title: From tooth extraction to Gorham-Stout disease: A case report.
abstract: BACKGROUND
  Gorham-Stout disease (GSD), or vanishing bone disease, is a very rare condition of unknown aetiology. It is characterised by progressive osteolysis and angiomatosis.
  
  
  METHODS
  We report the discovery of this very rare disease following a trivial deciduous tooth extraction in a 14-year-old female. We focus initially on the difference between the preoperative orthopantomography and the whole-body computed tomography and magnetic resonance images obtained post-haemorrhage, and then on the improvement of strategies for the correct diagnosis and treatment of this disease.
  
  
  CONCLUSIONS
  Bone loss and the proliferation of vascular structures can occur in a single bone or spread to soft tissue and adjacent bone; areas commonly affected by GSD include the ribs, spine, pelvis, skull, clavicle, and the maxillofacial area. The clinical presentation of GSD includes pain, functional impairment, and swelling, although a few asymptomatic cases have been reported, similar to our case.
  
  
  CONCLUSIONS
  We report a very rare case of this multicentric disease in an asymptomatic child who presented for dental extraction, almost died, and was then diagnosed with and treated for GSD.
authors.affiliation: Maxillofacial Pediatric Surgery Unit, Ospedale dei Bambini-Asst., Spedali Civili, Brescia, Italy. Electronic address: gabriele.bocchialini@libero.it.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Bocchialini
authors.affiliation: Maxillofacial Pediatric Surgery Unit, Ospedale dei Bambini-Asst., Spedali Civili, Brescia, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Ferrari
authors.affiliation: Maxillofacial Pediatric Surgery Unit, Ospedale dei Bambini-Asst., Spedali Civili, Brescia, Italy.
authors.forename: Dante
authors.initials: D
authors.lastname: Burlini
keywords: Case report; Gorham-Stout disease; Haemorrhage; Oral surgery