Sensorineural hear-loss in patients with rheumatoid arthritis

Öz

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.

Anahtar Kelimeler

• Rheumatoid arthritis, disease duration, hear­ing loss.

Romatoid artritli hastalarda sensörinöral işitme kaybı

Öz

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.

Anahtar Kelimeler

• Romatoid artrit, hastalık süresi, işit­me kaybı

Kaynakça

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