Hearing loss can also be seen in patients with nonradiographic axial spondyloarthropathies as well as radiographic axial spondyloarthropathies.

IF 1.1 4区医学 Q4 Medicine Archives of rheumatology Pub Date : 2023-06-01 DOI:10.46497/ArchRheumatol.2023.10186

Hanife Çağlar Yağcı, İlker Yağcı, Osman İlkay Özdamar, Cansu Tosyalı Salman, Özlem Ertuğrul

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Abstract

Objectives: Hearing loss has been described in patients with radiographic axial spondyloarthropathies (R-AxSpA) but has not been studied in patients with non-radiographic axial spondyloarthropathies (NR-AxSpA); accordingly, the aim of the study was to compare hearing loss in patients with NR-AxSpA, R-AxSpA, and healthy individuals.

Patients and methods: This cross-sectional observational study was conducted with 68 participants (30 males, 38 females; mean age: 39.8±7.4 years) between March 2021 and March 2022. Of the participants, 16 were patients with NR-AxSpA, 15 were patients with R-AxSpA, and 37 were healthy controls. Disease activity and radiological and audiological features were analyzed. The audiological assessment included pure-tone audiometric tests at octave frequencies of 250 to 8000 Hz and transient evoked otoacoustic emissions.

Results: Hearing loss was found in three (8%) in the healthy group, five (31.3%) in the NR-AxSpA group, and 10 (66.7%) in the R-AxSpA group. The chi-square analysis showed a statistical significance (p=0.001). Values of audiometric tests yielded significant differences between the control and R-AxSpA group and also the control and NR-AxSpA group. For the air conduction studies, the statistical significance began at 1000 Hz in the R-AxSpA group. It was found that in the NR-AxSpA group, the statistical difference started in higher frequencies. The bone conduction audiometric studies were similar to air conduction studies. Transient evoked otoacoustic emission studies showed that the R-AxSpA group was significantly affected compared to the control and NR-AxSpA groups. There was no statistical difference between the control and NR-AxSpA groups.

Conclusion: Both NR-AxSpA and R-AxSpA patients had hearing loss; however, in pure-tone audiometric tests, the abnormalities began in lower frequencies in the R-AxSpA group than in the NR-AxSpA group.

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听力损失也可以在非影像学诊断的中轴性椎体关节病和影像学诊断的中轴性椎体关节病患者中看到。

目的:影像学诊断的中轴性椎关节病(R-AxSpA)患者有听力损失，但未对非影像学诊断的中轴性椎关节病(NR-AxSpA)患者进行研究;因此，本研究的目的是比较NR-AxSpA患者、R-AxSpA患者和健康个体的听力损失。患者和方法:本横断面观察性研究共有68名参与者(30名男性，38名女性;平均年龄:39.8±7.4岁(2021年3月至2022年3月)。在参与者中，16名是NR-AxSpA患者，15名是R-AxSpA患者，37名是健康对照。分析疾病活动度、放射学和听力学特征。听力学评估包括250 ~ 8000hz的纯音听力学测试和瞬态诱发耳声发射。结果:健康组听力损失3例(8%)，NR-AxSpA组听力损失5例(31.3%)，R-AxSpA组听力损失10例(66.7%)。卡方分析显示差异有统计学意义(p=0.001)。听力测试值在对照组和R-AxSpA组之间以及对照组和NR-AxSpA组之间存在显著差异。对于空气传导研究，R-AxSpA组的统计显著性开始于1000 Hz。结果发现，在NR-AxSpA组中，统计差异从更高的频率开始。骨传导听力学研究与空气传导研究相似。瞬态诱发耳声发射研究表明，与对照组和NR-AxSpA组相比，R-AxSpA组受到显著影响。对照组与NR-AxSpA组间无统计学差异。结论:NR-AxSpA和R-AxSpA患者均存在听力损失;然而，在纯音听力测试中，R-AxSpA组的异常开始频率低于NR-AxSpA组。

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来源期刊

Archives of rheumatology Medicine-Rheumatology

CiteScore

2.00

自引率

9.10%

发文量

期刊介绍： The Archives of Rheumatology is an official journal of the Turkish League Against Rheumatism (TLAR) and is published quarterly in March, June, September, and December. It publishes original work on all aspects of rheumatology and disorders of the musculoskeletal system. The priority of the Archives of Rheumatology is to publish high-quality original research articles, especially in inflammatory rheumatic disorders. In addition to research articles, brief reports, reviews, editorials, letters to the editor can also be published. It is an independent peer-reviewed international journal printed in English. Manuscripts are refereed by a "double-blind peer-reviewed" process for both referees and authors. Editorial Board of the Archives of Rheumatology works under the principles of The World Association of Medical Editors (WAME), the International Council of Medical Journal Editors (ICMJE), and Committee on Publication Ethics (COPE).