Conclusion:
Yellow nail syndrome is a syndrome that presents with yellow thickened nails, respiratory manifestations, and lymphedema. In this case, the patient has presented in the 8th decade of her life as a sporadic case with the classic triad of the disease with no complications. Patients’ pleural profile and chest radiograph matched that of patients in existing literature. Also, the case had a history of hypertension, diabetes, and stroke. Although diabetes has been noted to be associated with yellow nail syndrome. There is no conclusive evidence regarding its relation to hypertension despite a number of noted cases up until now. Patient passed away after an episode of acute respiratory distress syndrome (ARDS). No similar reports of this specific case of death were found in literature.