Characteristics of patients with yellow nail syndrome and pleural effusion

Yellow nail syndrome (YNS) can be associated with a pleural effusion (PE) but the characteristics of these patients are not well defined. We performed a systematic review across four electronic databases for studies reporting clinical findings, PE characteristics, and most effective treatment of YNS...

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Autores: Valdés Cuadrado, Luis, Huggins, J. T., Gude Sampedro, Francisco, Ferreiro Fernández, Lucía, Alvarez Dobaño, Jose Manuel, Golpe Gómez, Antonio, Toubes Navarro, Maria Elena, González Barcala, Francisco Javier, San José Capilla, María Esther, Sahn, S. A.
Tipo de recurso: artículo
Fecha de publicación:2014
País:España
Institución:Servizo Galego de Saúde (SERGAS)
Repositorio:RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:oai:runa.sergas.gal:20.500.11940/6811
Acceso en línea:http://hdl.handle.net/20.500.11940/6811
Access Level:acceso abierto
Palabra clave:Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Pleural Effusion
Yellow Nail Syndrome
Young Adult
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repository_id_str
spelling Characteristics of patients with yellow nail syndrome and pleural effusionValdés Cuadrado, LuisHuggins, J. T.Gude Sampedro, FranciscoFerreiro Fernández, LucíaAlvarez Dobaño, Jose ManuelGolpe Gómez, AntonioToubes Navarro, Maria ElenaGonzález Barcala, Francisco JavierSan José Capilla, María EstherSahn, S. A.AdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleMiddle AgedPleural EffusionYellow Nail SyndromeYoung AdultYellow nail syndrome (YNS) can be associated with a pleural effusion (PE) but the characteristics of these patients are not well defined. We performed a systematic review across four electronic databases for studies reporting clinical findings, PE characteristics, and most effective treatment of YNS. Case descriptions and retrospective studies were included, unrestricted by year of publication. We reviewed 112 studies (150 patients), spanning a period of nearly 50 years. The male/female ratio was 1.2/1. The median age was 60 years (range: 0-88). Seventy-eight percent were between 41-80 years old. All cases had lymphoedema and 85.6% had yellow nails. PEs were bilateral in 68.3%. The appearance of the fluid was serous in 75.3%, milky in 22.3% and purulent in 3.5%. The PE was an exudate in 94.7% with lymphocytic predominance in 96% with a low count of nucleated cells. In 61 of 66 (92.4%) of patients, pleural fluid protein values were >3 g/dL, and typically higher than pleural fluid LDH. Pleurodesis and decortication/pleurectomy were effective in 81.8% and 88.9% of cases, respectively, in the treatment of symptomatic PEs. The development of YNS and PE occurs between the fifth to eighth decade of life and is associated with lymphoedema. The PE is usually bilateral and behaves as a lymphocyte-predominant exudate. The most effective treatments appear to be pleurodesis and decortication/pleurectomy.2014info:eu-repo/semantics/articlehttp://hdl.handle.net/20.500.11940/6811reponame:RUNA. Repositorio da Consellería de Sanidade e Sergasinstname:Servizo Galego de Saúde (SERGAS)Inglésinfo:eu-repo/semantics/openAccessoai:runa.sergas.gal:20.500.11940/68112026-06-12T08:40:47Z
dc.title.none.fl_str_mv Characteristics of patients with yellow nail syndrome and pleural effusion
title Characteristics of patients with yellow nail syndrome and pleural effusion
spellingShingle Characteristics of patients with yellow nail syndrome and pleural effusion
Valdés Cuadrado, Luis
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Pleural Effusion
Yellow Nail Syndrome
Young Adult
title_short Characteristics of patients with yellow nail syndrome and pleural effusion
title_full Characteristics of patients with yellow nail syndrome and pleural effusion
title_fullStr Characteristics of patients with yellow nail syndrome and pleural effusion
title_full_unstemmed Characteristics of patients with yellow nail syndrome and pleural effusion
title_sort Characteristics of patients with yellow nail syndrome and pleural effusion
dc.creator.none.fl_str_mv Valdés Cuadrado, Luis
Huggins, J. T.
Gude Sampedro, Francisco
Ferreiro Fernández, Lucía
Alvarez Dobaño, Jose Manuel
Golpe Gómez, Antonio
Toubes Navarro, Maria Elena
González Barcala, Francisco Javier
San José Capilla, María Esther
Sahn, S. A.
author Valdés Cuadrado, Luis
author_facet Valdés Cuadrado, Luis
Huggins, J. T.
Gude Sampedro, Francisco
Ferreiro Fernández, Lucía
Alvarez Dobaño, Jose Manuel
Golpe Gómez, Antonio
Toubes Navarro, Maria Elena
González Barcala, Francisco Javier
San José Capilla, María Esther
Sahn, S. A.
author_role author
author2 Huggins, J. T.
Gude Sampedro, Francisco
Ferreiro Fernández, Lucía
Alvarez Dobaño, Jose Manuel
Golpe Gómez, Antonio
Toubes Navarro, Maria Elena
González Barcala, Francisco Javier
San José Capilla, María Esther
Sahn, S. A.
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Pleural Effusion
Yellow Nail Syndrome
Young Adult
topic Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Pleural Effusion
Yellow Nail Syndrome
Young Adult
description Yellow nail syndrome (YNS) can be associated with a pleural effusion (PE) but the characteristics of these patients are not well defined. We performed a systematic review across four electronic databases for studies reporting clinical findings, PE characteristics, and most effective treatment of YNS. Case descriptions and retrospective studies were included, unrestricted by year of publication. We reviewed 112 studies (150 patients), spanning a period of nearly 50 years. The male/female ratio was 1.2/1. The median age was 60 years (range: 0-88). Seventy-eight percent were between 41-80 years old. All cases had lymphoedema and 85.6% had yellow nails. PEs were bilateral in 68.3%. The appearance of the fluid was serous in 75.3%, milky in 22.3% and purulent in 3.5%. The PE was an exudate in 94.7% with lymphocytic predominance in 96% with a low count of nucleated cells. In 61 of 66 (92.4%) of patients, pleural fluid protein values were >3 g/dL, and typically higher than pleural fluid LDH. Pleurodesis and decortication/pleurectomy were effective in 81.8% and 88.9% of cases, respectively, in the treatment of symptomatic PEs. The development of YNS and PE occurs between the fifth to eighth decade of life and is associated with lymphoedema. The PE is usually bilateral and behaves as a lymphocyte-predominant exudate. The most effective treatments appear to be pleurodesis and decortication/pleurectomy.
publishDate 2014
dc.date.none.fl_str_mv 2014
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.11940/6811
url http://hdl.handle.net/20.500.11940/6811
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:RUNA. Repositorio da Consellería de Sanidade e Sergas
instname:Servizo Galego de Saúde (SERGAS)
instname_str Servizo Galego de Saúde (SERGAS)
reponame_str RUNA. Repositorio da Consellería de Sanidade e Sergas
collection RUNA. Repositorio da Consellería de Sanidade e Sergas
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301603

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