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Audiovestibular function in patients with juvenile idiopathic arthritis (JIA)

Amani Mohamed El-Gharib1, Amal Mohamad El-Barbary2, Marwa Ahmed Aboelhawa2

  • 1a Department of Audiology, Faculty of Medicine , Tanta University , Egypt ;

Acta Oto-Laryngologica
|June 9, 2016
PubMed

Insights

Children with Juvenile Idiopathic Arthritis (JIA) often have sub-clinical sensory neural hearing loss and vestibular dysfunction. Early audiological evaluation and regular follow-up are crucial for managing hearing in JIA patients.

Area of Science:

  • Pediatric Rheumatology
  • Audiology
  • Otolaryngology

Background:

  • Juvenile idiopathic arthritis (JIA) is a chronic inflammatory condition affecting children.
  • Hearing impairment and vestibular dysfunction can significantly impact a child's quality of life.
  • Early detection of auditory and vestibular issues in JIA is essential for timely intervention.

Purpose of the Study:

  • To evaluate hearing function in children diagnosed with JIA.
  • To compare audiological and vestibular findings in JIA patients with a healthy control group.
  • To investigate the utility of extended high-frequency audiometry and otoacoustic emissions in detecting sub-clinical hearing loss in JIA.

Main Methods:

  • A cohort of 28 children with JIA and 28 healthy controls underwent comprehensive audiological assessments.
  • Evaluations included conventional and extended high-frequency audiometry, Transient Otoacoustic Emissions (TOAEs), and Videonystagmography (VNG).
  • Statistical analysis was performed to compare results between the JIA and control groups.

Main Results:

  • Children with JIA exhibited normal peripheral hearing on conventional audiometry.
  • Sub-clinical sensory neural hearing loss was identified in JIA patients, evidenced by significant differences in high-frequency audiometry and TOAEs compared to controls.
  • VNG testing revealed abnormalities in tracking and second tests, indicating vestibular affection in the JIA group.

Conclusions:

  • JIA patients are at risk for developing sensory neural hearing loss and vestibular dysfunction.
  • Routine audiological assessments, including extended high-frequency testing and VNG, are recommended for early diagnosis and management of hearing issues in JIA.
  • Proactive management can mitigate the adverse effects of hearing loss on a child's development and well-being.
Abstract

Keywords:
Hearing lossJIAVNGvestibular function

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