Titanium, sinusitis, and the yellow nail syndrome.
Identifieur interne : 002940 ( PubMed/Corpus ); précédent : 002939; suivant : 002941Titanium, sinusitis, and the yellow nail syndrome.
Auteurs : Fredrik Berglund ; Björn CarlmarkSource :
- Biological trace element research [ 1559-0720 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- chemical , adverse effects : Dental Materials, Titanium.
- chemical , chemistry : Dental Materials.
- etiology : Sinusitis, Yellow Nail Syndrome.
- metabolism : Sinusitis, Yellow Nail Syndrome.
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Young Adult.
Abstract
Yellow nail syndrome is characterized by nail changes, respiratory disorders, and lymphedema. In a yellow nail patient with a skeletal titanium implant and with gold in her teeth, we found high levels of titanium in nail clippings. This study aims to examine the possible role of titanium in the genesis of the yellow nail syndrome. Nail clippings from patients with one or more features of the yellow nail syndrome were analyzed by energy dispersive X-ray fluorescence. Titanium was regularly found in finger nails in patients but not in control subjects. Visible nail changes were present in only half of the patients. Sinusitis with postnasal drip and cough was the most common complaint. The dominant source of titanium ions was titanium implants in the teeth or elsewhere. The titanium ions were released through the galvanic action of dental gold or amalgam or through the oxidative action of fluorides. In other patients the titanium was derived from titanium dioxide in drugs and confectionary. Stopping galvanic release of titanium ions or canceling exposure to titanium dioxide led to recovery. In one patient with a titanium implant, the symptoms recurred after renewed exposure to titanium. Yellow nail syndrome is caused by titanium.
DOI: 10.1007/s12011-010-8828-5
PubMed: 20809268
Links to Exploration step
pubmed:20809268Le document en format XML
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<author><name sortKey="Berglund, Fredrik" sort="Berglund, Fredrik" uniqKey="Berglund F" first="Fredrik" last="Berglund">Fredrik Berglund</name>
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<author><name sortKey="Carlmark, Bjorn" sort="Carlmark, Bjorn" uniqKey="Carlmark B" first="Björn" last="Carlmark">Björn Carlmark</name>
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<term>Adult</term>
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<term>Dental Materials (adverse effects)</term>
<term>Dental Materials (chemistry)</term>
<term>Female</term>
<term>Humans</term>
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<term>Sinusitis (etiology)</term>
<term>Sinusitis (metabolism)</term>
<term>Titanium (adverse effects)</term>
<term>Yellow Nail Syndrome (etiology)</term>
<term>Yellow Nail Syndrome (metabolism)</term>
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<term>Titanium</term>
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<term>Yellow Nail Syndrome</term>
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<keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Sinusitis</term>
<term>Yellow Nail Syndrome</term>
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<term>Adult</term>
<term>Aged</term>
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<front><div type="abstract" xml:lang="en">Yellow nail syndrome is characterized by nail changes, respiratory disorders, and lymphedema. In a yellow nail patient with a skeletal titanium implant and with gold in her teeth, we found high levels of titanium in nail clippings. This study aims to examine the possible role of titanium in the genesis of the yellow nail syndrome. Nail clippings from patients with one or more features of the yellow nail syndrome were analyzed by energy dispersive X-ray fluorescence. Titanium was regularly found in finger nails in patients but not in control subjects. Visible nail changes were present in only half of the patients. Sinusitis with postnasal drip and cough was the most common complaint. The dominant source of titanium ions was titanium implants in the teeth or elsewhere. The titanium ions were released through the galvanic action of dental gold or amalgam or through the oxidative action of fluorides. In other patients the titanium was derived from titanium dioxide in drugs and confectionary. Stopping galvanic release of titanium ions or canceling exposure to titanium dioxide led to recovery. In one patient with a titanium implant, the symptoms recurred after renewed exposure to titanium. Yellow nail syndrome is caused by titanium.</div>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Otolaryngol. 1984 Oct;13(5):318-20</RefSource>
<PMID Version="1">6544848</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>Int J Dermatol. 1995 Jul;34(7):493-4</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>Clin Exp Dermatol. 1978 Mar;3(1):31-3</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>Biomaterials. 2002 May;23(9):1995-2002</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>Can Med Assoc J. 1976 Jul 3;115(1):46-8</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>Swed Dent J. 1997;21(4):161-8</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Br J Dermatol. 1964 Apr;76:153-7</RefSource>
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