A Girl with Gorham –Stout Disease

A 3-year-old girl with shortness of breath for 1 week was admitted to our hospital for the management of dyspnea. Examination revealed a firm, violaceous, depressed lesion (10  cm × 10 cm) on the right chest, shoulder, and upper arm region with no signs of inflammation, and her right lung breath sounds were absent. Her respiratory rate was 48 times/minute, and there were no obviously associated anomalies. A chest radiograph was taken (Figure 1). The image showe d profound osteolysis of the right humerus and scapula with near-complete resorption of the clavicle, complicated by a right-sided pleural effusion indicating that the girl had Gorham–Stout disease.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Rediscovering the Physical Exam Source Type: research