Odd little story. Full paper worth looking at if you have any interest.
Pneumologia. 2015 Jan-Mar;64(1):36-8.
A curious case of yellow nail syndrome.
Crişan-Dabija R, Mihăescu T.
Abstract
The Yellow Nail Syndrome is a rare clinical entity, first described in 1967 by P.D. Samman and W.F. White. The triad slow-growing dystrophic yellow nails, lymphedema and chronic respiratory disorders is the typical manifestation of the disease but some variations have been described as well as associations with chylothorax, chylous ascites, intestinal lymphangiectasia, thyroid abnormalities, malignancies and immunoglobulin A (IgA) deficiency. We present a case of a 55-years-old woman that had an insidious onset of respiratory disorders and chronic sinusitis, suspected to be infectious throughout the hospitalizations, associated with therapeutically neglected autoimmune thyroiditis.
'The Yellow Nail Syndrome is a rare clinical entity'
How would they know it's rare when doctors never look at nails and Don't automatically test antibodies? I doubt they have enough date to conclude that it's rare.
Very interesting. I have the yellow toe nails and my two thumb nails are going that way, but I always assumed it was aging, but I'm roughly the same age as her, so maybe not! I also have the cough and the IgA deficiency, oh yeah, and trouble with my sinuses, but definitely not all the bronchial problems - other than the ancient cough of course. Of course, I also have the untreated hypothyroidism.
Almost certainly! I am quite convinced that simply having the tag "rare" (or "very rare") makes a doctor far less likely to diagnose a disorder/disease. Of course, someone is more likely to have a "common" disorder than a particular rare one. But there are so very many rare disorders that having one of them is quite common.
The likelihood of diagnosis is also much higher in disorders which have very obvious signs and symptoms.
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