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Sensorineural hear-loss in patients with rheumatoid arthritis

Year 2011, Volume: 38 Issue: 2, 184 - 188, 01.06.2011
https://doi.org/10.5798/diclemedj.0921.2011.02.0012

Abstract

Objectives: The aim of this study was to evaluate the rate and type of the hearing loss in patients with rheuma­toid arthritis (RA); and to analyze whether these hearing loss rates were different from control group or not. Materials and methods: The study included 50 RA pa­tients and 34 healthy control subjects. All two groups un­derwent, pure tone audiometric test between 250-8.000 Hz frequencies; stapes reflex test and otoacoustic emis­sions. Results: The mean ages were 36, 88 ± 8, 81 years in RA cases and 35, 58 ± 8, 19 years in control group. The mean disease duration was 4.72 (range 2-21) years in patients with RA. Hearing loss was detected in 10 (20%) of the RA patients and 3 (8.8%) of the control group. The difference between the groups was not statistically signifi­cant in terms of hearing loss (p=0,139). The sensorineural hearing loss was the most commonly detected hearing loss type. The distribution of this type of hearing loss was 14% in RA and 8.8% in control group. Hearing loss was present in 6 (85.7%) of the seven RA patients whose du­ration of the disease was more than 10 years. Conclusion: There was not found significant difference between RA and control group with respect to hearing loss. In RA cases, the degree of hearing loss was increas­ing with the duration of the diseases.

References

  • Takatsu M, Higaki M, Kinoshita H, Mizushima Y, Koizuka I. Ear involvement in patients with rheumatoid arthritis. Otol Neurotol 2005; 26(6):755-1.
  • Rigual NR. Otolaryngologic manifestations of rheumatoid arthritis. Ear Nose Throat J 1987; 66(1):18-22.
  • Coletti V, Fiorino FG, Bruni L, Biasi D. Middle ear me- chanics in subjects with rheumatoid arthritis. Audiology 1997;36(2):136-46.
  • Frade C, Martin C. Diagnostic value of the multi-frequency tympanometry in active rheumatoid arthritis. Auris Nasus Larynx 1998; 25(2):131-6.
  • Ozcan M, Karakus MF, Gunduz OH, Tuncel U, Sahin H. Hearing loss and middle ear involvement in rheumatoid ar- thritis. Rheumatol Int 2002; 22(1):16-9.
  • Reiter D, Konkle DF, Myers AR, Schimmer B, Sugar JO. Middle ear immittance in rheumatoid arthritis. Arch Oto- laryngol 1980;106(1):114-7.
  • Elwany S, El Garf A, Kamel T. Hearing and middle ear func- tion in rheumatoid arthritis. J Rheumatol 1986;13:878-81.
  • Kakani RS, Mehra YN, Deodhar SD, Kakani RS, Mehra YN. Audiovestibular functions in rheumatoid arthritis. J Otolar- yngol 1990;19(1):100-2.
  • Jung TT, Rhee C-K, Lee C, Park YS, Choi DC. Ototoxicity of salicylate, nonsteroidal anti inflammatory drugs and qui- nine. Otolaryngol Clin North Am 1993;26(1):791-812.
  • Marioni G, Perin N, Tregnaghi A, Bellemo B, Staffieri A, de Filippis C. Progressive bilateral sensorineural hearing loss probably induced by chronic cyclosporin. A treatment af- ter renal transplantation for focal glomerulosclerosis. Acta Oto-Laryngol 2004; 124(5):603-7.
  • Toone E, Hayden D, Ellman H. Ototoxicity of chloroquine. Arthritis Rheum 1965; 8(4): 475-6.
  • Casellini C, Citera G, RosemVet M, Ruggeri S, Saviotti A, Maldonado Cocco JA. Audiovestibular disorders in patients with ankylosing spondylitis. J Clin Rheumatol 2005;11(1):81-5.
  • Gussen R. Atypical ossicle joint lesions in rheumatoid ar- thritis with sicca syndrome (Sjogren syndrome). Arch Oto- laryngol 1977; 103(2):284-6.
  • Heyworth T, Liyanage SP: A pilot survey of hearing loss in patient with rheumatoid arthritis. Scand J Rheumatol 1972;1(1):81-3.
  • Kastanioudakis I, Skevas A, Danielidis V, Tsiakou E, Drosos AA, Moustopoulos MH. Inner ear involvement in rheuma- toid arthritis: a prospective clinical study. J Laryngol Otol 1995;109(6):713-8.
  • Magaro M, Zoli A, Altomonte L, et al. Sensorineural hear- ing loss in rheumatoid arthritis. Clin Exp Rheumatol 1990; 8(7):487-90.
  • Öztürk A, Yalçın Ş, Kaygusuz İ, Şahin S, Gök Ü, Karlıdağ T, Ardıçoğlu Ö. High-Frequency Hearing Loss and Middle Ear Involvement in Rheumatoid Arthritis. Am J Otolaryn- gol 2004; 25(3): 411-7.
  • Dikici O, Muluk NB, Tosun AK, Ünlüsoy I. Subjective au- diological tests and transient evoked otoacoustic emissions in patients with rheumatoid arthritis: analysis of the factors aVecting hearing levels. Eur Arch Otorhinolaryngol 2009; 266(12): 1719-26.
  • Robinette M Clinical observations with transient otoacous- tic emissions with adults. Semin Hear 1992; 13(1):23-36.
  • Bonfils P, Bertrand Y, Uziel A. Evoked otoacoustic emis- sions: normative data and presbyacusis. Audiology 1988;27(1):27-35.
  • Desai A, Reed D, Cheyne A Richards S, Prasher D. Absence of otoacoustic emissions in subjects with normal audio- metric thresholds implies exposure to noise. Noise Health 1999;1(1):58-65.
  • Murdin L, Patel S, Walmsley J, Yeoh HL. Hearing difficul- ties are common in patients with rheumatoid arthritis. Clin Rheumatol 2008; 27: 637-40.
  • İkiz AO, Unsal E, Kirkim G, Erdağ TK, Güneri EA. Hear- ing loss and middle ear involvement in patients with juve- nil idiopathic arthritis. Int J Pediatric Otorhinolaryng 2007; 71(8):1079-85.
  • Copeman WSC: Rheumatoid otoarthritis. Br Med J 1963;2(12):1526-1527.
  • Goodwill CJ, Lord IJ, Jones RPK. Hearing in rheumatoid arthritis. Ann Rheum 1972; 31(2):170-3.
  • Gür A, Nas K, Çevik R, Erdoğan F, Denli A. The quality of life status of patients with rheumatoid arthritis and osteoar- thritis. Dicle Tip Dergisi 2000; 1(1): 41-6.

