Gorham and others speculated that such a change in the bone chemistry might cause an imbalance in the rate of osteoclast to osteoblast activity such that more bone is dissolved than is replaced. Beginning in the 1990s, elevated levels of a protein called interleukin-6 (IL-6) being detected in people with the disease were reported, leading some to suggest that increased levels of IL-6 and vascular endothelial growth factor (VEGF) may contribute to the chemical changes Gorham and others believed were the cause of this type of osteolysis.In 1999, Möller and colleagues concluded, "The Gorham-Stout syndrome may be, essentially, a monocentric bone disease with a focally increased bone resorption due to an increased number of paracrine – or autocrine – stimulated hyperactive osteoclasts. The resorbed bone is replaced by a markedly vascularized  fibrous tissue. The apparent contradiction concerning the presence or absence or the number of osteoclasts, may be explained by the different phases of the syndrome." They further stated that their histopathological study provided good evidence that osteolytic changes seen in Gorhams disease are the result of hyperactive osteoclastic bone. However, others have concluded that lymphangiomatosis and Gorhams disease should be considered as a spectrum of disease rather than separate diseases.While a consensus exists that Gorhams is caused by deranged osteoclastic activity, no conclusive evidence has been found as to what causes this behavior to begin.
Thymus hyperplasia refers to an enlargement ("hyperplasia") of the thymus.It is not always a disease state. The size of the thymus usually peaks during adolescence and atrophies in the following decades. Before the immune function of the thymus was well understood, the enlargement was sometimes seen as a cause for alarm, and justification for surgical reduction. This approach is much less common today. It can be associated with myasthenia gravis. Magnetic Resonance Imaging can be used to distinguish it from thymoma. Thymic hyperplasia
Thymic hyperplasia can be divided into three groups namely, those without any pre-existing medical condition, those recovering from a pre-existing medical condition such as pneumonia, corticosteroid therapy, radiation therapy, chemotherapy, surgery, and burns, and those with other disorders such as  hyperthyroidism, sarcoidosis, or pure red cell aplasia. References


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