的评估中,它可以模拟常见的情况,如甲真菌病、牛皮癣和扁平苔藓。这是一个在急诊科的黄指甲综合征病例。病例报告:这是一例31岁男性患者,主诉为双侧下肢肿胀、指甲变黄和咳嗽。急诊医生为什么要意识到这一点?认识到这些发现可以避免不必要的检查,暴露于潜在有害的不适当药物,并为患者提供心理缓解。随后,这可能会降低患者的成本,避免不必要的副作用,并导致适当的疾病管理。
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来源期刊
JEM reports
JEM reports Emergency Medicine
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