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A novel treatment approach for paediatric Gorham-Stout syndrome with chylothorax
Nicholas Brodszki1, John-Kalle Länsberg, Michael Dictor
1Department of Clinical Sciences, Section for Paediatrics, The BUT team, Lund University, Sweden.
Insights
This study shows that a combination therapy including low molecular weight heparin effectively treated paediatric Gorham-Stout syndrome (GSS). Both patients achieved symptom resolution and remained disease-free for over two years.
Area of Science:
- Paediatric oncology
- Vascular anomalies
- Rare diseases
Background:
- Gorham-Stout syndrome (GSS) is a rare, progressive lymphangiomatosis with limited treatment options.
- Conventional therapies for GSS are often ineffective, necessitating novel therapeutic strategies.
Observation:
- Two paediatric patients with biopsy-confirmed GSS were treated with a multimodal approach.
- The treatment regimen included interferon-α-2b, low anticoagulant low molecular weight heparin (tafoxiparin), radiotherapy, and surgery.
Findings:
- The combined therapy led to the resolution of acute symptoms in both patients.
- Both children remained symptom-free for over two years post-treatment, indicating sustained efficacy.
Implications:
- The addition of tafoxiparin to existing GSS treatment protocols demonstrates promising results in paediatric cases.
- This therapeutic approach may offer a viable alternative for managing GSS when standard treatments fail.
Aim:
To expand the treatment options in paediatric Gorham-Stout syndrome (GSS) when conventional therapy is ineffective.
Method:
Two children with biopsy confirmed GSS, a rare disorder with progressive lymphangiomatosis, were treated with a combination of interferon-α-2b, low anticoagulant, low molecular weight heparin, radiotherapy and surgery.
Results:
The combined therapy resolved the symptoms in the acute phase, and both patients have since been free of symptoms for >2 years.
Conclusion:
The successful addition of a low anticoagulant, low molecular weight heparin (tafoxiparin) to the treatment protocol in two paediatric cases of the GSS may justify the use of this approach in similar cases.
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