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Middle ear function in rheumatoid arthritis.

J N Rosenberg, D A Moffat, R T Ramsden

    Annals of the Rheumatic Diseases
    |December 1, 1978
    PubMed
    Summary
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    Patients with rheumatoid arthritis (RA) show higher rates of middle ear dysfunction, specifically increased laxity, compared to controls. This finding was unexpected and requires further investigation into its cause.

    Area of Science:

    • Otolaryngology
    • Rheumatology
    • Audiology

    Background:

    • Rheumatoid arthritis (RA) is a systemic autoimmune disease.
    • Middle ear function can be affected by various systemic conditions.
    • Previous research on middle ear involvement in RA is limited.

    Purpose of the Study:

    • To investigate middle ear function in patients with rheumatoid arthritis (RA) compared to a control group.
    • To identify potential differences in otoadmittance measurements between RA patients and controls.
    • To explore the characteristics of middle ear abnormalities in RA.

    Main Methods:

    • Utilized an otoadmittance meter to assess middle ear function.
    • Included 38 patients with RA and 30 matched controls with non-articular rheumatism.

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  • Excluded participants with pre-existing ear disease and confirmed normal hearing via pure tone audiometry.

    • Main Results:

    • Otoadmittance abnormalities were observed in 42% of RA patients versus 7% of controls.
    • Abnormalities indicated increased laxity of the middle ear conducting system in both groups.
    • No significant differences in clinical, laboratory, or treatment features were found between RA patients with normal and abnormal otoadmittance recordings.

    Conclusions:

    • A higher prevalence of middle ear laxity was detected in RA patients.
    • The underlying cause for this increased laxity in RA remains unknown.
    • Further research is warranted to understand the mechanism and implications of middle ear dysfunction in rheumatoid arthritis.