Hearing loss in diffuse cutaneous systemic scleroderma

Monteiro, Tatiana Alves; Christmann, Romy B.; Bonfá, Eloísa; Bento, Ricardo Ferreira; Novalo-Goto, E S; Vasconcelos, L G E

doi:10.3109/03009742.2011.588400

Cited by 19 publications

(25 citation statements)

References 13 publications

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“…Monteiro et al, [6] in a study of twenty six patients revealed that patients with diffuse cutaneous systemic sclerosis have a high prevalence of sensorineural hearing impairment and otological complaints. The blood labyrinth barrier is analogous to the blood brain barrier.…”

Section: Discussionmentioning

confidence: 99%

Scleroderma and sudden sensorineural hearing loss

Verma¹,

Verma²,

Verma³

2014

Indian J Otol

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Section: Discussionmentioning

confidence: 99%

Scleroderma and sudden sensorineural hearing loss

Verma¹,

Verma²,

Verma³

2014

Indian J Otol

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“…Previous studies have reported the existence of inner ear involvement in SSc patients, probably as a result of vascular damage, considering that the cochlea is highly sensitive to these changes. Blood changes and hypoxia in the cochlea resulting from SSc culminate with death of the ciliated cells (cochlear sensory structure), which is clinically expressed as hypoacusis and tinnitus (3)(4)(5)(6)(7)(8) . This mechanism of hypoxia in SSc is associated with activation of the endothelial cells by unknown factors, which promotes chronic endothelial injury with platelet adhesion and activation of the fibrinolytic system, thus generating increased vascular permeability and leukocyte adhesion to blood vessel wall.…”

Section: Introductionmentioning

confidence: 99%

Alterações retrococleares na esclerose sistêmica: relato de casos

Valente

Corona

2017

CoDAS

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Purpose: To report three cases of patients with Systemic Sclerosis (SSc) and retrocochlear impairments. Methods: This is a case report of three individuals with SSc and retrocochlear impairments assisted at a rheumatology outpatient clinic. All individuals underwent Brainstem Auditory Evoked Potential (BAEP) and, when necessary, audiometry. Results: All three individuals presented sensorineural hearing loss. Although no retrocochlear impairment was identified in the basic audiologic evaluation, the BAEP results were altered. Conclusion: Retrocochlear impairments were present in the individuals under study, both in the absolute latencies and interpeak interval, thereby demanding the attention of rheumatologists and speech-language pathologists to such changes during the monitoring of SSc patients. The results also show a need for epidemiological studies on the theme. RESUMOObjetivo: Relatar três casos de pacientes portadores de Esclerose Sistêmica e que apresentaram alterações retrococleares. Método: Trata-se de um estudo de relato de casos de três indivíduos com esclerose sistêmica e alteração retrococlear, acompanhados em um serviço de reumatologia. Todos os pacientes realizaram o Potencial Evocado Auditivo de Tronco Encefálico e, quando necessário, nova audiometria. Resultado: Todos os indivíduos apresentaram perda auditiva do tipo sensorioneural. Não foi identificado na avaliação audiológica básica qualquer resultado que sugerisse alteração retrococlear, porém o PEATE apresentou-se alterado. Conclusão: Pode-se concluir que o estudo revela alterações retrococleares nesta população, ocorrendo tanto nas latências absolutas quanto no intervalo interpico. E, neste contexto, reumatologistas e fonoaudiólogos, ao acompanharem pacientes com esclerose sistêmica, devem estar atentos para a possibilidade da ocorrência dessa alteração nessa população. Revela também, a necessidade de estudos epidemiológicos sobre o tema.Valente et al. CoDAS 2017;29(6):e20160238

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“…The prevalence of bilateral SNHL among SSc patients ranges from 20% to 69%, while a conductive component contributes to the hearing loss in 3-11% of them [13,16,17]. Hearing loss and vestibular derangement were reported in SSc patients with an established diagnosis and not as the presenting symptom of the disease.…”

Section: Editorialmentioning

confidence: 99%

“…Ear involvement is frequent in SSc [13] and has been described in lcSSc [16] and dcSSc [17], where hearing loss and vestibulopathy coexist with other disease manifestations. The impairment of multiple vestibular endorgans points to peripheral vestibulopathy of ischemic origin or an intra-labyrinthine autoimmune process [16,18].…”

Section: Editorialmentioning

confidence: 99%