A Case of Sudden Sensorineural Hearing Loss in a Patient with Axial Spondyloarthritis

Hyon Joung Cho; Inku Yo; Heejung Ryu; Juuhyoung Lee; Han Joo Beak

doi:10.4078/jrd.2013.20.2.132

Journal List > J Rheum Dis > v.20(2) > 1064031

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Cho, Yo, Ryu, Lee, and Beak: A Case of Sudden Sensorineural Hearing Loss in a Patient with Axial Spondyloarthritis

Case Report

J Rheum Dis 2013;20(2):132-135.

Published online: 31 April 2013

DOI: https://doi.org/10.4078/jrd.2013.20.2.132

A Case of Sudden Sensorineural Hearing Loss in a Patient with Axial Spondyloarthritis

Hyon Joung Cho¹, Inku Yo², Heejung Ryu², Juuhyoung Lee³, Han Joo Beak²

¹Department of Rheumatology, Seoul National University, Bundang Hospital, Bundang, Korea

²Department of Rheumatology, Gachon University School of Medcine, Gil Medical Center, Incheon, Korea

³Department of Otorhinolaryngology, Gachon University School of Medcine, Gil Medical Center, Incheon, Korea

Corresponding to : Han Joo Beak, Department of Rheumatology, Gachon University School of Medcine, Gil Medical Center, 1198, Guwol-dong, Namdong-gu, Incheon 405-760, Korea. E-mail : baekhj@gilhospital.com

Received 17 May 201225 May 2012 Accepted 27 May 2012

This is a Free Access article, which permits unrestricted non-commerical use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Sudden sensorineural hearing loss (SNHL) is rarely presented in patients with several immune-mediated inflammatory diseases. We report a case of sudden SNHL in a patient with axial spondyloarthritis (aSpA). A 29-year-old male with aSpA was admitted for sudden unilateral hearing loss. His aSpA symptom was stable; however, pure tone audiometry revealed that he had SNHL in the left ear at low frequency. His hearing was fully recovered with systemic and local steroid therapy. This case suggests that sudden SNHL may be an extraarticular manifestation of aSpA and thus need prompt steroid therapy in order to restore hearing.

Keywords: Sensorineural hearing loss, Axial spondyloarthritis, Ankylosing spondylitis

References

1. Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC. Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis. Trends Amplif. 2011; 15:91–105.

2. Toubi E, Ben-David J, Kessel A, Halas K, Sabo E, Luntz M. Immune-mediated disorders associated with idiopathic sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol. 2004; 113:445–9.

3. Yueh B, Shapiro N, MacLean CH, Shekelle PG. Screening and management of adult hearing loss in primary care: scientific review. JAMA. 2003; 289:1976–85.

4. Bak SK, Kim HS, Lee SH, Jung JH, Jeon JW, Park SD, et al. A case of systemic lupus erythematosus with sensorineural hearing loss. J Korean Rheum Assoc. 2003; 10:433–7.

5. Lee EY, Ahn MS, Shin J, Lee CK, Cho YS, Yoo B, et al. A case of systemic lupus erythematosus presented with sensorineural hearing loss. J Korean Rheum Assoc. 2001; 8:140–4.

6. Raza K, Karokis D, Wilson F, Delamere JP. Sensorineural hearing loss, iritis and ankylosing spondylitis. Br J Rheumatol. 1998; 37:1363.

7. Corapci I, Armagan O, Tascioglu F, Oner C. Sensorineural hearing loss in a patient with ankylosing spondylitis. Rheumatol Int. 2004; 24:252–3.

8. Park SN, Yeo SW, Park YS, Suh BD. Immune-mediated sensorineural hearing loss in a patient with ankylosing spondylitis. Korean J Otolaryngol-Head Neck Surg. 2000; 43:663–6.

9. Rudwaleit M, van der Heijde D, Landewé R, Listing J, Akkoc N, Brandt J, et al. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part II): validation and final selection. Ann Rheum Dis. 2009; 68:777–83.

10. Savastano M, Marioni G, Bernini G, Punzi L. Tinnitus and bilateral sensorineural hearing loss: ankylosing spondylitis or a side-effect of sulphasalazine treatment? Acta Otolaryngol. 2005; 125:671–3.

11. Amor-Dorado JC, Barreira-Fernandez MP, Vazquez-Rodriguez TR, Gomez-Acebo I, Miranda-Filloy JA, Diaz de Teran T, et al. Audiovestibular manifestations in patients with ankylosing spondylitis. Medicine (Baltimore). 2011; 90:99–109.

12. Adam M, Erkan AN, Arslan D, Leblebici B, Ozlü oğlu L, Nafiz Akman M. High-frequency sensorineural hearing loss in patients with ankylosing spondylitis: is it an extra-rticuler feature of disease? Rheumatol Int. 2008; 28:413–7.

13. Eryilmaz A, Dagli M, Karabulut H, Sivas Acar F, Erkol Inal E, Gocer C. Evaluation of hearing loss in patients with ankylosing spondylitis. J Laryngol Otol. 2007; 121:845–9.

14. Ajodhia JM, Dix MR. Drug-induced deafness and its treatment. Practitioner. 1976; 216:561–70.

15. Byl FM Jr. Sudden hearing loss: eight years' experience and suggested prognostic table. Laryngoscope. 1984; 94:647–61.

Figure 1.

Pelvic bone MRI showed subchondral bone erosions with bone marrow edema on bilateral sacroiliac joints.

Figure 2.

Pure tone audiogram showed that the right ear was normal, but the hearing threshold level of the left ear was increased to 45 dB HL in air conduction (AC) audiometry and bone conduction (BC) audiometry.

Figure 3.

Pure tone audiogram after steroid treatment showed a normalized hearing threshold level of the left ear.

TOOLS

Similar articles