Skip to main content

Advertisement

Log in

Audiological and Electrophysiological Changes in Patients with Vitiligo

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The study was conducted to evaluate the audiological and electrophysiological findings in patients with Vitiligo and to compare the findings with otologically and audiologically normal controls. Study group included 50 subjects (25 Males, 25 Females) with Vitiligo (Mean age-27.4 years) and control group contained 40 age-matched normal hearing subjects. Pure tone audiometry (PTA) with extended high frequency audiometry, Otoacoustic emissions (OAEs), Tympanometry, Auditory brainstem responses (ABR) and Middle latency responses (MLR) were conducted in all subjects. Comparison of the study group with the control group showed statistically significant differences (p < 0.05) on PTA, in Transient otoacoustic emissions (TOAEs) at 1, 2, 3, 4 kHz and in distortion product otoacoustic emissions (DPOAEs) at 357, 499, 704, 1003 Hz. On ABR, statistically significant differences were observed between the groups in wave I (p < 0.01) in both ears, wave V (p < 0.05) in left ear and on interpeak latency of I–III (p < 0.01, p < 0.05), III–V (p < 0.01 in left ear) and I–V (p < 0.01, p < 0.05) in left and right ears respectively. When patients with localized vitiligo were compared with generalized vitiligo, the SNR of TOAEs was highly significant in both ears at 2 KHz (p < 0.05), 3 kHz (p < 0.01) and 4 kHz (p < 0.05). PTA average of 2 KHz, 4 and 8 kHz (PTA2) showed a significant difference (p < 0.01) when localized vitiligo was compared to generalized vitiligo. Results support possible auditory and electrophysiological changes in Vitiligo patients along with decreased cochlear function.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hann SK, Nordlund JJ (2000) Definition of vitiligo. In: Hann SK, Nordlund JJ (eds) Vitiligo: a monograph of the basic and clinical science. Blackwell Science Ltd., Oxford, pp 3–5

    Chapter  Google Scholar 

  2. Kovacs SO (1998) Vitiligo. J Am Acad Dermatol 38:647–666

    Article  CAS  PubMed  Google Scholar 

  3. Ortonne JP, Bahodoran P, Fitz Patrick TB, Mosher DB, Hori Y (2003) Hypomelanoses and Hypermelanoses. In: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI (eds) Fitzpatrick’s dermatology in general medicine, 6th edn. Mc Graw Hill, New York, pp 839–847

    Google Scholar 

  4. Lomoreux L, Boissy RE (2000) Animal models. In: Hann SK, Nordlund JJ (eds) Vitiligo: a monograph of the basic and clinical science. Blackwell Science Ltd., Oxford, pp 281–295

    Chapter  Google Scholar 

  5. Nordlund JJ, Lerner AB (1982) Vitiligo: it is important. Arch Dermatol 118:5–8

    Article  CAS  PubMed  Google Scholar 

  6. Albert DM, Nordlund JJ, Lerner AB (1979) Ocular abnormalities occurring with vitiligo. Ophthalmology 86:1145–1160

    Article  CAS  PubMed  Google Scholar 

  7. Wagoner MD, Albert DM, Lerner AB, Kirkwood J, Forget BM et al (1983) New observations on vitiligo and ocular disease. Am J Ophthalmol 96:16–26

    Article  CAS  PubMed  Google Scholar 

  8. Cowan CL Jr, Halder RM, Grimes PE, Chakrabarti SG, Kenney JA Jr (1986) Ocular disturbances in vitiligo. J Am Acad Dermatol 15:17–24

    Article  PubMed  Google Scholar 

  9. Schallreuter KU, Lemke R, Brandt O, Schwartz R, Westhofen M et al (1994) Vitiligo and other diseases: coexistence of true association? Hamburg study on 321 patients. Dermatology 188:269–275

    Article  CAS  PubMed  Google Scholar 

  10. Dave S, D’Souza M, Thappa DM, Reddy KS, Bobby Z (2003) High frequency of thyroid dysfunction in Indian patients with vitiligo. Indian J Dermatol 48:68–72

