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Published in: Archives of Orthopaedic and Trauma Surgery 7/2009

01-07-2009 | Orthopaedic Outcome Assessment

Benefit of a 17-year long-term bisphosphonate therapy in a patient with Gorham–Stout syndrome

Authors: Gabriele Lehmann, Alexander Pfeil, Joachim Böttcher, Werner A. Kaiser, Jürgen Füller, Gert Hein, Gunter Wolf

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2009

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Abstract

This case report of a 61-year-old woman suffering from Gorham–Stout syndrome shows osteolyses of the left pelvis, proximal femur and lumbar spine. The therapeutic regime has included two courses of percutaneous radiotherapy and also continuous application of bisphosphonates over 17 years. Despite this antiresorptive therapy, elevated urinary excretion of desoxypyridinoline has indicated the persistence of increased bone destruction. The radiological progression following bisphosphonate treatment was only moderate. However, physical disability is reduced, but without soaring handicaps suggesting that long-term bisphophonate therapy is a therapeutical option for this rare syndrome.
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Metadata
Title
Benefit of a 17-year long-term bisphosphonate therapy in a patient with Gorham–Stout syndrome
Authors
Gabriele Lehmann
Alexander Pfeil
Joachim Böttcher
Werner A. Kaiser
Jürgen Füller
Gert Hein
Gunter Wolf
Publication date
01-07-2009
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 7/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-008-0742-3

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