Who gets ISGS?
Idiopathic subglottic stenosis is exceedingly rare – less than one in 400,000 people get this disease (the definition of ‘rare’) – it is in fact estimated to only impact one person in half a million per year.
If you are female, then you are one of many, as this affects 98% females. If you are male, then you are truly special and part of the 2%.
Many have not yet been diagnosed – as you will likely have found yourself, doctors often tell patients they have asthma or bronchitis, more common conditions. The big message doctors need to get is that with asthma, the wheezing sound is heard when breathing out, with a tracheal/upper airway blockage (rather than a lung) issue, the wheezing sound is also heard when breathing in.
People are often afraid of passing this on to their children – that is very unlikely. Just 3% of SGS patients have a blood relative with this disease, suggesting this is not something you should be too worried about. If a relative (particularly a female) has similar symptoms to you, then they should suggest this as a diagnosis to their doctor and ensure they get sent to an ENT for investigation.
Ethnicity and heritage
More than nine in ten patients describe their ethnic background as white, suggesting there may be a genetic element to this disease:
One in two patients experience their first symptoms between 31 and 45 years of age.
Patients with SGS are no different from the rest of the population in terms of other health conditions (heart, thyroid, cholesterol etc), and other than breathing (!) are healthy. More than nine in ten have a European ancestry:
Hormones
One theory is that there is a hormonal link, but that has not been proven or disproven.
17% of women with SGS have never been pregnant, and only one in five (22%) has ever been pregnant while they had SGS. For 26% of women, their stenosis did not appear until after menopause.
The stenosis first appeared for around one in three (30%) while they were pregnant.
Looking only at women who have not reached menopause, around one in three (34%) finds their breathing gets worse around the time of their period. This may be a result of increased CRP levels around the time of women’s periods*.
*Journal of Women's Health VOL. 25, NO. 9 | The Association of Inflammation with Premenstrual Symptoms - Ellen B. Gold,
Craig Wells, Marianne O'Neill Rasor - Online veröffentlicht: 1 Sep 2016 https://doi.org/10.1089/jwh.2015.5529