Audiovestibular disturbance in patients with systemic lupus erythematosus

Karataş, Erkan; Onat, Ahmet Mesut; Durucu, Cengiz; Bağlam, Tekin; Kanlı́kama, Muzaffer; Altunören, Orçun; Büyükhatipoğlu, Hakan

doi:10.1016/j.otohns.2006.06.1255

Cited by 57 publications

(40 citation statements)

References 14 publications

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“…Ear involvement is presented as a clinical picture of CTD such as systemic lupus erythematosus, rheumatoid arthritis, Cogan syndrome, Sjögren syndrome, antiphospholipid syndrome and ankylosing spondylitis [11][12][13][14][15]. The disorders of ENT organs and audiovestibular symptoms have rarely been reported in systemic sclerosis [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Hearing organ disorders in patients with systemic sclerosis

et al. 2010

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In systemic sclerosis (SSc), there may develop hearing and balance disorders as a result of the immune-mediated vasculitis and fibrosis in the inner ear. The objective of the study was evaluation of the hearing organ function in patients with SSc with relationship to duration of the disease and Raynaud phenomenon and also to type and severity of the disease. Twenty unselected, consecutive patients with SSc diagnosed in compliance with the international diagnostic criteria of the American Rheumatism Association (1982), were enrolled into the study. The control group consisted of 26 otologically healthy persons matched to the SSc group for age and sex. Case history was recorded for all patients from questionnaire data. Otolaryngological examination and battery of audiological tests (pure tone audiometry, speech audiometry, impedance audiometry and auditory brainstem response-ABR) were performed. In the anamnesis 60% of patients reported vertigo, 55% headaches, 50% tinnitus, 40% hyperacusis, 40% hearing loss and 30% ear fullness. It was found that patients with SSc had significantly poorer mean hearing thresholds than the control group for 0.5, 1, 6 and 8 kHz. In ABR there were no differences between SSc and control groups although an increase of latency averages in the group of limited patients with SSc compared with the diffuse patients with SSc was observed. In eight patients (40%) sensorineural hearing loss, mostly bilateral and symmetrical was found. Furthermore, no relation was seen between hearing level and duration, type and severity of the disease. Ear involvement is frequent in systemic sclerosis and should be taken into consideration during diagnostic and therapeutic procedures.

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Section: Introductionmentioning

confidence: 99%

Hearing organ disorders in patients with systemic sclerosis

et al. 2010

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“…The childhood form of the disease is usually more severe at onset and has a more aggressive clinical course (Rood et al, 1999). Studies suggest more adults with SLE demonstrate sensorineural hearing loss and vestibular pathology than children (Naarendorp & Spiera, 1998;Rovenaro et al, 2006;Gomides et al, 2007;Karatas et al, 2007). A study by Karatas and colleagues (2007) (Falcini, 2004), but often the doses must be high and can be associated with serious side-effects.…”

Section: Systemic Lupus Erythematosus (Sle)mentioning

confidence: 99%

Immune-mediated audiovestibular disorders in the paediatric population: A review

Ågrup

2008

International Journal of Audiology

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Recent studies show that several audiovestibular pathologies in the paediatric population may be immune-mediated. This is even more probable if the pathology is associated with a coexisting systemic autoimmune disorder. At this time, however, the current literature is limited to a few case reports, and little is known with regard to prevalence, diagnosis, and management of immune-mediated inner-ear disorders in children. This review aims to shed some light on clinical presentation, diagnosis, and treatment of paediatric immune-mediated inner-ear disorders. Sudden and progressive sensorineural hearing loss is discussed, in addition to some of the systemic autoimmune disorders commonly associated with immune-mediated audiovestibular pathology such as Cogan's syndrome, systemic lupus erythematosus, Behcet's disease, Sjogren's syndrome, and juvenile idiopathic arthritis.

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“…More recently, studies with small samples reported a frequency of audiovestibular symptoms between 25% and 67% in SLE patients 59,60 . Such manifestations include sensorineural hearing loss, often accompanied by vertigo and tinnitus and other symptoms compatible with Menière's disease 60 .…”

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confidence: 99%

Neuropsychiatric Lupus in clinical practice

Alessi

Dutra

Neto

et al. 2016

Arq. Neuro-Psiquiatr.

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Systemic lupus erythematosus (SLE) is a chronic autoimmune disease involving multiple organs, characterized by the production of autoantibodies and the development of tissue injury. The etiology of SLE is partially known, involving multiple genetic and environmental factors. As many as 50% of patients with SLE have neurological involvement during the course of their disease. Neurological manifestations are associated with impaired quality of life, and high morbidity and mortality rates. Nineteen neuropsychiatric syndromes have been identified associated with SLE, and can be divided into central and peripheral manifestations. This article reviews major neuropsychiatric manifestations in patients with SLE and discusses their clinical features, radiological findings and treatment options.

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Audiovestibular disturbance in patients with systemic lupus erythematosus

Abstract: Audiologic research should be directed toward routine, pure tone audiometry, and ENG assessment for patients with SLE to enable crucial treatment.

Cited by 57 publications

References 14 publications

Hearing organ disorders in patients with systemic sclerosis

Hearing organ disorders in patients with systemic sclerosis

Immune-mediated audiovestibular disorders in the paediatric population: A review

Neuropsychiatric Lupus in clinical practice

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