%0 Case Reports %T Yellow nail syndrome accompanied by minimal-change nephrotic syndrome: A case report. %A Zhang YN %A Wang MH %A Yu WC %A Cheng W %A Cong JP %A Huang XP %A Wang FF %J World J Clin Cases %V 10 %N 15 %D May 2022 26 %M 35801034 %F 1.534 %R 10.12998/wjcc.v10.i15.4949 %X BACKGROUND: In most cases of yellow nail syndrome (YNS), the classic triad of yellow nails, lymphedema and respiratory manifestations rarely manifest simultaneously. Therefore, diagnosis is delayed or frequently missed.
METHODS: We report a 62-year-old YNS patient presenting with bilateral pleural, pericardial and peritoneal effusions who, 2 mo later, developed minimal-change nephrotic syndrome. After treatment with vitamin E, clarithromycin and prednisone for 3 mo, effusions in the chest, pericardium and abdominal cavity decreased while urine protein levels returned to within normal ranges.
CONCLUSIONS: Clinicians should consider the possibility of YNS for patients presenting with multiple serous effusions and nephrotic syndromes.