Yellow nail syndrome and adnexal tumour: causal or casual association?
The yellow nail syndrome is an uncommon condition characterised by dystrophic nails, pulmonary disturbances and lymph oedema. In Brazil as well as in India, this syndrome has been scarcely described, at least in part due to diagnosis pitfalls related with darker skin pigmentation. A case of adnexal malignancy developing several decades after initial signs of yellow nail syndrome is reported in a 61-year-old Brazilian female admitted for evaluation of peripheral oedema. She reported recurrent sinusitis and bronchitis, and three antecedent pneumonias. Physical examination showed yellow thickened nails and lower limb oedema, and a painless huge adnexal mass. Diverse tumours have been described associated with yellow nail syndrome; however, associations can also occur by chance. The present report attempts to raise the awareness about casual co-existence of malignancy and the syndrome.
dos Santos
Vitorino Modesto
VM
Catholic University Medical Course, Brazil. vitorinomodesto@gmail.com
Marques
Herberth Vera Cruz Furtado
HV
Lima
Camila do Carmo
Cdo C
Turra
Thiago Zavascki
TZ
de Melo Nogueira
Pedro Robério
PR
Lima
Lia Nogueira
LN
D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications* / Q000473:pathology; D056684:Yellow Nail Syndrome / Q000150:complications*