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Gorham-Stout disease presenting with dyspnea and bone pain in a 9-year-old girl
Eric A Davalos1, Nishant M Gandhi1, David Barank2
1second- and third-year Diagnostic Radiology Residents, Department of Radiology at Harbor-UCLA Medical Center, Torrance CA.
Insights
Gorham-Stout disease is a rare bone disorder causing bone loss. This case highlights radiologic findings in a child diagnosed with this condition.
Area of Science:
- Orthopedics
- Radiology
- Pathology
Background:
- Gorham-Stout disease is a rare, idiopathic bone disorder characterized by vascular proliferation and osteolysis.
- Diagnosis relies on exclusion, with imaging and histopathology being crucial.
Observation:
- A 9-year-old girl presented with dyspnea and bone pain.
- Imaging revealed a cystic upper extremity mass, multiple bone lesions, fractures, and pleural effusions.
Findings:
- Radiographic review was essential in diagnosing Gorham-Stout disease in this pediatric patient.
- The case illustrates the characteristic imaging features of this rare condition.
Implications:
- Early recognition of radiologic signs is vital for timely Gorham-Stout disease diagnosis.
- Understanding these imaging patterns aids in managing patients with this progressive bone disorder.
Abstract:
Gorham-Stout (GS) disease is a rare bone disorder of unknown etiology that is characterized by local proliferation of small vascular or lymphatic channels, resulting in progressive osteolysis and bone resorption. The diagnosis of GS disease is one of exclusion, with radiography and histopathology playing key roles. We describe a 9-year-old girl who presented to us with dyspnea and bone pain. She was found to have a cystic mass of the upper extremity, multiple cystic bone lesions, multiple fractures of different ages, and pleural effusions. We review the radiologic images that helped establish the diagnosis of GS disease.
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