Verdejo C, Marín Hernández G, Villacastín B P, Renedo G, Largacha M G, Medina M L, Aguirre M
Servicio de Medicina Interna, Fundación Jiménez Díaz, Universidad Autónoma, Madrid.
Rev Clin Esp. 1992 Jul;191(3):152-5.
We discuss the yellow nails syndrome which is constituted by yellow nails, pleural effusion and lymphedema. After reviewing the literature, it can be said that nail disorders are an early and constant sign, and its absence could put in doubt the diagnosis of this syndrome. The most frequent pleuro-pulmonary disorder is the pleural effusion, chylous or exudative type. It is believed that the origin of this disease could be a congenital hypoplasia of the lymphatic vessels. Lymphography and the morphologic study performed show a diminution in the number and size of the lymphatics vessels (lymphedema) which are hypoplastic, varicosities and tortuous dilations are sometimes observed.
我们讨论由黄甲、胸腔积液和淋巴水肿构成的黄甲综合征。查阅文献后可以说，甲病变是一个早期且持续存在的体征，若无此表现，则该综合征的诊断可能存疑。最常见的胸膜肺部疾病是胸腔积液，可为乳糜性或渗出性。据信该病的起源可能是淋巴管先天性发育不全。淋巴管造影及形态学研究显示淋巴管数量减少、管径变细（淋巴水肿），有时可见发育不全、静脉曲张及迂曲扩张。
