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Chemical Pleurodesis Using Viscum album Extract in Gorham Disease Complicated with Chylothorax
1Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.
Insights
Gorham disease, a rare bone disorder, can cause lethal chylothorax. Viscum album extract effectively treated a refractory case in a 14-year-old girl, offering a new therapeutic option.
Area of Science:
- Oncology
- Vascular Biology
- Rare Diseases
Background:
- Gorham disease (massive osteolysis) involves abnormal capillary proliferation in bone, leading to bone destruction.
- Chylothorax, a serious complication of Gorham disease, presents a significant mortality risk.
- Viscum album extract is a complementary therapy used in Europe for its anti-cancer properties and as a pleurodesis agent.
Observation:
- A 14-year-old female presented with dyspnea and chest pain.
- The patient was diagnosed with Gorham disease.
- Chylothorax in this patient was refractory to standard conservative treatments.
Findings:
- Treatment with Viscum album extract was initiated for the refractory chylothorax.
- Viscum album extract provided a definitive treatment for the patient's condition.
- The extract demonstrated efficacy in managing chylothorax secondary to Gorham disease.
Implications:
- Viscum album extract presents a potential novel therapeutic strategy for managing chylothorax in Gorham disease.
- This case highlights the importance of considering complementary therapies for refractory conditions.
- Further research into Viscum album extract for pleurodesis in rare diseases is warranted.
Abstract:
Gorham disease, also known as massive osteolysis, is characterized by unregulated proliferation of lymphatic or vascular capillaries within bone, resulting in destruction and replacement with angiomatous tissue. This disease can lead to chylothorax that can be lethal. Viscum album extract from European mistletoe is a complementary anti-cancer drug which is commonly prescribed in many European countries and is considered as a new generation of chemical agent for pleurodesis. A 14-year-old girl presented with dyspnea and chest pain. She was diagnosed as Gorham disease who was definitively treated with V. album extract for chylothorax that was refractory to standard conservative management.
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