Yellow nail syndrome, Phrygian cap gallbladder and Saint’s triad? Case report
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Modesto Santos, V., Manabu Yano, V., Queiroz Alves da Cunha, G. L., Lemes Duarte, M., Passini Soares, V. V., & Frota Boggio, L. (2015). Yellow nail syndrome, Phrygian cap gallbladder and Saint’s triad? Case report. Médicas UIS, 28(3), 387–391. https://doi.org/10.18273/revmed.v28n3-2015014

Abstract

The yellow nail syndrome is scarcely described and is characterized by dystrophic nails, pulmonary disturbances and lymphedema of extremities. A case of this syndrome is reported in an 89-year-old Brazilian woman with well-controlled diabetes mellitus and arterial hypertension. Additionally to the typical syndrome, the patient also presented pincer nails and yellow-brownish chromonychia. She was admitted because of acute abdominal symptoms associated with sigmoid diverticulitis and an adjacent abscess. The imaging studies
revealed pulmonary and pleural changes, in addition to pericardial effusion. Incidentally, the features of Phrygian cap gallbladder anomaly were found. Neither diverticular disease nor gallbladder disorders have been related to yellow nail syndrome. In the present case study, the synchronism between some of these conditions could be casual; but diverticular disease, cholelithiasis, and diaphragmatic hernia are associated in the Saint’s triad. MÉD UIS. 2015;28(3):387-91.

Keywords: Diverticulum, Colon. Gallbladder diseases. Hernia, Hiatal.

https://doi.org/10.18273/revmed.v28n3-2015014
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References

Santos VM, Marques HV Jr, Lima Cdo C, Turra TZ, de Melo Jr Nogueira PR, Lima LN. Yellow nail syndrome and adnexal tumour: causal or casual association? Indian J Chest Dis Allied

Sci. 2010;52(1):51-3.

Santos VM, Araújo MCM, Almeida ACA, Brito KRA, Fachinelli LR, Mussi P. Onicofagia, onicotilomania y síndrome de las uñas amarillas en mujer de 70 años. Prensa Med Argent.

;99(10):684-91.

Santos VM, Blanger V, Cançado ACV, Carvalho MRM, Araújo MCM, Silva RF. Idosa com síndrome das unhas amarelas e unas em pinça. Rev Med Saude Brasília. 2014;3(2):125-30.

Santos VM, Ribeiro KRA, Santos AMRO, Nascimento ALO, Fachinelli LR, Cavalcanti GF. Síndrome das unhas amarelas em idosa com hipotireoidismo: relato de caso. Bras Med. 2013;50(4):342-5.

Santos VM, Ribeiro MG, Gondim Neto MC, Motta IM, Barros MF, Leme BAP. Elderly woman with yellow nail syndrome, rheumatoid arthritis and hypothyroidism. Rev Med Vozandes.

;25(1-2):43-6.

Santos VM, Sá DAR, Paz BCS, Vasconcelos RA, Santos SC, Santos FHB. Half-and-half nails and yellow nail syndrome in hemiplegic patient with renal failure. Bras Med. 2010;47(3):364-7.

de Csepel J, Carroccio A, Pomp A. Soft-tissue images. “Phrygian cap” gallbladder. J Can Chir. 2003;46(1):50-1.

Kannan NS, Kannan U, Babu CPG. Congenital bilobed gallbladder with Phrygian cap presenting as calculus cholecystitis. J Clin Diag Res. 2014;8(8):ND05-6.

Rafailidis V, Varelas S, Kotsidis N, Rafailidis D. Two congenital anomalies in one: an ectopic gallbladder with Phrygian cap deformity. Case Rep Radiol. 2014:246476.

Van Kamp MJS, Bouman DE, Steenvoorde P, Klaase JM. A Phrygian cap. Case Rep Gastroenterol. 2013;7(2):347-51.

Hauer-Jensen M, Bursac Z, Read RC. Is herniosis the single etiology of Saint’s triad? Hernia. 2009;13(1):29-34.

McAleese P, Kolachalam R, Zoghlin G. Saint’s triade presenting as volvulus of the gallbladder. J Laparoendosc Surg. 1996;6(6):421-5.

Read RC. The Nyhus-Wantz lectureship: etiology, herniosis, diverticulosis coli, and cancer. Hernia. 2011;15(5):481-3.

Scaggion G, Poletti G, Riggio S. Saint’s triad. Statisticoepidemiologic research and case contribution. Minerva Med. 1987;78(15):1183-7.

Kim M, Kang JH, Cho BK, Song CH, Ock SM, Park HJ. Great toenail dystrophy: a single-center experience and review of the literature. Korean J Fam Med. 2015;36(2):113-20.

Terada T. Histopathologic features and frequency of gallbladder lesions in consecutive 540 cholecystectomies. Int J Clin Exp Pathol. 2013;6(1):91-6.

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