John Libbey Eurotext

European Journal of Dermatology


sQuiz your knowledge! Nail changes as a presentation of an overlooked systemic syndrome Volume 29, numéro 3, May-June 2019


  • Figure 1
1 Department of Dermatology, Centro Hospitalar de Lisboa Central,
2 Department of Dermatology, Centro Hospitalar de Lisboa Norte, Lisboa, Portugal

A 62-year-old woman described a two-year history of cessation of nail growth and yellow finger and toe nails. Antifungals were not effective. Additionally, the patient reported an unspecified prolonged lung disease, with a course that involved chronic coughing and ulcerative colitis. Family history was irrelevant.All digits exhibited extensive xantonychia, pachyonychia, and onycholysis, and most had an absence of cuticle. Lower extremity oedema was observed. A CT scan revealed prominent central bronchiectasis [...]