Pediatric Triumphs

A Rare Hope: Gigi’s Story

It wasn’t just a skin rash.

Angelica Gonzalez knew that as well as she knew her newborn daughter Giselle’s face.

“I said, if you can’t tell me what it is, send me to someone who can,” she said.

So her doctor sent her to Augusta University Health. The dermatologist took one look at Giselle (Gigi)—“And we ended up being in the Children’s Hospital of Georgia for three days,” said Angelica.

It was the scariest moment of her life—at least up until that point. “We saw maybe 30, 40 doctors,” she said. “They all kept coming in, asking questions. I was like, “What is going on?’”

Then, an answer: “One of the doctors came in, and she said it was Langerhans cell histiocytosis.”

Angelica had never heard of it. The Children’s Hospital of Georgia had never treated a case of it—that’s how rare it is.

Langerhans cell histocytosis affects only 1 and 2 in every 100,000 people. While immune cells are seen as a good thing because they help fight off disease, patients with Langerhans have too many of these cells, which turn into tumors called granulomas that can invade the skin, bones and body organs.

“The first thing I asked the doctor was, ‘Is she going to die?’ She said, ‘We’re going to try to make her OK,’” said Angelica, who took her seven-week-old daughter to be baptized that same day.

The next day, Gigi had her first visit at the pediatric hematology/oncology clinic. For a week, she received steroids to treat the lesions on her skin. But then Angelica noticed the baby’s belly was hard. The Langerhans had already spread to her liver and spleen.

Gigi would spend the next three months in the pediatric ICU, then another five months in and out of the hospital as doctors tried chemotherapy after chemotherapy to rein in the disease.

Angelica’s husband, Jesus, had just started a new job, and Angelica stopped working so she could be with her daughter full time. Her mother and neighbors took care of their other two children, Flores, then age 5, and Jacob, then 18 months.

Gigi cried often during chemotherapy. “She was in so much pain,” the mother remembers. “It was a rough time.” The baby cried so much that Angelica basically held her 24/7, rushing out only to use the restroom or to take a quick shower.

Still—“Everyone there was awesome. They always asked me if I needed anything, and the doctors—every single question I asked, they answered. Because I asked questions about every medication she took. We were there through Thanksgiving, Christmas, New Year’s, but I always felt like I was with family because the staff all were so nice. They really took care of Gigi like she was their own child.”

Her name, Gigi, was even given to her by the nurses. Angelica heard them saying Gigi one day—her daughter’s given name is Giselle—and wondered, “Who is that?” “They said that it was because her initials were G.G., and they thought it was cute. So she is Gigi to this day.”

The family’s hopes would rise as one chemo treatment started to work, but then fall again when it stopped working. Gigi was growing, but not thriving. At nine months old, “people thought she was a two-month-old baby,” said Angelica.

Finally, doctors told Angelica that the next option had to be a bone marrow transplant at another hospital. Everyone in the family was tested, and toddler Jacob was a match, donating bone marrow to his sister. “He did awesome,” said Angelica.

It wasn’t an instant fix, but slowly Gigi started to recover. “When you see her today, a second-grader, and think how she was like, it’s like, Is this really the same child?” said Angelica. “A lot of people told me they really didn’t think she would make it.”

Today, Gigi is petite, a side effect of the chemotherapy. She still goes for regular checks at the Children’s Hospital of Georgia—she is at risk for graft vs. host disease, a possible side effect of a bone marrow transplant. She’s small for her age and has lost the vision in her right eye due to chemotherapy. “But her skin looks 100 percent better,” said Angelica.

“And she’s happy. Everybody who meets her, she brightens their day. She does know she had Langerhans, and she’s like, “Mom, God wanted me here.”

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