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Gorham stout disease in pregnancy.

Janine V Calayo¹, Agustin B Corro¹, Patricia Ann A Factor¹

¹Department of Obstetrics and Gynecology, University of the Philippines-Philippine General Hospital, Ermita, Manila, Philippines.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics

|February 22, 2025

Summary

Gorham-Stout disease (GSD) is a rare bone disorder. This case highlights GSD management during pregnancy, emphasizing the need for comprehensive care in affected women.

Keywords:

Gorham‐Stout disease bone resorption pregnancy

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Area of Science:

Rare bone diseases
Vascular anomalies
Skeletal disorders

Background:

Gorham-Stout disease (GSD) is a rare, idiopathic disorder characterized by progressive bone resorption and vascular proliferation.
Clinical manifestations of GSD are highly variable, ranging from asymptomatic cases to life-threatening systemic complications.
Etiology and risk factors for GSD remain poorly understood, with no established correlations to age, gender, race, or environmental/infectious agents.

Observation:

A 32-year-old pregnant woman with a history of Gorham-Stout disease presented with recurrent gingival mass.
The mass was diagnosed as pyogenic granuloma and treated with 20 cycles of radiotherapy without disease progression.
The patient underwent an elective cesarean section at 37 weeks for a low-lying placenta and recovered well postpartum.

Findings:

This case represents limited documentation of Gorham-Stout disease management during pregnancy.
The successful management of GSD symptoms and pregnancy highlights potential therapeutic approaches.
Radiotherapy demonstrated efficacy in managing the pyogenic granuloma associated with GSD.

Implications:

Limited data on GSD in pregnancy necessitates further research for optimal diagnosis and management strategies.
Comprehensive prenatal, antenatal, and postnatal care protocols are crucial for pregnant women with GSD.
Understanding GSD's variable presentation is key to improving patient outcomes and guiding future clinical practice.