Das Yellow-Nail-Syndrom

Zusammenfassung

Es wird der Fall einer 54-jährigen Frau mit Yellow-nail-Syndrom mit Pleuraergüssen, Lymphödem, Perikarderguss, Rhinosinusitis und Bronchiektasien beschrieben. Das Fallbeispiel illustriert einen eher benignen Verlauf des Syndroms über 10 Jahre. Das Yellow-nail-Syndrom sollte in differenzialdiagnostische Überlegungen bei bilateralen Pleuraergüssen mit einbezogen werden.

Abstract

A case of a 54-year-old woman exhibiting the yellow nail syndrome with exudative pleural effusions, lymphoedema, pericardial effusion, rhinosinusitis and bronchiectasis is described. This case illustrates the rather benign course of the syndrome over ten years. A review of the literature is provided. The etiology of the syndrome is obscure, while the pathogenesis seems to involve impaired lymphatic drainage. The entity should be considered in the differential diagnosis of bilateral pleural effusion. It is likely that the condition is not as rare as it appears from the number of published reports, and a greater awareness of its various forms will probably lead to more frequent diagnosis.

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