Evaluation of hearing in patients with psoriasis considering the disease severity

Hapa, Aslı; Süslü, Nilda; Karaduman, Ayşen; Budak, Bilgehan; Ersoy‐Evans, Sibel; Sennaroḡlu, Levent

doi:10.2399/jmu.2016003006

Cited by 6 publications

(25 citation statements)

References 12 publications

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“…Temel et al 13 found that SNHL at high frequencies was significantly higher in psoriasis patients than in the control group. Hapa et al 18 reported that hearing thresholds at all frequencies were significantly higher in psoriasis patients compared to the control group. There are studies showing that psoriasis is associated with increased hearing loss by PTA, transient evoked otoacoustic emission (TEOAE) and DPOAE tests 7,10,20 .…”

Section: Discussionmentioning

confidence: 99%

“…The presence of joint involvement in patients with psoriasis may cause a more chronic inflammatory process and may adversely affect hearing. While the studies 7,9,10,13,18‐20 evaluating the hearing of patients with psoriasis have different results, the hearing has been reported to be negatively affected in all of the studies 6,8,12 evaluating hearing in patients with psoriatic arthritis. These results support our theory.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of audiovestibular system in psoriasis patients without joint involvement

Ertuğrul

Söylemez

2020

Dermatologic Therapy

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Inner ear involvement may occur in systemic autoimmune diseases. Although there are studies evaluating hearing in psoriasis patients, its effect on the balance system is not clear. The aim of the present study was to evaluate the audiovestibular system in psoriasis patients without joint involvement. In this prospective study, the audiovestibular system of 32 psoriasis patients without joint involvement and 35 healthy volunteers were evaluated. The severity of the disease was determined by the psoriasis area severity index (PASI). There was no significant difference between the groups in terms of hearing test results, while the abnormal caloric test response was significantly higher in the psoriatic patients. PASI scores of psoriasis patients with abnormal caloric test results were higher than those with normal caloric test response. In psoriasis patients without joint involvement, the hearing was not affected, but the vestibular system was. The severity of the disease was associated with vestibular involvement. Particularly in patients with severe psoriasis, it must be considered that the vestibular system might be affected, and vestibular evaluations should be performed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of audiovestibular system in psoriasis patients without joint involvement

Ertuğrul

Söylemez

2020

Dermatologic Therapy

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“…When all clinical studies are reviewed, it has been observed that psoriasis/ PsA patients and the control group consisting of volunteer healthy subjects were compared with each other in terms of audiological changes [12][13][14][15][16][17][18][19][20][21][22][23][24][25]. In just a few studies, these groups were also evaluated in terms of the accompanying vestibular system involvement [15,20,21,25].…”

Section: Audiological/audiovestibular Evaluations In Patients With Psmentioning

confidence: 99%

“…Although non-specific erythematous, scaly and dry lesions are sometimes seen in the ear, the precise diagnosis of ear psoriasis can be made easily by detecting typical psoriatic lesions in other areas of the body [2,11]. Despite the high prevalence of clinical lesions affecting the auricle and the external auditory canal in psoriasis, there are not many studies evaluating the possible effect of psoriatic disease on the auditory system [12][13][14][15][16][17][18][19][20][21][22][23][24][25]. The auricle and outer one-third of the external auditory canal contain elastic cartilage covered with skin and its appendages, including mainly hair cells, and sebaceous and apocrine glands.…”

Section: Introductionmentioning

confidence: 99%

“…Subsequently, Giani et al reported the development of bilateral asymmetric sensorineural deafness, which improved with oral prednisolone without interruption of previous etanercept therapy, in a 13-year-old girl with juvenile PsA [28]. However, after these case reports, a limited number of studies evaluating hearing and/or the audiovestibular system were conducted to determine whether the chronic inflammatory process and/or autoimmunity affect the inner ear in psoriasis patients with or without joint involvement [12][13][14][15][16][17][18][19][20][21][22][23][24][25].…”

Section: Introductionmentioning

confidence: 99%

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Audiovestibular Dysfunction and Hearing Loss in Patients with Psoriasis and Psoriatic Arthritis

Akarsu¹

2020

An Overview and Management of Multiple Chronic Conditions

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Psoriasis is now considered a T cell-mediated chronic systemic inflammatory disease rather than only a simple skin disease. The relationship and coexistence of this common disease with many other comorbidities have gained increasing attention in recent years. Although psoriatic skin lesions are seen frequently in the auricle and external auditory canal, there are not many studies evaluating the possible effect of psoriatic disease (psoriasis with or without joint involvement) on the auditory system. Hearing impairment detected in psoriasis patients is mostly seen as subclinical hearing loss at high frequencies, but it can also have a significant impact on patients' health and quality of life due to the possible risk of developing sudden sensorineural hearing loss. In this chapter, the frequency, pattern, and patient-related risk factors of hearing impairment and audiovestibular dysfunction in patients with psoriasis and psoriatic arthritis were extensively reviewed and discussed. In conclusion, it was emphasized that subclinical sensorineural hearing loss is a neglected but an important comorbidity in patients with psoriasis and psoriatic arthritis. The relationship between psoriatic disease and audiovestibular dysfunction supports the need for further studies aimed at better identification of the underlying pathogenic mechanisms, and accordingly to update diagnostic and even treatment approaches.

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Otologic Manifestations of Psoriasis: A Systematic Review and Meta-Analysis

et al. 2022

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Introduction: Psoriatic skin lesions are often seen in the auricle and external auditory canal, but middle ear and inner ear manifestations are not easily identified. Several studies have indicated hearing loss and vestibular dysfunction with psoriasis, but the extent of association has not been well defined. Methods: A systematic search of PubMed, CINAHL, Scopus, and Cochrane Library was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Included studies described audiometric or vestibular assessment of psoriasis patients. Meta-analysis was represented with odds ratios (ORs) or mean difference (MD) with 95% confidence intervals. Results: A total of 13 studies with 589 psoriasis patients and 617 healthy controls were included. Age did not significantly differ between psoriasis patients (47.1 [12.4] yr) and healthy controls (45.4 [11.2] yr). Psoriasis area and severity index score was 9.9 (8.4), and body surface area scores was 7.9 (14.7). Pure-tone audiometry analysis showed higher mean hearing thresholds in psoriasis patients compared with healthy controls across all frequencies, with the greatest difference at 4000 Hz (MD,; p < 0.00001). Speech reception thresholds were worse with psoriasis (MD,; p < 0.0001). Abnormal stapedial reflex was more common in psoriasis (OR,; p = 0.004). Abnormal vestibular testing was more common in psoriasis for caloric testing (OR,; p < 0.0001). Two additional studies of 41,681 psoriasis patients and 80,273 healthy controls found that psoriasis patients were at higher risk for sudden sensorineural hearing loss (OR,; p < 0.0001). Conclusion:Our study shows that psoriasis is associated with hearing loss and vestibular dysfunction, but clinical significance remains undefined. The trends noted in our study require more investigation, and the pathophysiologic mechanisms need to be defined.

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Evaluation of hearing in patients with psoriasis considering the disease severity

Cited by 6 publications

References 12 publications

Evaluation of audiovestibular system in psoriasis patients without joint involvement

Evaluation of audiovestibular system in psoriasis patients without joint involvement

Audiovestibular Dysfunction and Hearing Loss in Patients with Psoriasis and Psoriatic Arthritis

Otologic Manifestations of Psoriasis: A Systematic Review and Meta-Analysis

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