Evaluations of Audiovestibular Manifestations in Patients with Psoriasis

Temel, İsmail; Temel, Aslı Bilgiç; Alpsoy, Erkan; Yılmaz, Ertan; Karakaş, Ayşe Akman; Bozkurt, Selen; Ağirdir, Bülent Veli

doi:10.4274/tdd.3307

Cited by 5 publications

(44 citation statements)

References 8 publications

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“…Different results were obtained in studies evaluating hearing in psoriasis patients. Temel et al 13 found that SNHL at high frequencies was significantly higher in psoriasis patients than in the control group. Hapa et al 18 reported that hearing thresholds at all frequencies were significantly higher in psoriasis patients compared to the control group.…”

Section: Discussionmentioning

confidence: 97%

“…The presence of joint involvement in patients with psoriasis may cause a more chronic inflammatory process and may adversely affect hearing. While the studies 7,9,10,13,18‐20 evaluating the hearing of patients with psoriasis have different results, the hearing has been reported to be negatively affected in all of the studies 6,8,12 evaluating hearing in patients with psoriatic arthritis. These results support our theory.…”

Section: Discussionmentioning

confidence: 99%

“…This is the first study in the literature in this respect. Temel et al 13 performed electronystagmography (ENG) test, Dix‐Hallpike test and caloric test in psoriasis patients (6.6% had concomitant psoriatic arthritis). They found that only the saccadic test result was significantly worse than the control group.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, studies evaluating hearing have also been performed in patients with psoriasis 6‐10 . However, a limited number of studies evaluating the vestibular system in patients with psoriasis 11‐13 . These studies were performed in patients with psoriatic arthritis 11,12 or patients with psoriasis, including those with psoriatic arthritis 13 .…”

Section: Introductionmentioning

confidence: 99%

“…However, a limited number of studies evaluating the vestibular system in patients with psoriasis 11‐13 . These studies were performed in patients with psoriatic arthritis 11,12 or patients with psoriasis, including those with psoriatic arthritis 13 . It has been shown that audiovestibular pathology is more common in chronic inflammatory joint diseases 11,12,14‐16 .…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of audiovestibular system in psoriasis patients without joint involvement

Ertuğrul

Söylemez

2020

Dermatologic Therapy

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Inner ear involvement may occur in systemic autoimmune diseases. Although there are studies evaluating hearing in psoriasis patients, its effect on the balance system is not clear. The aim of the present study was to evaluate the audiovestibular system in psoriasis patients without joint involvement. In this prospective study, the audiovestibular system of 32 psoriasis patients without joint involvement and 35 healthy volunteers were evaluated. The severity of the disease was determined by the psoriasis area severity index (PASI). There was no significant difference between the groups in terms of hearing test results, while the abnormal caloric test response was significantly higher in the psoriatic patients. PASI scores of psoriasis patients with abnormal caloric test results were higher than those with normal caloric test response. In psoriasis patients without joint involvement, the hearing was not affected, but the vestibular system was. The severity of the disease was associated with vestibular involvement. Particularly in patients with severe psoriasis, it must be considered that the vestibular system might be affected, and vestibular evaluations should be performed.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of audiovestibular system in psoriasis patients without joint involvement

Ertuğrul

Söylemez

2020

Dermatologic Therapy

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Otologic Manifestations of Psoriasis: A Systematic Review and Meta-Analysis

et al. 2022

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Introduction: Psoriatic skin lesions are often seen in the auricle and external auditory canal, but middle ear and inner ear manifestations are not easily identified. Several studies have indicated hearing loss and vestibular dysfunction with psoriasis, but the extent of association has not been well defined. Methods: A systematic search of PubMed, CINAHL, Scopus, and Cochrane Library was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Included studies described audiometric or vestibular assessment of psoriasis patients. Meta-analysis was represented with odds ratios (ORs) or mean difference (MD) with 95% confidence intervals. Results: A total of 13 studies with 589 psoriasis patients and 617 healthy controls were included. Age did not significantly differ between psoriasis patients (47.1 [12.4] yr) and healthy controls (45.4 [11.2] yr). Psoriasis area and severity index score was 9.9 (8.4), and body surface area scores was 7.9 (14.7). Pure-tone audiometry analysis showed higher mean hearing thresholds in psoriasis patients compared with healthy controls across all frequencies, with the greatest difference at 4000 Hz (MD,; p < 0.00001). Speech reception thresholds were worse with psoriasis (MD,; p < 0.0001). Abnormal stapedial reflex was more common in psoriasis (OR,; p = 0.004). Abnormal vestibular testing was more common in psoriasis for caloric testing (OR,; p < 0.0001). Two additional studies of 41,681 psoriasis patients and 80,273 healthy controls found that psoriasis patients were at higher risk for sudden sensorineural hearing loss (OR,; p < 0.0001). Conclusion:Our study shows that psoriasis is associated with hearing loss and vestibular dysfunction, but clinical significance remains undefined. The trends noted in our study require more investigation, and the pathophysiologic mechanisms need to be defined.

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Vestibular Function in Psoriasis Patients

Kınar¹,

Bucak

Ulu

et al. 2020

Ear Nose Throat J

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Introduction: Psoriasis is an inflammatory skin disease that is characterized by T-cell-mediated hyperproliferation of the keratinocytes. It develops through immune-mediated mechanisms and is defined as an immune-mediated inflammatory disease. The inner ear is susceptible to inflammatory attacks, and vertigo and dizziness can occur as a complication. There is little information about psoriasis and the vestibular system. Objective: This study aimed to investigate the cervical vestibular-evoked myogenic potential (cVEMP) results of psoriasis patients and the effect of psoriasis on the vestibular system. Materials and Methods: Randomly selected and included in the study were patients who had been admitted to the Dermatology Outpatient Clinic of the Afyon Kocatepe University Medical Faculty, between November 15, 2017, and March 15, 2018, with the diagnosis of psoriasis, in addition to a healthy control group. This research was designed as cross-sectional study. Ethics committee permission was received. Both cVEMP and distortion product otoacoustic emission (DPOAE) tests were administered to all of the participants. Values were compared between the control group and psoriasis patients. Results: The study included 43 psoriasis patients and 40 controls. The duration of treatment of the patients and the drugs that they were using were noted. The psoriasis patients had lower p13–n23 amplitude differences in their cVEMP tests ( P < .05). These patients also had lower signal to noise ratio values, at 4 and 6 kHz, on their DPOAE tests ( P < .05). Conclusion: Psoriasis is an immune-mediated inflammatory disease that can be associated with vestibulocochlear dysfunction.

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Evaluations of Audiovestibular Manifestations in Patients with Psoriasis

Cited by 5 publications

References 8 publications

Evaluation of audiovestibular system in psoriasis patients without joint involvement

Evaluation of audiovestibular system in psoriasis patients without joint involvement

Otologic Manifestations of Psoriasis: A Systematic Review and Meta-Analysis

Vestibular Function in Psoriasis Patients

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