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
>
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