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BJA Advance Access published online on January 29, 2008
British Journal of Anaesthesia, doi:10.1093/bja/aem391
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2008. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Subglottic stenosis in pregnancy

A. Scholz1,*, K. Srinivas2, M. R. W. Stacey1 and P. Clyburn1

1 Department of Anaesthesia and Intensive Care Medicine, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK
2 Department of Anaesthetics, Guy's and St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK

* Corresponding author. E-mail: anette.scholz{at}doctors.org.uk

Subglottic stenosis (SGS) in pregnancy is rare but may cause a potentially life-threatening delivery and is a challenge to the anaesthetist and the obstetrician. Clinical signs of SGS may not be obvious and the diagnosis can be difficult. Patients usually present with shortness of breath rather than stridor. Many patients have been wrongly diagnosed with asthma and recurrent bronchitis before subsequent discovery of a SGS. Early diagnosis of SGS and multidisciplinary input is important in managing these patients. We present a case of a pregnant woman with a history of Wegener's granulomatosis and the successful multidisciplinary management of her SGS.

Keywords: airway obstruction; pregnancy; subglottic stenosis; Wegener's granulomatosis


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