RESUMEN
The case of a patient with yellow nail syndrome (YNS), an infiltrating duct carcinoma of the breast, and giant cell interstitial pneumonitis (GIP) is presented. YNS has not been previously described in association with GIP. There was improvement of the yellow fingernails following surgery and chemotherapy for the breast cancer. The possible pathogenesis of the yellow nails in this case and its management are presented. A wide variety of conditions are associated with YNS, which has been reported to respond to various treatment modalities. The most likely cause in our case is impaired lymphatic drainage. However, treatments that do not affect lymphatic drainage also have been reported to be successful.
Asunto(s)
Neoplasias de la Mama/complicaciones , Carcinoma Intraductal no Infiltrante/complicaciones , Linfedema/complicaciones , Enfermedades de la Uña/complicaciones , Trastornos de la Pigmentación/complicaciones , Fibrosis Pulmonar/complicaciones , Femenino , Humanos , Persona de Mediana Edad , Enfermedades de la Uña/tratamiento farmacológico , Derrame Pleural/tratamiento farmacológico , Prednisona/uso terapéutico , Fibrosis Pulmonar/tratamiento farmacológico , Síndrome/complicacionesRESUMEN
A neonatal patient with Wolff-Parkinson-White type A and supraventricular tachycardia is described. Demonstration of the mechanism of the tachycardia and its termination were achieved using intracardiac electrography and cardiac pacing. Quantitative left ventricular angiography and echocardiography showed impaired left ventricular function following the arrhythmia. Serial echocardiograms demonstrated the subsequent return to normal left ventricular performance.