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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Retrocochlear impairments in systemic sclerosis: a case report study.

Julia de Souza Pinto Valente1, Ana Paula Corona2

  • 1Programa de Pós-graduação Processos Interativos dos Órgãos e Sistemas, Universidade Federal da Bahia - UFBA - Salvador (BA), Brasil.

Codas
|December 14, 2017
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Summary
This summary is machine-generated.

Systemic Sclerosis (SSc) patients can experience retrocochlear impairments, even with normal basic hearing tests. Brainstem Auditory Evoked Potential (BAEP) testing revealed abnormalities, highlighting the need for careful monitoring.

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Area of Science:

  • Audiology
  • Rheumatology
  • Neuroscience

Background:

  • Systemic Sclerosis (SSc) is an autoimmune disease that can affect multiple organ systems.
  • Retrocochlear impairments, affecting the auditory nerve and brainstem pathways, can be a manifestation of systemic diseases.

Observation:

  • This case report details three patients diagnosed with Systemic Sclerosis (SSc).
  • All patients presented with sensorineural hearing loss.
  • Standard audiologic evaluations did not initially reveal retrocochlear issues.

Findings:

  • Brainstem Auditory Evoked Potential (BAEP) testing demonstrated altered results in all three SSc patients.
  • Abnormalities were noted in both absolute latencies and interpeak intervals on BAEP.
  • These findings indicate the presence of retrocochlear impairments in the studied cohort.

Implications:

  • Rheumatologists and speech-language pathologists should be vigilant for retrocochlear changes in SSc patients.
  • Early detection and management of auditory pathway involvement in SSc are crucial.
  • Further epidemiological studies are warranted to understand the prevalence and impact of these impairments.