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Sensorineural hearing loss and ulcerative colitis

Published online by Cambridge University Press:  29 June 2007

B. N. Kumar*
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke on Trent, UK.
R. M. Walsh
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke on Trent, UK.
P. S. Wilson
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke on Trent, UK.
W. V. Carlin
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke on Trent, UK.
*
Address for correspondence: B. N. Kumar, Specialist Registrar in ENT, North Staffordshire Royal Infirmary, Stoke on Trent ST4 7LN. Fax: 01782-416197

Abstract

The association of sensorineural hearing loss and ulcerative colitis is well documented and it is speculated that this is autoimmune in origin. A case in a 12-year-old boy is described, that initially responded to steroid therapy, but four years later resulted in bilateral, profound sensorineural hearing loss in spite of good control of his bowel disease. Immunological tests may provide a clue as to the aetiology of suspected cases of autoimmune inner ear disease. Immediate treatment with steroids with or without immunosuppressive therapy is essential as delay may lead to irreversible hearing loss.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

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References

Brookes, G. B. (1985) Immune complex-associated deafness: preliminary communication. Journal of the Royal Society of Medicine 78: 4755.CrossRefGoogle ScholarPubMed
Dowd, A., Rees, W. D. W. (1987) Treatment of sensorineural deafness associated with ulcerative colitis. British Medical Journal 295: 26.CrossRefGoogle ScholarPubMed
Herdman, R. C. D., Hirari, M., Ramsden, R. T. (1991) Autoimmune inner ear disease and ulcerative colitis. Letter to the Editor. Journal of Laryngotogy and Otology 105: 330331.CrossRefGoogle Scholar
Jacob, A., Ledingham, J. G., Kerr, A. I. G., Ford, M. J. (1990) Ulcerative colitis and giant cell arteritis associated with sensorineural deafness. Journal of Laryngology and Otology 104: 889890.CrossRefGoogle ScholarPubMed
Kanzaki, J., O-Uchi, T. (1983) Circulating immune complexes in steroid-responsive sensorineural hearing loss and the long-term observation. Acta Otolaryngotogica (Suppl.) 393: 7784.CrossRefGoogle ScholarPubMed
Luetje, C. M. (1989) Theoretical and practical implications for plasmapheresis in autoimmune inner ear disease. Laryngoscope 99: 11371146.CrossRefGoogle ScholarPubMed
Luqmani, R., Jubb, R., Emery, P., Reid, A., Adu, D. (1991) Inner ear deafness in Wegener's granulomatosis. Journal of Rheumatology 18: 766768.Google ScholarPubMed
McCabe, B. F. (1979) Autoimmune sensorineural hearing loss. Annals of Ototogy, Rhinology and Laryngology 88: 585589.CrossRefGoogle ScholarPubMed
McCabe, B. F. (1989) Autoimmune inner ear disease. Therapy. American Journal of Otology 10:3, 196197.Google ScholarPubMed
Summers, R. W., Harker, L. (1982) Ulcerative colitis and sensorineural hearing loss: is there a relationship? Journal of Clinical Gastroenterology 4: 251252.CrossRefGoogle ScholarPubMed
Weber, R. S., Jenkins, H. A., Coker, N. J. (1984) Sensorineural hearing loss associated with ulcerative colitis. Archives of Ototaryngology 110: 810812.CrossRefGoogle ScholarPubMed