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Assessment of the audiovestibular system in patients with rheumatoid arthritis

The Egyptian Journal of Otolaryngology volume 33, pages 650–655 (2017)Cite this article

Abstract

Objective

This study was designed to assess hearing and vestibular function in patients with rheumatoid arthritis (RA) in comparison with a control group. In addition, we correlated these findings in disease activity and severity.

Materials and methods

Totally, 40 RA patients (35 women and five men) diagnosed according to the 2010 American College of Rheumatology/European League Against Rheumatism classification criteria and 20 healthy controls (11 women and nine men), whose age ranged from 25 to 66 years with a mean age of 45.5±12.4 years, were included in the study. Each individuals was tested with pure tone audiometry. Mean values of air and bone conduction at each frequency and tympanometric values were calculated for the study groups. Videonystagmography (VNG) test including smooth pursuit, saccade, optokinetic tests, positioning tests, positional test, and water caloric tests was also carried out.

Results

The mean air conduction threshold values at high frequencies (4000 and 8000 Hz) in the RA group were lower than in the control group. The difference between mean air conduction threshold values of the control group and the RA group at high frequencies was statistically significant (P<0.05). There was no statistically significance between the two groups as regards speech reception threshold, speech discrimination (DIS), and tympanometric values (P>0.05). VNG testing revealed central abnormalities in 12 (30%) patients, peripheral abnormalities in nine (22.5%) patients, and mixed abnormalities in one (2.5%) patient. There was no association between VNG abnormalities in patients with RA and age, sex, duration of disease, accompanying vertigo complaint, and the laboratory findings (P>0.05).

Conclusion

There is an association between RA and audiovestibular system dysfunction regardless clinical and demographic situation of patients. We assume that the shearing and vestibular disturbances in RA are more prevalent than previously recognized. High-frequency hearing loss in RA patients could be an indicator of cochlear involvement.

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Authors and Affiliations

  1. Audiology Unit, Department of Otolaryngology, Faculty of Medicine, Bani-Suef University, 14 Abd El Hady Street, Cairo, Manial, 112211, Egypt

    Tarek M. El Dessouky (MD), Rabab Ahmed Koura & Sara Ahmed El Sharkawy

  2. Department of Rheumatology, Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt

    Enas Abu El Khair

Authors
  1. Tarek M. El Dessouky
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  2. Enas Abu El Khair
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  3. Rabab Ahmed Koura
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  4. Sara Ahmed El Sharkawy
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Correspondence to Tarek M. El Dessouky.

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El Dessouky, T.M., El Khair, E.A., Koura, R.A. et al. Assessment of the audiovestibular system in patients with rheumatoid arthritis. Egypt J Otolaryngol 33, 650–655 (2017). https://doi.org/10.4103/1012-5574.217388

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  • DOI: https://doi.org/10.4103/1012-5574.217388

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