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黄甲综合征是一种相当少见的疾病,在文献报道中尚还不足100例。该综合征在1964年最先由Samman和White介绍,由黄甲畸形及淋巴水肿组成。随后病人有胸膜渗出、支气管扩张、鼻窦炎及其他情况,也曾有伴发恶性病、肺结核、肝脓肿、糖尿病或伴有精神障碍的报道。上述异常可分别出现或同时出现,各种表现可间隔许多年。作者收治的一位29岁病员,82年初已有4年黄甲病史,其指甲常与甲床分离,偶有脓性渗出,霉菌培养阴性。服用三个月灰黄霉素,无疗效。局部应用克霉唑洗剂,指甲亦无变化。检查其所有的指甲均为黄色,增厚,且外周的某些甲板缺如,外皮缺失,甲周皮肤却正常。鼻窦X线片示粘膜弥漫性增厚,无气液面。肺功能检查,中度
Yellow A syndrome is a relatively rare disease, reported in the literature is still less than 100 cases. The Syndrome was first introduced by Samman and White in 1964 and consisted of aphonia and lymphedema. Patients then have pleural effusion, bronchiectasis, sinusitis and other conditions, there have been associated with malignant disease, tuberculosis, liver abscess, diabetes mellitus or mental disorders reported. The above anomalies may appear separately or simultaneously, and the various performances may be separated for many years. A 29-year-old patient admitted to the hospital had a history of yellow fever for four years since the beginning of the year 82. His nails were often separated from the nail bed, with occasional purulent exudation and negative mold culture. Take three months griseofulvin, no effect. Topical clotrimazole lotion, no change in nails. Check all of their nails are yellow, thickening, and lack of some of the outer deck, skin is missing, but a normal week skin. Sinus X-ray showed mucosal diffuse thickening, no gas level. Pulmonary function tests, moderate