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Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
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Hearing loss in diffuse cutaneous systemic scleroderma.

T A Monteiro1, R B Christmann, E Bonfá

  • 1Departments of Otorhinolaryngology, University of Sao Paulo Medical School, Sao Paulo, Brazil. vitatimonteiro@ig.com.br

Scandinavian Journal of Rheumatology
|September 16, 2011
PubMed
Summary
This summary is machine-generated.

Diffuse cutaneous systemic sclerosis (dcSSc) patients often experience hearing loss, with nearly half diagnosed with sensorineural impairment. This suggests the cochlea may be an additional organ affected by dcSSc.

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Area of Science:

  • Rheumatology
  • Audiology
  • Otolaryngology

Background:

  • Diffuse cutaneous systemic sclerosis (dcSSc) is an aggressive autoimmune disease with significant organ involvement and mortality.
  • Auditory system involvement in dcSSc has not been previously evaluated.
  • Understanding hearing loss in dcSSc is crucial for comprehensive patient care.

Purpose of the Study:

  • To assess the auditory system in patients with dcSSc.
  • To determine the prevalence of hearing loss and otological complaints in dcSSc.
  • To investigate potential cochlear involvement in dcSSc.

Main Methods:

  • Evaluated 26 dcSSc patients meeting American College of Rheumatology (ACR) criteria.
  • Matched 52 healthy controls for age and sex.
  • Utilized questionnaires for otological symptoms, physical examinations, and audiological tests (audiometry, impedance).

Main Results:

  • 54% of dcSSc patients reported auditory complaints (hearing loss, tinnitus, dizziness).
  • 46% of dcSSc patients had audiometric hearing loss, significantly higher than controls (19%).
  • Hearing loss was sensorineural, with cochlear involvement suggested by specific audiometric patterns.

Conclusions:

  • dcSSc patients exhibit a high prevalence of sensorineural hearing impairment.
  • Otological complaints are common in dcSSc.
  • The cochlea is identified as a potential target organ in diffuse cutaneous systemic sclerosis.