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Evaluation of Auditory Functions in Patients with Psoriasis

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Our study aims to evaluate the functions of the middle and inner ear and the efferent auditory system in psoriasis. Hearing thresholds, resonance frequency, otoacoustic emission amplitudes with and without contralateral acoustic stimulation, contralateral suppression levels were evaluated in 35 psoriasis patients and 40 controls. The air-conduction hearing thresholds of the patients were significantly higher than the controls at 125, 250, 500, 1000, 2000, 4000, and 12,000 Hz frequencies in the left ear, and 125, 250, 500, 1000, 2000, and 4000 Hz frequencies in the right ear, and the bone-conduction hearing thresholds of the patients were found to be significantly higher than the controls at all frequencies in the left ear, and 250, 500, 1000 and 2000 Hz in the right ear (p < 0.05). The resonance frequencies of patients were found to be significantly lower than the controls (p < 0.001). The emission amplitudes obtained with contralateral acoustic stimulation were significantly lower than without contralateral acoustic stimulation at 1 kHz frequency in both groups (p < 0.01). There was no significant difference in contralateral suppression levels of the two groups (p > 0.05). Our findings indicate that middle ear mechanics can be affected by psoriasis. There was no significant difference between psoriasis patients and healthy controls in terms of efferent auditory functions. There was a significant difference at limited frequency in hearing thresholds and emission amplitudes between the groups.

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References

  1. Gudjonsson JE, Elder JT (2012) Psoriasis. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K (eds) Fitzpatrick’s dermatology in general medicine. McGraw Hill, New York, pp 197–232

    Google Scholar 

  2. Davidovici BB, Sattar N, Jörg PC, Puig L, Emery P, Barker JN et al (2010) Psoriasis and systemic inflammatory diseases: potential mechanistic links between skin disease and co-morbid conditions. J Investig Dermatol 130(7):1785–1796

    Article  CAS  PubMed  Google Scholar 

  3. Karabulut H, Karadag AS, Dagli M, Acar B, Babademez MA, Sahin Y, Karasen RM (2010) Investigation of hearing and outer hair cell function of cochlea in patients with psoriasis. J Int Adv Otol 6(2):239–244

    Google Scholar 

  4. McCabe BF (1979) Autoimmune sensorineural hearing loss. Ann Otol Rhinol Laryngol 88:585–589

    Article  CAS  PubMed  Google Scholar 

  5. Maiolino L, Cocuzza S, Conti A et al (2017) Autoimmune ear disease: clinical and diagnostic relevance in Cogan’s sydrome. Audiol Res 7(1):162. https://doi.org/10.4081/audiores.2017.162

    Article  PubMed  PubMed Central  Google Scholar 

  6. Erbek SS, Erbek HS, Yilmaz S, Topal O, Yucel E, Ozluoglu LN (2006) Cochleovestibular dysfunction in ankylosing spondylitis. Audiol Neurootol 11(5):294–300

    Article  PubMed  Google Scholar 

  7. Adam M, Erkan AN, Arslan D, Leblebici B, Ozluoglu L, Akman MN (2008) High frequency sensorineural hearing loss in patients with ankylosing spondylitis: is it an extrarticuler feature of disease? Rheumatol Int 28(5):413–417

    Article  PubMed  Google Scholar 

  8. Aydın E, Dogan B, Karabacak E, Abuaf OK, Erkul E, Saglam E et al (2015) Evaluation of hearing with pure tone audiometry and transient evoked otoacoustic emission (TEOAE) in patients with mild to moderate psoriasis. Gulhane Med J 57(2):98–101

    Article  Google Scholar 

  9. Yen YC, Lin YS, Weng SF, Lai FJ (2015) Risk of sudden sensorineural hearing loss in patients with psoriasis: a retrospective cohort study. Am J Clin Dermatol 16(3):213–220

    Article  PubMed  Google Scholar 

  10. Borgia F, Ciodaro F, Guarneri F et al (2018) Auditory system involvement in psoriasis. Acta Derm Venereol 98(7–8):655–659. https://doi.org/10.2340/00015555-2937

    Article  PubMed  Google Scholar 

  11. Guvenc SC, Turan H, Yilmaz S, Yanik ME, Berada A, Aliagaoglu C (2012) Evaluation of hearing loss in patients with psoriasis. Turkderm 46(1):15–19

    Google Scholar 

  12. Semenov YR, Hsiang EY, Huang A, Herbosa CM, Hui X, Kwatra SG et al (2019) Association between psoriasis with arthritis and hearing impairment in US adults: data from the national health and nutrition examination survey. J Rheumatol 46(6):587–594

    Article  PubMed  Google Scholar 

  13. Dhar S, Hall JW III (2011) Overview of otoacoustic emissions. In: Dhar S, Hall JW III (eds) Otoacoustic emissions: principles, procedures, and protocols. Plural Publishing, USA

    Google Scholar 

  14. Beyazal MS, Ozgur A, Terzi S, Celiker M, Dursun E (2016) Medial olivocochlear reflex in ankylosing spondylitis patients. Z Rheumatol 75(10):1016–1020

