Chemical Pleurodesis Using Viscum album Extract in Gorham Disease Complicated with Chylothorax

Suk Ju Cho1, Su Wan Kim2

  • 1Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.

Acute and Critical Care
|November 15, 2019
PubMed

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.

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