Yellow Nail Syndrome Successfully Treated with Oral Terbinafine and Topical Minoxidil

Maysoon Algain Department of Dermatology, King Abdulaziz University, Jeddah, Saudi ArabiaCorrespondence: Maysoon Algain Department of DermatologyKing Abdulaziz University, Jeddah, Saudi ArabiaTel +966 503000301Email maysoonalgain@gmail.comAbstract: Yellow nail syndrome (YNS) is a rare disease of unk...

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Main Author: Algain M
Format: Article
Language:English
Published: Dove Medical Press 2021-03-01
Series:Clinical, Cosmetic and Investigational Dermatology
Subjects:
Online Access:https://www.dovepress.com/yellow-nail-syndrome-successfully-treated-with-oral-terbinafine-and-to-peer-reviewed-article-CCID
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author Algain M
author_facet Algain M
author_sort Algain M
collection DOAJ
description Maysoon Algain Department of Dermatology, King Abdulaziz University, Jeddah, Saudi ArabiaCorrespondence: Maysoon Algain Department of DermatologyKing Abdulaziz University, Jeddah, Saudi ArabiaTel +966 503000301Email maysoonalgain@gmail.comAbstract: Yellow nail syndrome (YNS) is a rare disease of unknown etiology that is characterized by varying degrees of pulmonary manifestations, lymphedema, and yellow discoloration of the nails. Herein, we report the efficacy of oral terbinafine and topical minoxidil in treating the associated nail abnormalities of YNS in a 66-year-old woman. The patient presented with yellow, brittle, slow-growing nails, which had developed progressively over the past 8 months; left ankle edema; a chronic, purulent, productive cough; and exertional dyspnea. Based on these symptoms, she was diagnosed with YNS. She failed to respond to treatment with fluconazole and vitamin E; however, she was successfully treated with oral terbinafine and topical minoxidil. The treatment was well tolerated, and we speculate that its mode of action includes promoting lymphatic formation and barrier enhancement, thereby improving the distal lymphedema, in addition to distal vasodilation that accelerates the nail growth. To our knowledge, this is the first report of successful treatment of YNS using these agents.Keywords: exertional dyspnea, lymphedema, productive cough, case report
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spelling doaj.art-8b0671b6701a4ccba8702a02caf897a92022-12-21T20:02:55ZengDove Medical PressClinical, Cosmetic and Investigational Dermatology1178-70152021-03-01Volume 1424925263025Yellow Nail Syndrome Successfully Treated with Oral Terbinafine and Topical MinoxidilAlgain MMaysoon Algain Department of Dermatology, King Abdulaziz University, Jeddah, Saudi ArabiaCorrespondence: Maysoon Algain Department of DermatologyKing Abdulaziz University, Jeddah, Saudi ArabiaTel +966 503000301Email maysoonalgain@gmail.comAbstract: Yellow nail syndrome (YNS) is a rare disease of unknown etiology that is characterized by varying degrees of pulmonary manifestations, lymphedema, and yellow discoloration of the nails. Herein, we report the efficacy of oral terbinafine and topical minoxidil in treating the associated nail abnormalities of YNS in a 66-year-old woman. The patient presented with yellow, brittle, slow-growing nails, which had developed progressively over the past 8 months; left ankle edema; a chronic, purulent, productive cough; and exertional dyspnea. Based on these symptoms, she was diagnosed with YNS. She failed to respond to treatment with fluconazole and vitamin E; however, she was successfully treated with oral terbinafine and topical minoxidil. The treatment was well tolerated, and we speculate that its mode of action includes promoting lymphatic formation and barrier enhancement, thereby improving the distal lymphedema, in addition to distal vasodilation that accelerates the nail growth. To our knowledge, this is the first report of successful treatment of YNS using these agents.Keywords: exertional dyspnea, lymphedema, productive cough, case reporthttps://www.dovepress.com/yellow-nail-syndrome-successfully-treated-with-oral-terbinafine-and-to-peer-reviewed-article-CCIDexertional dyspnealymphedemaproductive coughcase report
spellingShingle Algain M
Yellow Nail Syndrome Successfully Treated with Oral Terbinafine and Topical Minoxidil
Clinical, Cosmetic and Investigational Dermatology
exertional dyspnea
lymphedema
productive cough
case report
title Yellow Nail Syndrome Successfully Treated with Oral Terbinafine and Topical Minoxidil
title_full Yellow Nail Syndrome Successfully Treated with Oral Terbinafine and Topical Minoxidil
title_fullStr Yellow Nail Syndrome Successfully Treated with Oral Terbinafine and Topical Minoxidil
title_full_unstemmed Yellow Nail Syndrome Successfully Treated with Oral Terbinafine and Topical Minoxidil
title_short Yellow Nail Syndrome Successfully Treated with Oral Terbinafine and Topical Minoxidil
title_sort yellow nail syndrome successfully treated with oral terbinafine and topical minoxidil
topic exertional dyspnea
lymphedema
productive cough
case report
url https://www.dovepress.com/yellow-nail-syndrome-successfully-treated-with-oral-terbinafine-and-to-peer-reviewed-article-CCID
work_keys_str_mv AT algainm yellownailsyndromesuccessfullytreatedwithoralterbinafineandtopicalminoxidil