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[Sudden deafness and Behçet's disease].

S Berrettini1, P Bruschini, S Sellari Franceschini

  • 1Clinique ORL, Université de Pisa.

Acta Oto-Rhino-Laryngologica Belgica
|January 1, 1989
PubMed
Summary

Sudden deafness can occur during Behçet's disease flares. Early cortisone treatment led to full recovery of hearing and disease symptoms in observed patients with this rare audio-vestibular involvement.

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Area of Science:

  • Otolaryngology
  • Rheumatology
  • Immunology

Background:

  • Behçet's disease is a rare multisystemic vasculitis.
  • It typically presents with oral ulcers, genital ulcers, and uveitis.
  • Audio-vestibular involvement is an increasingly recognized complication.

Observation:

  • Two patients with long-standing Behçet's disease experienced sudden sensorineural hearing loss during disease exacerbations.
  • Hearing loss was unilateral or bilateral in presentation.
  • One patient received prompt high-dose corticosteroid therapy.

Findings:

  • Both patients exhibited sensorineural hearing loss.
  • The patient treated with corticosteroids showed complete recovery of both audiovestibular function and general Behçet's disease symptoms.
  • This suggests a potential link between disease activity and hearing impairment.

Implications:

  • Early diagnosis and intervention for audio-vestibular complications in Behçet's disease are crucial.
  • Corticosteroid therapy may be effective in managing sudden hearing loss associated with Behçet's disease flares.
  • Further research is warranted to understand the mechanisms of hearing loss in Behçet's disease.

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