    Article  CAS  PubMed  Google Scholar 

  15. Colletti V, Fiorino FG, Bruni L, Biasi D (1997) Middle ear mechanics in subjects with rheumatoid arthritis. Audiology 36:136–146

    Article  CAS  PubMed  Google Scholar 

  16. Gurer MA, Gokalp H (2012) Psoriasis ve obesity. Turkderm 46(1):3–6

    Article  Google Scholar 

  17. American Speech-Language-Hearing Association (2015) Type, degree, and configuration of hearing loss. ASHA, Audiology information series 10802: 2. https://inte.asha.org/siteassets/ais/ais-hearing-loss-types-degree-configuration.pdf. Accessed 20 Jan 2022

  18. Belgin E (2015) Speech audiometry. In: Erol B (ed) Basic audiology. Güneş Medical Bookstore, Ankara, pp 77–82

    Google Scholar 

  19. Kilincarslan AS (1986) Standardization of phonetically balanced monosyllabic word lists developed for Turkish language (Master’s Thesis). Hacettepe University, Ankara

    Google Scholar 

  20. Saleem MD, Feldman SR (2017) Comorbidities in patients with psoriasis: the role of the dermatologist. J Am Acad Dermatol 77(1):191–192

    Article  PubMed  Google Scholar 

  21. Panda N (2001) Understanding autoimmune ear disease a potentially treatable cause of Deafness. Indian J Otolaryngol Head Neck Surg 53(4):257–260

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Hughes GB, Barna BP (1991) Autoimmune inner ear disease: fact or fantasy? Bear Basic Res Clin Otolaryngol 46:82–91

    CAS  Google Scholar 

  23. Kumar BN, Smith MSH, Walsh RM, Green JRB (2000) Sensorineural hearing loss in ulcerative colitis. Clin Otolaryngol Allied Sci 2(2):143–145

    Article  Google Scholar 

  24. Cohen AD, Dreiher J, Birkenfeld S (2009) Psoriasis associated with ulcerative colitis and Crohn’s disease. J Eur Acad Dermatol Venereol 23(5):561–565

    Article  CAS  PubMed  Google Scholar 

  25. Baskan EB (2008) Biologic agents in psoriasis/psoriaziste biyolojik ajanlar. Arch Turk Dermatol Veneorol 42(2):42–51

    Google Scholar 

  26. Amor-Dorado JC, Barreira-Fernandez MP, Pina T, Vazquez- Rodriguez TR, Llorca J, Gonzalez Gay MA (2014) Investigations into audiovestibular manifestations in patients with psoriatic arthritis. J Rheumatol 41(10):2018–2026

    Article  PubMed  Google Scholar 

  27. Giani T, Simonini G, Lunardi C, Puccetti A, De Martino M, Falcini F (2006) Juvenile psoriatic arthritis and acquired sensorineural hearing loss in a teenager: is there an association? Clin Exp Rheumatol 24(3):344–346

    CAS  PubMed  Google Scholar 

  28. Gunes A, Gundogdu I, Mutlu M, Ozturk EA, Cakci A, Akin I (2016) Functions of the inner ear in psoriatic arthritis. Auris Nasus Larynx 43(6):626–631

    Article  PubMed  Google Scholar 

  29. Akdag M, Uçmak D, Özkurt FE, Bozkurt M, Akkurt ZM, Topçu İ (2015) Evaluation of hearing and outer hair cell function of cochlea in patients with psoriatic arthritis. Clin Exp Otorhinolaryngol 8(3):183–188. https://doi.org/10.3342/ceo.2015.8.3.183

    Article  PubMed  PubMed Central  Google Scholar 

  30. Srikumar S, Deepak MK, Basu S, Kumar BN (2004) Sensorineural hearing loss associated with psoriatic arthritis. J Laryngol Otol 118(11):909–911

    Article  CAS  PubMed  Google Scholar 

  31. Iacovou E, Vlastarakos PV, Ferekidis E, Nikolopoulos TP (2013) Multi-frequency tympanometry: clinical applications for the assessment of the middle ear status. Indian J Otolaryngol Head Neck Surg 65(3):283–287

    Article  PubMed  Google Scholar 

  32. Parthasarathy TK (2001) Aging and contralateral suppression effects on transient evoked otoacoustic emissions. J Am Acad Audiol 12(2):80–85

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

We would like to thank to Arzu Karataş (M.D.) for the support of this study.

Funding

This study was supported by Baskent University Research Fund (Project No: KA15/357).

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Authors

Contributions

APP and HSE: idea/concept, design, data collection and/or processing, analysis and/or ınterpretation, literature review, writing the article, critical review, references and fundings, materials. HSE: control/supervision.

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Correspondence to Anı Parabakan Polat.

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The authors have no competing interests to declare that are relevant to the content of this article.

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This study was approved by Baskent University Institutional Review Board (Project no: KA15/357).

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Written informed consent was obtained from all participants.

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Parabakan Polat, A., Erbek, H.S. Evaluation of Auditory Functions in Patients with Psoriasis. Indian J Otolaryngol Head Neck Surg 75, 1386–1393 (2023). https://doi.org/10.1007/s12070-023-03564-0

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  • DOI: https://doi.org/10.1007/s12070-023-03564-0

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