A report of two children with Gorham-Stout disease

• Main Authors: Mario Edgar Tena-Sanabria, Larisa Yarindy Jesús-Mejenes, Gabriela Fuentes-Herrera, Félix Alejandro Álvarez-Martínez, Nora Patricia Victorio-García, Juan Carlos Núñez-Enríquez
• Format: Article
• Language: English
• Published: BMC 2019-06-01
• Series: BMC Pediatrics
• Subjects: Gorham-stout disease; Idiopathic osteolysis; Children; Pediatric orthopedics
• Online Access: http://link.springer.com/article/10.1186/s12887-019-1561-0

Abstract Background Gorham-Stout disease is a rare condition characterized by unifocal and massive type IV osteolysis (variant of idiopathic nonhereditary osteolytic disease) with a slow progression, which is self-limiting for some years. It is characterized by recurrent vascular tumors with disruption of the anatomical architecture and intraosseous proliferation of vascular channels that leads to the destruction and resorption of the bone matrix. The aim of this study is to present the clinical features of this disease, as well as the importance of prompt diagnosis and treatment, with a review of the reported cases. Case reports We describe two cases of Gorham-Stout disease between 2013 and 2017 with surgical interventions, follow-up and results. Case one involves an 11-year-old male with involvement of the left iliac bone, with adequate evolution after a surgical procedure with a lyophilized cadaveric tricortical bone allograft. Case two involves a 6-year-old male with cervical spine C1-C3 repercussion; in the protocol for surgical treatment, he presented with signs of spinal cord compression and died. Conclusion Diagnosis of Gorham-Stout disease is made by exclusion, and its clinical presentation varies widely, from spontaneous remission to a fatal outcome.