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Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2024, Number 1-3

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Rev Mex Ortop Ped 2024; 26 (1-3)

Mild respiratory distress associated with massive chylothorax and massive bone destruction. Gorham Stout syndrome. Study of a case

Vera-Nava A, Flores-Fernández M, Vargas-Gonzalez R, Castelán-Estrada ER, Marrufo SE

Language: Spanish
References: 8
Page: 42-47
PDF size: 296.91 Kb.


ABSTRACT

Gorham's syndrome, evanescent or phantom bone or idiopathic massive osteolysis is a little known pathologic entity, whose etiopathogenic cursor is still unknown. However, histologically it has typically been demonstrated bone resorption and alteration at the level of vascular or lymphatic tissues which clinically is accompanied by respiratory distress of insidious onset associated with massive chylothorax and radiographic data of massive osteolysis in different anatomical bone regions. In this article we present a clinical case of a schoolboy who, due to the lack of knowledge of the disease, is treated as a septic arthritis, and later, due to the torpid evolution, it is treated in a multidisciplinary approach in order to reach the diagnosis.


REFERENCES

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  2. Malpica Ramírez LM, Fernández de Lara CLG, Cuautli TLA, Cuéllar MY, Solís SD, Malpica RJD. Enfermedad de Gorham en la columna lumbar. Rev Esp Méd Quir. 2012; 17(4): 330-333.

  3. Domínguez Samaniego SV, Guzmán Vega O. Síndrome de gorham stout. Caso clínico. Pediatría (Asunción). 2020; 47(3): 175-179.

  4. Hong PY, Zhang XB, Zeng HQ, Zhao YL, Huang MH. Gorham-Stout syndrome: a chylothorax disease with bony destruction: a case report. Medicine (Baltimore). 2022; 101(50): e32105.

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  6. Yang T, Liu L. Gorham-Stout syndrome: a case of a 7-year-old girl with massive osteolysis and chylothorax. Am J Respir Crit Care Med. 2024; 209(1): 101-103.

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  8. Momanu A, Caba L, Gorduza NC, Arhire OE, Popa AD, Ianole V, Gorduza EV. Gorham-Stout disease with multiple bone involvement-challenging diagnosis of a rare disease and literature review. Medicina. 2021; 57(7): 681. Available in: https://doi.org/10.3390/medicina57070681



EVIDENCE LEVEL

IV. Estudio de caso, restrospectivo, revisión sistemática.




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