Hubungan Artritis Reumatoid dengan Gangguan Pendengaran

Abstract

Background: RA (Rheumatoid Arthritis) is a chronic disease with a variety of systemic manifestations. One of these is hearing disorders. Both Sensorineural Hearing Loss (SNHL) and Conductive Hearing Loss (CHL) have been reported in RA patients, but the results are not in agreement. So, study of the relation between RA and hearing disorders is seem to be important. Purpose: to find out the correlation between RA and hearing disorders. Methods: This analitical cross-sectional study was carried out with 19 RA patients and 19 non-RA controls on March 2015 until March 2016. All subjects underwent clinical and laboratory examinations, pure tone audiometry and tympanometry. Results: There is statistical significancy between RA and hearing disorders. Hearing disorder w s seen in 78, 9% RA patients and 21, 1 % non-RA controls. Air-bone gap mean at 500 Hz, 2000 Hz, and 4000 Hz of the right ear was signicantl 'I higher in RA group when compared to respective means in non-RA bontrol group. Whereas air-bone gap mean at 1000 Hz, 2000 Hz, and 400? Hz of the left ear was signicantly higher in the RA group. Conclusion: Hearing disorders is a common finding in RA. SNHL which is the most common finding in this study is related to vasculitis and ototoxic drugs used in treatment.