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All good suggestions Tim, but have been excluded. Regards Ian -----Original Message----- From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Reynolds Tim (RJF) BHFT Sent: 29 July 2013 15:14 To: [log in to unmask] Subject: Re: Patient with yellow nails A smoker? Nicotine can stain fingers. Or cooking related? - Turmeric? ************************************************************************ ************** Prof. Tim Reynolds Consultant Chemical Pathologist / Clinical Director - Diagnostics / R&D Lead, Burton Hospitals NHS Foundation Trust work tel: 01283 511511 ext 4035 work fax: 01283 593064 work email: [log in to unmask] work URL: www.burtonhospitals.nhs.uk This e-mail, and any files transmitted with it, are confidential and intended solely for the use of the individual to whom it is addressed. If you are not the intended recipient please destroy this message, delete any copies held on your systems, and notify the sender immediately. You should not retain copy or use this e-mail for any purpose, nor disclose all or any part of its content to any other person. If you have received this e-mail in error, please notify me on 01283 511511 Ext 4035 [Picture of tree not available] Please consider the environment before printing this e-mail -----Original Message----- From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Barlow Ian (NORTHERN LINCOLNSHIRE AND GOOLE HOSPITALS NHS FOUNDATION TRUST) Sent: 29 July 2013 2:39 PM To: [log in to unmask] Subject: Re: Patient with yellow nails --- This message was sent from an email address external to NHSmail but gives the appearance of being from an NHSmail (@nhs.net) address. The recipient should verify the sender and content before acting upon information contained within. The identified sender is [log in to unmask] --- Hi Nick, There is no jaundice, the patient is not diabetic and she has not suffered any thermal injury. I am not sure if amyloidosis has been considered but I will ensure it is excluded. I have not seen the patients' nails but am told the yellowing is bilateral and the appearance is normal. Presumably ulnar nerve injury would be unilateral? I should have mentioned that this is a 42 yr old female and she is taking a herbal medication called "Quiet Life" but I don't think this would cause this problem. Thank you for your advice. Best wishes Ian -----Original Message----- From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Nick Miller Sent: 29 July 2013 14:26 To: [log in to unmask] Subject: Re: Patient with yellow nails Hi Ian, Always worth looking at patients' nails (I used to work for a dermatologist)! I imagine you've excluded jaundice ? You don't give any information as to the shape and appearance ot the nails, but bilateral "yellow" nails with no other abnormalities suggests diabetes mellitus first and foremost, and then amyloidosis, ulnar nerve injury or thermal injury to the nail bed. Regards, Nick Miller, London On 29/07/2013, Barlow Ian (NORTHERN LINCOLNSHIRE AND GOOLE HOSPITALS NHS FOUNDATION TRUST) <[log in to unmask]> wrote: > Dear colleagues, > > We have a patient that has yellow nails and are unable to establish a > cause. > > We have excluded the common causes. > > Any ideas? > > Many thanks, > > Kind regards > > Ian > > ********************************************************************** > ********************************************** > > This message may contain confidential information. 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ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere ******************************************************************************************************************** ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/