Hearing loss in rheumatoid arthritis

Christine S. Halligan, Christopher D. Bauch, Robert H. Brey, Sara J. Achenbach, William R. Bamlet, Thomas J. McDonald, Eric Lawrence Matteson

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

OBJECTIVE: The objective of this study was to evaluate whether patients with rheumatoid arthritis (RA) are more likely to have subclinical hearing loss compared with persons without RA. METHODS: This is a case-control cross-sectional study of 29 patients with RA with disease duration greater than 5 years. Five males and five females were recruited into each decade category (age 40-49, 50-59, and 60-69). These cases were matched in a 1:1 ratio by sex and age to 30 control subjects. A comprehensive set of audiometric and disease severity assessments were performed. RESULTS: Seventeen (59%) of 29 patients with RA had abnormal hearing for at least one frequency (four in one ear, 13 in two ears) by audiometry as did 14 (47%) of 30 control subjects (five in one ear, nine in two ears). The percentage of patients with hearing loss (% RA vs. % control subjects) was: 45% versus 40% sensorineural, 10% versus 7% conductive, and 3% versus 0% mixed hearing loss. In RA versus control subjects, acoustic reflex threshold was abnormal in 17% versus 7%; speech reception threshold was abnormal in 10% versus 3%. Tympanometry and otoacoustic emission findings were similar in both groups. Word recognition did not differ between patients with RA and control subjects. In patients with RA/control subjects, hearing handicap, dizziness, and health assessment questionnaires were abnormal in 28%/7%, 14%/3%, and 72%/7%, respectively. CONCLUSION: There was no difference found in objective audiometric measurements in patients with RA compared with non-RA control subjects. Subjectively patients with RA were more likely to perceive themselves as having hearing disturbances, which may be related to overall disease related functional impairment.

Original languageEnglish (US)
Pages (from-to)2044-2049
Number of pages6
JournalLaryngoscope
Volume116
Issue number11
DOIs
StatePublished - Nov 2006

Fingerprint

Hearing Loss
Rheumatoid Arthritis
Ear
Hearing
Mixed Conductive-Sensorineural Hearing Loss
Acoustic Reflex
Acoustic Impedance Tests
Audiometry
Sex Ratio
Dizziness
Arthritis
Cross-Sectional Studies
Health

Keywords

  • Hearing loss
  • Rheumatoid arthritis

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Halligan, C. S., Bauch, C. D., Brey, R. H., Achenbach, S. J., Bamlet, W. R., McDonald, T. J., & Matteson, E. L. (2006). Hearing loss in rheumatoid arthritis. Laryngoscope, 116(11), 2044-2049. https://doi.org/10.1097/01.mlg.0000241365.54017.32

Hearing loss in rheumatoid arthritis. / Halligan, Christine S.; Bauch, Christopher D.; Brey, Robert H.; Achenbach, Sara J.; Bamlet, William R.; McDonald, Thomas J.; Matteson, Eric Lawrence.

In: Laryngoscope, Vol. 116, No. 11, 11.2006, p. 2044-2049.

Research output: Contribution to journalArticle

Halligan, CS, Bauch, CD, Brey, RH, Achenbach, SJ, Bamlet, WR, McDonald, TJ & Matteson, EL 2006, 'Hearing loss in rheumatoid arthritis', Laryngoscope, vol. 116, no. 11, pp. 2044-2049. https://doi.org/10.1097/01.mlg.0000241365.54017.32
Halligan CS, Bauch CD, Brey RH, Achenbach SJ, Bamlet WR, McDonald TJ et al. Hearing loss in rheumatoid arthritis. Laryngoscope. 2006 Nov;116(11):2044-2049. https://doi.org/10.1097/01.mlg.0000241365.54017.32
Halligan, Christine S. ; Bauch, Christopher D. ; Brey, Robert H. ; Achenbach, Sara J. ; Bamlet, William R. ; McDonald, Thomas J. ; Matteson, Eric Lawrence. / Hearing loss in rheumatoid arthritis. In: Laryngoscope. 2006 ; Vol. 116, No. 11. pp. 2044-2049.
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