These images show the friable slow-growing nails in a 40 year old woman with pleural effusions, bronchiectasis, frequent pneumonias, and swollen lower extremities.
Challenge: What's your diagnosis?
First two images are in the public domain. Third image is shown under Creative Commons Attribution Share-Alike License.
yellow nail syndrome
ReplyDeletecouldn't fool you!
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Manicure
This is yellow nail syndrome, resulting from an abnormality of lymphatic vessels.
Sources: UpToDate; nlm.nih.gov; Wikipedia.