© 2002 British Journal of Ophthalmology
LETTER
Conjunctival changes associated with yellow nail syndrome
Quinze-Vingts National Center of Ophthalmology and Department of Pneumology, Tenon Hospital, Paris, France
Correspondence to:
Correspondence to:
Tristan Bourcier, MD, PhD, Service du Professeur Laroche, CHNO des Quinze-Vingts, 28 rue de Charenton 75012 Paris, France;
bourcier@quinze-vingts.fr
Accepted 28 January 2002
Keywords: conjunctiva; yellow nail syndrome
| The first 150 words of the full text of this article appear below. |
The yellow nail syndrome (YNS) is a rare clinical entity characterised by slow growing yellow discoloured nails in association with peripheral lymphoedema, pulmonary manifestation (bronchiectasis, pleural effusions), and chronic sinusitis.1 About 100 cases of YNS have been described in the literature but it has never been associated with ocular manifestations.2 We report one patient with YNS in whom chronic chemosis and conjunctival degenerative lesion was observed.
A 61 year old man was referred with a 2 month history of ocular irritation in the left eye. His past medical history was significative for yellowish slow growing nails, chronic maxillary sinusitis, and bronchiectasis for 5 years diagnosed as YNS. On examination, nails of both hands and feet showed yellow discoloration and thickening (Fig 1
). He also had oedema over the lower limbs and subacute bronchial infection for 2 months. On ocular examination, corrected visual acuity was 20/20 in both eyes. Slit
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