Romatoid artritli hastalarda sensörinöral işitme kaybı

Year 2011, Volume: 38 Issue: 2, 184 - 188, 01.06.2011
https://doi.org/10.5798/diclemedj.0921.2011.02.0012

Abstract

Amaç: Romatoid artrit (RA)\'li hastalarda işitme kaybı ora­nını, tipini ve mevcut kaybın kontrol grubuna göre farklı olup olmadığını araştırmak. Gereç ve yöntem: Çalışmaya 50 RA hastası ve 34 sağ­lıklı kontrol grubu alındı. Her iki gruptakilere; 250-8.000 Hz frekanslar arasında pür tone odyometri, stapes reflek­si ve Oto Akustik Emisyon testi yapıldı. Bulgular: Olguların yaş ortalaması RA\'lı hastalarda 36,88 ± 8,81 yıl ve kontrol grubunda 35,58 ± 8,19 yıl olarak bulundu. Ortalama hastalık süresi RA\'da 4,72 (0-21) yıl bulundu. RA\'lı hastaların 10\' unda (%20) ve kontrol gru­bunun 3\' ünde (%8,8) işitme kaybı saptandı. İşitme kaybı açısından gruplar arasında istatistiksel olarak anlamlı bir fark bulunmadı (p=0,139). Romatoid artritli hastalarda %14 ve kontrol grubundakilerde %8,8 olmak üzere her iki grupta da en sık sensörinöral tip işitme kaybı (SNİK) bulundu. Hastalık süresi 10 yıldan fazla olan yedi RA\'lı hastanın 6\'sında (%85.7) işitme kaybı mevcuttu. Sonuç: Romatoid artrit ve kontrol grubu arasında işitme kaybı açısından anlamlı fark bulunmadı. RA\'lı hastalarda hastalık süresi uzadıkça işitme kaybı görülme oranı art­maktadır.

