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COPD — SCE Respiratory MCQ

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HardCOPDCOPDSCE Respiratory

A 66-year-old has recurrent bilateral exudative pleural effusions, non-pitting leg lymphoedema and slowly growing thick yellow nails. What is the unifying diagnosis?

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Correct answer: D — Yellow nail syndrome

Yellow nail syndrome is the triad of yellow dystrophic nails, lymphoedema and respiratory disease, particularly recurrent pleural effusion or bronchiectasis. The components may appear at different times. Management is supportive and includes pleural and lymphatic treatment through appropriate specialist services.

Reference: https://www.brit-thoracic.org.uk/quality-improvement/guidelines/