A novel treatment approach for paediatric Gorham-Stout syndrome with chylothorax.

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.