References

  • Takatsu M, Higaki M, Kinoshita H, Mizushima Y, Koizuka I. Ear involvement in patients with rheumatoid arthritis. Otol Neurotol 2005; 26(6):755-1.
  • Rigual NR. Otolaryngologic manifestations of rheumatoid arthritis. Ear Nose Throat J 1987; 66(1):18-22.
  • Coletti V, Fiorino FG, Bruni L, Biasi D. Middle ear me- chanics in subjects with rheumatoid arthritis. Audiology 1997;36(2):136-46.
  • Frade C, Martin C. Diagnostic value of the multi-frequency tympanometry in active rheumatoid arthritis. Auris Nasus Larynx 1998; 25(2):131-6.
  • Ozcan M, Karakus MF, Gunduz OH, Tuncel U, Sahin H. Hearing loss and middle ear involvement in rheumatoid ar- thritis. Rheumatol Int 2002; 22(1):16-9.
  • Reiter D, Konkle DF, Myers AR, Schimmer B, Sugar JO. Middle ear immittance in rheumatoid arthritis. Arch Oto- laryngol 1980;106(1):114-7.
  • Elwany S, El Garf A, Kamel T. Hearing and middle ear func- tion in rheumatoid arthritis. J Rheumatol 1986;13:878-81.
  • Kakani RS, Mehra YN, Deodhar SD, Kakani RS, Mehra YN. Audiovestibular functions in rheumatoid arthritis. J Otolar- yngol 1990;19(1):100-2.
  • Jung TT, Rhee C-K, Lee C, Park YS, Choi DC. Ototoxicity of salicylate, nonsteroidal anti inflammatory drugs and qui- nine. Otolaryngol Clin North Am 1993;26(1):791-812.
  • Marioni G, Perin N, Tregnaghi A, Bellemo B, Staffieri A, de Filippis C. Progressive bilateral sensorineural hearing loss probably induced by chronic cyclosporin. A treatment af- ter renal transplantation for focal glomerulosclerosis. Acta Oto-Laryngol 2004; 124(5):603-7.
  • Toone E, Hayden D, Ellman H. Ototoxicity of chloroquine. Arthritis Rheum 1965; 8(4): 475-6.
  • Casellini C, Citera G, RosemVet M, Ruggeri S, Saviotti A, Maldonado Cocco JA. Audiovestibular disorders in patients with ankylosing spondylitis. J Clin Rheumatol 2005;11(1):81-5.
  • Gussen R. Atypical ossicle joint lesions in rheumatoid ar- thritis with sicca syndrome (Sjogren syndrome). Arch Oto- laryngol 1977; 103(2):284-6.
  • Heyworth T, Liyanage SP: A pilot survey of hearing loss in patient with rheumatoid arthritis. Scand J Rheumatol 1972;1(1):81-3.
  • Kastanioudakis I, Skevas A, Danielidis V, Tsiakou E, Drosos AA, Moustopoulos MH. Inner ear involvement in rheuma- toid arthritis: a prospective clinical study. J Laryngol Otol 1995;109(6):713-8.
  • Magaro M, Zoli A, Altomonte L, et al. Sensorineural hear- ing loss in rheumatoid arthritis. Clin Exp Rheumatol 1990; 8(7):487-90.
  • Öztürk A, Yalçın Ş, Kaygusuz İ, Şahin S, Gök Ü, Karlıdağ T, Ardıçoğlu Ö. High-Frequency Hearing Loss and Middle Ear Involvement in Rheumatoid Arthritis. Am J Otolaryn- gol 2004; 25(3): 411-7.
  • Dikici O, Muluk NB, Tosun AK, Ünlüsoy I. Subjective au- diological tests and transient evoked otoacoustic emissions in patients with rheumatoid arthritis: analysis of the factors aVecting hearing levels. Eur Arch Otorhinolaryngol 2009; 266(12): 1719-26.
  • Robinette M Clinical observations with transient otoacous- tic emissions with adults. Semin Hear 1992; 13(1):23-36.
  • Bonfils P, Bertrand Y, Uziel A. Evoked otoacoustic emis- sions: normative data and presbyacusis. Audiology 1988;27(1):27-35.
  • Desai A, Reed D, Cheyne A Richards S, Prasher D. Absence of otoacoustic emissions in subjects with normal audio- metric thresholds implies exposure to noise. Noise Health 1999;1(1):58-65.
  • Murdin L, Patel S, Walmsley J, Yeoh HL. Hearing difficul- ties are common in patients with rheumatoid arthritis. Clin Rheumatol 2008; 27: 637-40.
  • İkiz AO, Unsal E, Kirkim G, Erdağ TK, Güneri EA. Hear- ing loss and middle ear involvement in patients with juve- nil idiopathic arthritis. Int J Pediatric Otorhinolaryng 2007; 71(8):1079-85.
  • Copeman WSC: Rheumatoid otoarthritis. Br Med J 1963;2(12):1526-1527.
  • Goodwill CJ, Lord IJ, Jones RPK. Hearing in rheumatoid arthritis. Ann Rheum 1972; 31(2):170-3.
  • Gür A, Nas K, Çevik R, Erdoğan F, Denli A. The quality of life status of patients with rheumatoid arthritis and osteoar- thritis. Dicle Tip Dergisi 2000; 1(1): 41-6.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Mehtap Bozkurt This is me

