Alterações auditivas na esclerose sistêmica

Silva, Marília Mendes; Araújo, Roberto Paulo Correia de; Araújo, Fernando Antônio Glasner da Rocha; Valente, Julia de Souza Pinto; Corona, Ana Paula

doi:10.1590/2317-1782/20182018119

Cited by 6 publications

(4 citation statements)

References 18 publications

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“…24 A proliferation of the intimal layers of the arteries lead to vascular occlusion and causes isolated pulmonary hypertension, myocardial perfusion disorders, Raynaud's phenomenon, and arterial hypertension secondary to the reduction of the renal artery lumen. 24,26 Hearing impairment would potentially explain by this same hypothesis since vascular occlusion leads to hypoxia and apoptosis of hair cells in the cochlea consequently lead to sensorineural hearing loss. 26 In temporal bones, cochleovestibular vascular changes have been described including atrophy and loss of the organ of Corti and atrophy of the stria vascularis.…”

Section: Systemic Lupus Erythematosusmentioning

confidence: 97%

“…24,26 Hearing impairment would potentially explain by this same hypothesis since vascular occlusion leads to hypoxia and apoptosis of hair cells in the cochlea consequently lead to sensorineural hearing loss. 26 In temporal bones, cochleovestibular vascular changes have been described including atrophy and loss of the organ of Corti and atrophy of the stria vascularis. 25 There are few studies regarding SSc and hearing loss.…”

Section: Systemic Lupus Erythematosusmentioning

confidence: 97%

“…23 This could be associated with reduced or interrupted blood flow to the vestibular system secondary to vasculopathy, which is one of the main clinical manifestations of SSc, however, there is a lack of information about the possible hypothesis associated to the pathogenesis of these symptoms. 26,29 One of the few studies was made in Latin America reporting a prevalence of BPPV of 17% that compromised mainly the posterior semicircular canal. 29 There is no standardized treatment for audiovestibular disorders in patients with SSc, however, medication with vasodilator effect could provide a net benefit in the prevention of hearing loss by improving the vasculopathy that precedes the fibrosis and subsequent damage of the skin and internal organs.…”

Section: Systemic Lupus Erythematosusmentioning

confidence: 99%

“…29 There is no standardized treatment for audiovestibular disorders in patients with SSc, however, medication with vasodilator effect could provide a net benefit in the prevention of hearing loss by improving the vasculopathy that precedes the fibrosis and subsequent damage of the skin and internal organs. 26 The literature reports the case of a 65-year-old male patient with a diagnosis of SSc and a history of recent-onset bilateral sensorineural hearing loss who received immunosuppressive treatment with intravenous immunoglobulin (IVIG) and methotrexate for his rheumatological condition, and after one month, in addition to improving the clinical manifestations of his disease, the hearing loss also improved. 30 This case demonstrated the effectiveness of IVIG and methotrexate in the management of hearing loss associated with SSc; however, more studies are required to characterize the audiovestibular symptoms and the most optimal management when the diagnosis is confirmed.…”

Section: Systemic Lupus Erythematosusmentioning

confidence: 99%

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Audiovestibular manifestations in patients with rheumatologic diseases: a review

Palacio

Madrigal²,

García

et al. 2023

Int J Otorhinolaryngol Head Neck Surg

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Rheumatologic disorders are chronic and systemic disorders with an estimated global prevalence of 3,200 per 100,000 inhabitants. Several clinical manifestations are known and may lead to physical disability and altered quality of life. The most common audio vestibular manifestations commonly reported are hearing loss, tinnitus, vertigo, and fullness, however, there are some more still unregistered. The aim of this review is to describe the most common audio vestibular features in three of the most common rheumatologic conditions such as rheumatoid arthritis (RA), systemic erythematous lupus and systemic sclerosis (SSc). A literature search was performed with articles published between 2000 to 2021. In this literature review an increased prevalence of hearing loss for RA of 40% and 70% for systemic erythematous lupus was observed. In SSc, due to its early onset and progression, there is no estimated prevalence, however, a notorious hearing impairment in early stages of the disease was described. Vertigo was also described in these disorders, affecting more than 60% of patients. Further studies are in need to describe the affection on early stages of all disorders as well as its progression.

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Section: Systemic Lupus Erythematosusmentioning

confidence: 97%

Section: Systemic Lupus Erythematosusmentioning

confidence: 97%

Section: Systemic Lupus Erythematosusmentioning

confidence: 99%

Section: Systemic Lupus Erythematosusmentioning

confidence: 99%

See 2 more Smart Citations

Audiovestibular manifestations in patients with rheumatologic diseases: a review

Palacio

Madrigal²,

García

et al. 2023

Int J Otorhinolaryngol Head Neck Surg

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‘Narrow-sense’ and ‘broad-sense’ vascular abnormalities of systemic sclerosis

Jinnin

2020

Immunological Medicine

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Systemic sclerosis (SSc) induces skin thickening and numerous symptoms involving the entire body. Collagen deposition, immune disorder, and vascular abnormalities is currently estimated to be three major causal factors involved in the respective conditions. Vascular abnormalities usually develop in the initial phase of this disease, and may exist in all phases; therefore, they markedly influence the patient's quality of life. This article reviews recent findings about 'narrow-sense' vascular lesions (including Raynaud's phenomenon, skin ulcers, nailfold bleedings, pitting scars, telangiectasia, and pulmonary hypertension) and 'broadsense' vascular lesions (such as calcinosis or erectile dysfunction). Affected blood vessels can be classified into arteriole/small artery and capillary blood vessels. Furthermore, pathological changes include the proliferation of the vascular endothelial or smooth muscle cells, lumen stenosis by collagen accumulation of the vascular intima, vasodilation or fragility, and apoptosis. There may be interaction between vascular lesions, autoimmune disorder, and collagen deposition. Thus, various symptoms of this disease may be controlled through the treatment of vascular lesions.

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Evaluation and Management of Tinnitus: Are There Opportunities for Improvement?

Grundfast

Jamil

2022

Otolaryngol.--head neck surg.

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Objective To review current information about diagnosis and management of tinnitus aiming to identify opportunities for achieving a cost-effective, efficient, evidence-based approach that meets the needs of tinnitus sufferers. Data Sources PubMed/MEDLINE. Review Methods In total, 249 relevant published reports were reviewed. Pertinent keywords and MeSH terms identified reports via PubMed and EMBASE. Acknowledged experts were consulted on ways to improve tinnitus management. Conclusions There may be opportunities to improve evaluation and management of patients with tinnitus using modern modes of communication and a multidisciplinary therapeutic approach. Implications for Practice Tinnitus can adversely affect quality of life while being time-consuming and costly to evaluate and manage. Based on both personal experience and the reports of others, patients with tinnitus who choose to see a physician primarily want to know two things: (1) that the tinnitus that is so distressing will not remain at the same level of severity forever and (2) that something can be done to help cope with the tinnitus that is so annoying. Recent advancements in internet communications, social media, information technology, artificial intelligence, machine learning, holistic medical care, mind-body integrative health care, and multidisciplinary approaches in medical therapeutics may be possibly making new ways of meeting the needs of patients with tinnitus.

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Alterações auditivas na esclerose sistêmica

Cited by 6 publications

References 18 publications

Audiovestibular manifestations in patients with rheumatologic diseases: a review

Audiovestibular manifestations in patients with rheumatologic diseases: a review

‘Narrow-sense’ and ‘broad-sense’ vascular abnormalities of systemic sclerosis

Evaluation and Management of Tinnitus: Are There Opportunities for Improvement?

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