Abstract
A 19-year old patient diagnosed with yellow nail syndrome was posted for bronchoscopic examination for aspiration and clearance of secretions. There were symptoms pertaining to cardiorespiratory systems. He was uncooperative to undergo the procedure under local anaesthesia. Procedure was successfully managed using dexmedetomidine infusion.
Highlights
Yellow nail syndrome (YNS) is a rare condition of unknown aetiology characterized by triad of slow growing yellowish dystrophic nails (< 0.5 mm/week), lymphoedema and pleural effusion
Case report A 19-year old male patient diagnosed with yellow nail syndrome who presented to our hospital with fever, cough and difficulty in breathing, was scheduled for bronchoscopic clearance of secretions
The findings on Discussion YNS was first described by Samman and White in 1964, whereas only a few cases are reported from India
Summary
Introduction Yellow nail syndrome (YNS) is a rare condition of unknown aetiology characterized by triad of slow growing yellowish dystrophic nails (< 0.5 mm/week), lymphoedema and pleural effusion. Diagnosis can be made in the presence of two of these symptoms.[1,2] Distressing symptoms emerge due to the involvement of cardiorespiratory system. Respiratory rate 30/min, with room air oximetry reading of 94%.General examination revealed pallor, yellowish dystrophic nails, bilateral pitting pedal oedema and skin keratosis.
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