Audio-vestibular dysfunction in rheumatoid arthritis: An undervalued extra-articular feature

Elbeltagy, Reem; Galhom, Dalia Helal; Hammad, Marwa; Dawa, Ghada A.

doi:10.4103/indianjotol.indianjotol_26_18

Cited by 7 publications

(5 citation statements)

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“…This is in disagreement with (18)and (8) that used other older methods of vestibular assessment as electronystagmography (ENG) this also due to that vestibular affection is more common to occur as a result of acute insult rather than chronic affection which is the feature of the autoimmune diseases including RA. Age and sex were not found to be related to hearing loss which is consistent with (19) and (20) . The relation between hearing loss and the autoimmune disease duration is not well established.…”

Section: Discussionsupporting

confidence: 60%

Audio-vestibular affection in rheumatoid arthritis

Sadek

Mahmoud

Abdullah

et al. 2022

Minia Journal of Medical Research

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Background: Recently there is growing interest for inner ear involvement in systemic autoimmune diseases. Several studies showed inflammatory cells in the inner ear, describing the presence of resident cochlear macrophages in animal models and the recruitment of inflammatory macrophages to the cochlea. (1) Method: 16 rheumatoid arthritis patients were enrolled in this study. Audiological assessment was done using pure tone audiometry (PTA). Vestibular assessment for lateral semicircular canal was done by video head impulse test (VHIT). Results: 50% of rheumatoid arthritis patients were discovered to be suffering of hearing loss of all types and degrees detected by pure tone audiometry, VHIT was normal in all patients. Conclusion: Hearing impairment is not uncommon finding in rheumatoid arthritis patients. It can have a negative impact on a patient's quality of life. So, audiological assessment and follow up are necessary for rheumatoid arthritis patients.

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Section: Discussionsupporting

confidence: 60%

Audio-vestibular affection in rheumatoid arthritis

Sadek

Mahmoud

Abdullah

et al. 2022

Minia Journal of Medical Research

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“…This is also compatible with the previous studies. [ 25 26 27 ] Based on a similar finding, Gamal et al . proposed recently an extended high frequency audiometry test from 10,000–20,000 Hz to early diagnose HL in RA patients.…”

Section: R Esultsmentioning

confidence: 64%

“…As discussed in introduction, many studies have reported more hearing impairments in RA patients than in healthy people in general population. Recent studies also confirm this finding,[ 22 23 24 25 26 27 28 ] for example, a recent large study in Korea found that RA people were 40% more likely to develop SNHL than others without the condition. [ 22 ] Chaitidis et al .…”

Section: R Esultsmentioning

confidence: 77%

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Prevalence rate of hearing loss in patients with rheumatoid arthritis

et al. 2023

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Background: Rheumatoid arthritis (RA) is a common chronic inflammatory disorder that can be associated with some hearing impairments. Hence, we aimed to evaluate the prevalence rate of hearing loss (HL) in RA patients. Materials and Methods: This study included 130 participants from February 2019 to March 2020 including 100 RA patients (78 females and 22 males) as RA group and 30 healthy cases (16 females and 14 males) as control group. All patients underwent pure tone audiometry, speech audiometry, tympanometry, acoustic reflex, and tone decay test by single operator and device. The rate of HL and contributing factors were then determined. Results: The mean age of RA group was 53.95 ± 7.6 years, and the mean duration of disease was 12.74 years. Rheumatoid factor was positive in 54% of patients, and the frequency rates of diabetes, chronic kidney disease, hypertension, and dyslipidemia among RA patients were 14%, 1%, 26%, and 19%, respectively. These values among RA patients with HL were 18%, 1.7%, 34%, and 27.5%, respectively. HL in RA patients was related to dyslipidemia ( P = 0.011) and age ( P = 0.0001). Frequency rate of conductive HL in left and right ears was 2% and 5%, respectively, and these rates for sensorineural hearing loss (SNHL) were 55% and 61%, respectively. In addition, the percent of HL in low, mid, and high frequency ranges was 18%, 19%, and 57%, respectively. Conclusions: The findings of the present research demonstrate that HL especially with SNHL and high-frequency types is common among RA patients.

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“…However, we cannot completely rule out the possibility of a pain-related reporting bias. Although we included rheumatoid arthritis (RA) as a control group for this reason, we later discovered that RA can impact the vestibular system [31,32]. Given that RA could potentially influence motion sickness susceptibility, even before other clinical symptoms manifest, it becomes an uncertain control group.…”

Section: Discussionmentioning

confidence: 99%

Could Vulnerability to Motion Sickness and Chronic Pain Coexist within a Sensorimotor Phenotype? Insights from over 500 Pre-Pain Motion Sickness Reports

Harvie

2023

Brain Sciences

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Background: The sensorimotor incongruence theory proposes that certain instances of pain result from conflicts in the brain’s sensorimotor networks. Indeed, injuries may cause abnormalities in afferent and cortical signaling resulting in such conflicts. Motion sickness also occurs in instances of incongruent sensorimotor data. It is possible that a sensory processing phenotype exists that predisposes people to both conditions. Aim: The aim of this study was to investigate whether participants with chronic pain recall greater susceptibility to motion sickness before chronic pain onset. Method: Data were collected via an online LimeSurvey. A self-report tendency toward motion sickness was measured using the Motion Sickness Susceptibility Questionnaire. Group differences were analysed using analysis of covariance methods. Results: 530 patients (low back pain, n = 198; neck pain, n = 59; whiplash-associated disorder, n = 72; fibromyalgia syndrome, n = 114; Migraine, n = 41) and 165 pain-free controls were surveyed. ANCOVA analysis, using sex and anxiety as covariates, suggested that childhood motion sickness susceptibility scores differed by group (F = 2.55 (6, 615), p = 0.019, (ηp2) = 0.024). Planned comparisons, with corrected p-values, suggested that childhood motion sickness was not statistically greater for low back pain, rheumatoid arthritis, migraine, neck pain or whiplash-associated disorder (ps > 0.05), although scores were on average 27%, 42%, 47%, 48% and 58% higher, respectively. Childhood susceptibility was statistically higher in people with FMS (p = 0.018), with scores on average 83% higher than controls. ANCOVA analysis, using sex and anxiety as covariates, suggested that adult motion sickness susceptibility scores did not differ by group (F = 1.86 (6, 613), p = 0.086), although average scores were, on average, at least 33% higher in persistent pain groups. Conclusions: According to retrospective reporting, greater susceptibility to motion sickness appears to pre-date persistent pain in some conditions. This supports the possibility that motion sickness and chronic pain may, in some cases, have overlapping mechanisms related to the handling of incongruent sensorimotor data.

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Audio-vestibular dysfunction in rheumatoid arthritis: An undervalued extra-articular feature

Cited by 7 publications

References 0 publications

Audio-vestibular affection in rheumatoid arthritis

Audio-vestibular affection in rheumatoid arthritis

Prevalence rate of hearing loss in patients with rheumatoid arthritis

Could Vulnerability to Motion Sickness and Chronic Pain Coexist within a Sensorimotor Phenotype? Insights from over 500 Pre-Pain Motion Sickness Reports

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