Perda auditiva sensorioneural no lúpus eritematoso sistêmico: relato de três casos

Cecatto, Suzana B.; Garcia, Roberta Ismael Dias; Costa, Kátia S.; Anti, Sônia Maria Alvarenga; Longone, Erika; Rapoport, Priscila Bogar

doi:10.1590/s0034-72992004000300017

Cited by 15 publications

(17 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Researchers have also speculated on the existence of a strong relationship between the presence of anticardiolipin antibodies, often found in patients with SLE, and sudden SNHL. 2 27 29 In such cases, the authors argue that the formation of microthrombus in cochlear vessels could be the etiology of sudden SNHL.…”

Section: Discussionmentioning

confidence: 99%

Sudden Sensorioneural Hearing Loss and Autoimmune Systemic Diseases

Rossini

Penido

Munhoz

et al. 2016

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction Several authors have demonstrated the relationship between sudden sensorineural hearing loss (SNHL) and systemic autoimmune diseases (SAD). Immune-mediated SNHL can rarely present as unilateral sudden SNHL and manifests itself in the contralateral ear only after years. It presents clinical relevance for being one of the few SNHL that may be reversible given that early and appropriate treatment is applied. Objective The objective of this study is to describe the clinical presentations and audiological findings from patients with idiopathic sudden SNHL and SAD associated with a probable diagnosis of immune-mediated SNHL. Furthermore, we strive to estimate the prevalence of SAD in patients with sudden SNHL. Methods This is an observational retrospective cohort. We have selected and studied patients with SAD. Revision of available literature on scientific repositories. Results We evaluated 339 patients with sudden SNHL. Among them, 13 (3.83%) patients suffered from SAD. Three patients had bilateral involvement, a total of 16 ears. We evaluate and describe various clinical, epidemiological, and audiological aspects of this sample. Conclusion In our sample of patients with sudden SNHL, the prevalence of SAD was found relevant. The majority had tinnitus and dizziness concomitant hearing loss, unilateral involvement and had experienced profound hearing loss at the time of the installation. In spite of instituted treatment, most cases showed no improvement in audiometric thresholds. Apparently, patients with sudden SNHL and SAD have a more severe initial impairment, higher percentage of bilateral, lower response to treatment, and worse prognosis than patients with sudden SNHL of unknown etiology.

show abstract

Section: Discussionmentioning

confidence: 99%

Sudden Sensorioneural Hearing Loss and Autoimmune Systemic Diseases

Rossini

Penido

Munhoz

et al. 2016

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…18 Hypersensitivity reactions, deposition of immune complexes, vasculitis, a direct cytotoxic action and thrombotic events are believed to be involved in the etiopathogenesis of hearing loss associated with SLE. 19 Hypoacusis in SLE has been reported sporadically in the literature. Some case reports have demonstrated different degrees of hearing loss in this disease, sometimes associated with anti-phospholipid syndrome.…”

Section: Discussionmentioning

confidence: 99%

Sensorineural dysacusis in patients with systemic lupus erythematosus

Gomides¹,

Rosário

Borges

et al. 2007

Lupus

View full text Add to dashboard Cite

The objective of this study was to establish the frequency of involvement of the auditory apparatus in 45 female patients with systemic lupus erythematosus (SLE) submitted to general clinical and laboratory assessments, and tone and vocal audiometry accompanied by a questionnaire evaluating auditory symptoms. The control group consisted of 45 healthy women, matched by age. Auditory symptoms were present in 25 (55.5%) patients, with a diagnosis of sensorineural hearing loss in seven (15.6%) patients. A significant correlation with hypoacusis (P < 0.001), ear fullness (P = 0.012) and tinnitus (P = 0.017) was observed in patients with hearing loss. None of the clinical or laboratory parameters showed an association with sensorineural hearing loss. In the control group, three women (6.7%) presented audiometric alterations, including two with altered tympanometry results and one with mild sensorineural hearing loss. In conclusion, an adequate investigation of auditory symptoms is important during the follow-up of patients with SLE, since manifestations of the auditory apparatus and sensorineural hearing loss can affect a significant proportion of patients.

show abstract

“…[10][11][12] It consists of chronic inflammation of various organs of the individual, especially joints, skin and kidneys, compromising their function simultaneously or successively. [13] Its symptoms are varied and occur according to the affected area. [14,15] The rheumatic diseases approach includes patient and family education, drug therapy, physiotherapy, psychosocial support, occupational therapy and even surgical approaches.…”

Section: Introductionmentioning

confidence: 99%

Measurement of psycho-emotional constructs and self-management in health of patients with Rheumatics diseases

Lima

Mendes‐Rodrigues

Dias

et al. 2018

JNEP

View full text Add to dashboard Cite

Objective: This study aimed to measure the scores of psychoemotional and self-management constructs in patients with rheumatic diseases (RD), to compare these scores according to the RD type and to verify the influence of these measures on self-management in health.Methods: Cross-sectional study, carried out in an ambulatory of a public hospital of Brazil. Adult patients, with diagnosis of RD, responded to self-esteem, anxiety and depression, health and activation scales. Spearman’s correlation tests, independence tests, mean or median tests, multiple linear regressions evaluated the variables of interest at a significance level of .05.Results: Eighty-six patients (mean age = 45.23, SD = 14.30) were evaluated. High activation (mean = 65.83, SD = 14.20) and self-esteem scores (mean = 30.67, SD = 5.65) were observed, while moderate anxiety scores (mean = 8.21, SD = 4.37) and low scores for depression (mean = 6.37, SD = 3.98). Significant correlations were observed, from low to moderate magnitude, among other measures with activation (p < .05). There were weak correlations between activation and formal study time, self-esteem with age and family income, depression and number of comorbidities diagnosed or self-reported (p < .05). The RD type no affects any of the constructs evaluated.Conclusions: It was concluded that patients with rheumatic diseases presented high self-esteem, moderate anxiety levels and low levels of depression and a high level of activation. Lower number of diagnosed comorbities, higher formal study time was related to better self-management in health.

show abstract

Perda auditiva sensorioneural no lúpus eritematoso sistêmico: relato de três casos

Cited by 15 publications

References 9 publications

Sudden Sensorioneural Hearing Loss and Autoimmune Systemic Diseases

Sudden Sensorioneural Hearing Loss and Autoimmune Systemic Diseases

Sensorineural dysacusis in patients with systemic lupus erythematosus

Measurement of psycho-emotional constructs and self-management in health of patients with Rheumatics diseases

Contact Info

Product

Resources

About