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Sensorineural hearing loss associated with psoriatic arthritis
S Srikumar1, M K Deepak, S Basu
1Department of Otolaryngology, Royal Albert Edward Infirmary, Wrightington Wigan & Leigh NHS Trust, Wigan WN1 2NN, UK.
The Journal of Laryngology and Otology
|January 11, 2005
Summary
Psoriatic arthritis is now linked to sudden sensorineural hearing loss, a rare autoimmune inner ear disease. Early steroid or immunosuppressive treatment is crucial to prevent permanent hearing impairment.
Area of Science:
- Rheumatology
- Otolaryngology
- Immunology
Background:
- Autoimmune inner ear disease (AIED) is a recognized cause of sensorineural hearing loss.
- Psoriatic arthritis is an autoimmune condition primarily affecting joints and skin.
Observation:
- A case of sudden-onset sensorineural hearing loss was observed in a patient with psoriatic arthritis.
- This association has not been previously documented in medical literature.
Findings:
- The patient's presentation met the diagnostic criteria for presumptive autoimmune hearing loss.
- Psoriatic arthritis is identified as a potential autoimmune disease contributing to sensorineural hearing loss.
Implications:
- Clinicians should consider AIED in patients with psoriatic arthritis presenting with hearing loss.
- Prompt diagnosis and aggressive treatment with corticosteroids and/or immunosuppressants are vital for hearing preservation.
- Psoriatic arthritis should be recognized as a systemic autoimmune condition that can affect auditory function.