title: Titanium exposure and yellow nail syndrome.
abstract: Yellow nail syndrome is a rare disease of unclear etiology. We describe a patient who develops yellow nail syndrome, with primary nail and sinus manifestations, shortly after amalgam dental implants. A study of the patient's nail shedding showed elevated nail titanium levels. The patient had her dental implants removed and had complete resolution of her sinus symptoms with no change in her nail findings. Since the patient's nail findings did not resolve we do not believe titanium exposure is a cause of her yellow nail syndrome but perhaps a possible relationship exists between titanium exposure and yellow nail syndrome that requires further studies.
authors.affiliation: University of Florida, Division of Pulmonary and Critical Care Medicine, 1600 SW Archer Rd, P.O.Box 100225, Rm 452, Gainesville, FL 32610, USA.
authors.forename: Ali
authors.initials: A
authors.lastname: Ataya
authors.affiliation: University of Florida, Department of Internal Medicine, USA.
authors.forename: Kristopher P
authors.initials: KP
authors.lastname: Kline
authors.affiliation: University of Florida, Division of Pharmacy, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Cope
authors.affiliation: University of Florida, Division of Pulmonary and Critical Care Medicine, USA.
authors.forename: Hassan
authors.initials: H
authors.lastname: Alnuaimat
keywords: Amalgam implants; Chronic sinusitus; Nails; Titanium; Yellow nail syndrome; Yellow nail syndrome, (YNS)