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Lymphatic function in the yellow nail syndrome

R H Bull1, D A Fenton, P S Mortimer

  • 1Department of Dermatology, St George's Hospital, London, U.K.

The British Journal of Dermatology
|February 1, 1996
PubMed
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Peripheral oedema in yellow nail syndrome (YNS) is linked to reduced lymphatic function, particularly in the legs and arms. This impairment appears functional and secondary, not the primary cause of YNS.

Area of Science:

  • Medicine
  • Lymphology
  • Dermatology

Background:

  • Peripheral oedema is a common clinical feature of yellow nail syndrome (YNS).
  • Previous studies using contrast lymphangiography suggested potential lymphatic abnormalities in YNS patients.

Purpose of the Study:

  • To quantitatively assess lymphatic function in the upper and lower limbs of patients with YNS.
  • To compare lymphatic function in YNS patients with normal controls and those with established lymphedema.

Main Methods:

  • Quantitative lymphoscintigraphy was employed to evaluate lymphatic drainage in 17 YNS patients, normal controls, and classical lymphedema patients.
  • Assessment included both upper and lower limbs.

Main Results:

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  • Patients with YNS exhibited significantly reduced lymphatic drainage in their legs, though not to the extent seen in classical lymphedema.
  • Reduced lymphatic function was also observed in the arms of YNS patients.
  • Venous insufficiency was ruled out as a contributing factor to leg edema in YNS.
  • Conclusions:

    • The findings suggest that lymphatic abnormalities are not the primary underlying cause of yellow nail syndrome.
    • The observed lymphatic impairment in YNS appears to be secondary and predominantly functional, rather than structural.