    Google Scholar 

  11. Raja Babu KK (1995) Is vitiligo a systemic disease? What’s new in Dermatology 3:2–6

    Google Scholar 

  12. Biswas G, Barbhuiy JN, Biswas MC, Islam MN, Dutta S (2003) Clinical pattern of ocular manifestations of vitiligo. J Indian Med Assoc 101:478–480

    PubMed  Google Scholar 

  13. Sharma L, Bhawan R, Jain RK (2004) Hypoacusis in vitiligo. Indian J Dermatol Venereol Leprol 70:162–164

    PubMed  Google Scholar 

  14. Groysman V (2008) Vitiligo. eMedicine, http://emedicine.medscape.com/article/1068962-overview. Accessed 12 Feb 2012

  15. American National Standards Institute (1991) Permissible ambient noise levels for audiometric test levels (ANSI S3.1-1991). ANSI, New York

    Google Scholar 

  16. Akay BN, Bozkir M, Anadolu Y, Gullu S (2010) Epidemiology of Vitiligo, associated autoimmune diseases and audiological abnormalities: Ankara study of 80 patients in Turkey. J Eur Acad Dermatol Venereol 24(10):1144–1150

    Article  CAS  PubMed  Google Scholar 

  17. Aslan S, Serarslan G, Teksoz E, Dagli S (2010) Audiological and transient evoked otoacoustic emission findings in patients with Vitiligo. Otolaringol Head Neck Surg 142(3):409–414

    Article  Google Scholar 

  18. Ardiç FN, Aktan S, Kara CO, Sanli B (1998) High-frequency hearing and reflex latency in patients with pigment disorder. Am J Otolaryngol 19(6):365–369

    Article  PubMed  Google Scholar 

  19. Tosti A, Bardazzi F, Tosti G, Monti L (1987) Audiologic abnormalities in cases of Vitiligo. J Am Acad Dermatol 17:230–233

    Article  CAS  PubMed  Google Scholar 

  20. Angrisani RM, Azevedo MF, Pereira LD, Lopes C, Garcia MV (2009) A study on otoacoustic emissions and supression effects in patients with vitiligo. Braz J Otorhinolaryngol 75(1):111–115

    Article  PubMed  Google Scholar 

  21. Barrenãs ML, Alexsson A (1992) The development in the stria vascularis of the Gerbil. Acta Otolaryngol (Stockh) 112:50–58

    Article  Google Scholar 

  22. Nikiforidis G, Tsambaasm D, Karamitsos D, Koutsojannis C, Georgiou S (1993) Abnormalities of the auditory brainstem response in vitiligo. Scand Audiol 22:97–100

    Article  CAS  PubMed  Google Scholar 

  23. Aydogan K, Turan OF, Onart S, Karadogan SK, Tunali S (2005) Audiological abnormalities in patients with vitiligo. Clin Exp Dermatol 31:110–113

    Article  Google Scholar 

  24. Mahdi P, Rouzbahani M, Amali A, Khiabanlu SR, Kamali M (2012) Audiological manifestations in vitiligo patients. Iran J Otolaryngol 24:35–40

    Google Scholar 

  25. Schrott A, Spoendlin H (1987) Pigment anomaly associated inner ear deafness. Acta Otolaryngol (Stockh) 103:451–457

    CAS  Google Scholar 

  26. Shalaby MES, El-Zarea GA, Nassar AI (2006) Auditory function in vitiligo patients. Egypt Dermatol Online J 2(1):7

    Google Scholar 

Download references

Acknowledgments

We will like to acknowledge the co-operation by Dr. Kanwar, Dr. Shekhar (Department of Dermatology) and subjects who participated in the study for their constant co-operation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Richa Arya.

Ethics declarations

Ethical Standards

All procedures performed were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments. Informed consent was obtained from all individual participants included in the study.

Conflict of interest

No conflict of interest as no funding was received from any agency. Richa Arya, Sanjay Munjal, Naresh Kumar Panda and Davinder Prasad declares that he/she has no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Arya, R., Kumar Munjal, S., Panda, N.K. et al. Audiological and Electrophysiological Changes in Patients with Vitiligo. Indian J Otolaryngol Head Neck Surg 68, 417–423 (2016). https://doi.org/10.1007/s12070-015-0889-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-015-0889-5

Keywords

Navigation