Toennesen Bo, Kjærgaard Thomas, Schmid Johannes Martin
Department of Clinical Medicine, Aarhus University & Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, Denmark.
Department of Oto-Rhino-laryngology, Head and Neck Surgery Aarhus University Hospital, Aarhus, Denmark.
Eur Clin Respir J. 2025 Jan 24;12(1):2456312. doi: 10.1080/20018525.2025.2456312. eCollection 2025.
Diagnosis of subglottic stenosis remains greatly a challenge for physicians due to case rarity and presentation of symptoms imitating several other more prevalent medical disorders. Idiopathic subglottic stenosis most often occurs in previously healthy perimenopausal Caucasian women. Several cases have reported symptom progression and increased stenosis, during or in between pregnancies in younger women. The following case of a 32-year-old woman provides an example of significantly long duration from initial symptom onset to diagnosis of idiopathic subglottic stenosis. Additionally, the case illustrates how pregnancy complicates diagnosis and due to the potential risk of stenosis progression and complications during labour, the patient had to undergo surgery with balloon-dilation at week 17 of pregnancy.
由于病例罕见且症状表现类似其他几种更常见的医学病症，声门下狭窄的诊断对医生来说仍然是一个巨大的挑战。特发性声门下狭窄最常发生在既往健康的围绝经期白人女性中。有几例报告称，年轻女性在孕期或两次妊娠之间症状进展且狭窄加重。以下这位32岁女性的病例说明了从最初症状出现到特发性声门下狭窄诊断之间的显著长时间间隔。此外，该病例还说明了妊娠如何使诊断复杂化，并且由于分娩期间狭窄进展和并发症的潜在风险，患者不得不在妊娠第17周接受球囊扩张手术。