Ramazan Gün This is me

Ali Gür This is me

Demet Uçar This is me

Kemal Nas This is me

Publication Date June 1, 2011
Submission Date March 2, 2015
Published in Issue Year 2011 Volume: 38 Issue: 2

Cite

APA Bozkurt, M., Gün, R., Gür, A., Uçar, D., et al. (2011). Romatoid artritli hastalarda sensörinöral işitme kaybı. Dicle Tıp Dergisi, 38(2), 184-188. https://doi.org/10.5798/diclemedj.0921.2011.02.0012
AMA Bozkurt M, Gün R, Gür A, Uçar D, Nas K. Romatoid artritli hastalarda sensörinöral işitme kaybı. diclemedj. June 2011;38(2):184-188. doi:10.5798/diclemedj.0921.2011.02.0012
Chicago Bozkurt, Mehtap, Ramazan Gün, Ali Gür, Demet Uçar, and Kemal Nas. “Romatoid Artritli Hastalarda sensörinöral işitme Kaybı”. Dicle Tıp Dergisi 38, no. 2 (June 2011): 184-88. https://doi.org/10.5798/diclemedj.0921.2011.02.0012.
EndNote Bozkurt M, Gün R, Gür A, Uçar D, Nas K (June 1, 2011) Romatoid artritli hastalarda sensörinöral işitme kaybı. Dicle Tıp Dergisi 38 2 184–188.
IEEE M. Bozkurt, R. Gün, A. Gür, D. Uçar, and K. Nas, “Romatoid artritli hastalarda sensörinöral işitme kaybı”, diclemedj, vol. 38, no. 2, pp. 184–188, 2011, doi: 10.5798/diclemedj.0921.2011.02.0012.
ISNAD Bozkurt, Mehtap et al. “Romatoid Artritli Hastalarda sensörinöral işitme Kaybı”. Dicle Tıp Dergisi 38/2 (June 2011), 184-188. https://doi.org/10.5798/diclemedj.0921.2011.02.0012.
JAMA Bozkurt M, Gün R, Gür A, Uçar D, Nas K. Romatoid artritli hastalarda sensörinöral işitme kaybı. diclemedj. 2011;38:184–188.
MLA Bozkurt, Mehtap et al. “Romatoid Artritli Hastalarda sensörinöral işitme Kaybı”. Dicle Tıp Dergisi, vol. 38, no. 2, 2011, pp. 184-8, doi:10.5798/diclemedj.0921.2011.02.0012.
Vancouver Bozkurt M, Gün R, Gür A, Uçar D, Nas K. Romatoid artritli hastalarda sensörinöral işitme kaybı. diclemedj. 2011;38(2):184-8.