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Erosion Identification in Metacarpophalangeal Joints in Rheumatoid Arthritis using High-Resolution Peripheral Quantitative Computed Tomography
Published on: October 6, 2023
Abnormal electronystagmography in rheumatoid arthritis
Sema Yilmaz1, Seyra Erbek, Selim S Erbek
1Division of Rheumatology, Department of Medicine, Konya Teaching and Research Center, Baskent University, Turkey.
Auris, Nasus, Larynx
|December 13, 2006
Summary
Rheumatoid arthritis patients often experience vestibular system dysfunction and auditory impairments, including sensorineural hearing loss. This study assessed balance and hearing function in rheumatoid arthritis (RA) patients, finding significant differences compared to healthy controls.
Area of Science:
- Otolaryngology
- Rheumatology
- Neuroscience
Background:
- Sensorineural hearing loss is a known complication of rheumatoid arthritis (RA).
- However, research on vestibular system involvement in RA patients is limited.
- This study investigates the prevalence and characteristics of vestibular dysfunction in RA.
Purpose of the Study:
- To assess the vestibular system in patients diagnosed with rheumatoid arthritis.
- To compare vestibular function between RA patients and healthy individuals.
- To identify potential associations between RA and auditory/vestibular impairments.
Main Methods:
- The study included 43 RA patients and 30 healthy controls.
- Evaluations comprised otorhinolaryngologic and neurotologic exams, audiometry, impedancemetry, and electronystagmography (ENG).
- Laboratory markers of inflammation and RA disease activity were also assessed.
Main Results:
- Significant sensorineural hearing loss was observed in 27.9% of RA patients versus 6.6% of controls (P=.033).
- ENG revealed central abnormalities in 20.9%, peripheral in 6.9%, and mixed in 6.9% of RA patients.
- Impaired smooth pursuit, saccade tracing, and higher canal paresis were significantly more frequent in RA patients (P=.039).
Conclusions:
- Rheumatoid arthritis is associated with significant vestibular system dysfunction.
- Auditory impairments, including sensorineural hearing loss, are also prevalent in RA patients.
- These findings highlight the systemic impact of RA on the auditory and vestibular systems.
