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Inicio Acta Otorrinolaringológica Española Presentación de dos casos de sordera súbita en pacientes afectos de anemia y r...
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Vol. 53. Issue 5.
Pages 371-376 (May 2002)
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Vol. 53. Issue 5.
Pages 371-376 (May 2002)
Presentación de dos casos de sordera súbita en pacientes afectos de anemia y rasgo drepanocíticos
Report of two cases os sudden deafness in patients bearing of sickle cell anaemia and trait
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F.J. García Callejo, E. Sebastián Gil, A. Morant Ventura, J. Marco Algarra
Servicio de ORL. Hospital clínico universitario. Valencia
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Resumen

Presentamos los dos casos de sordera súbita acontecidos durante el desarrollo de sendas crisis vasooclusivas en el contexto de una anemia de células falciformes (forma homocigota de la drepanocitosis) y de un rasgo drepanocítico (forma heterocigota) en dos varones de 16 y 22 años de edad, respectivamente. En ambos casos se constató el aumento en la agregabilidad de los eritrocitos y la disminución en su deformabilidad. Aunque está reconocida la afectación auditiva en esta enfermedad, la rapidez de instauración es rara. El tratamiento empleado alivió las crisis dolorosas y erradicó las infecciones, pero la hipoacusia resultó irreversible.

Palabras clave:
Sordera súbita
Drepanocitosis
Abstract

We report two cases of sudden deafness which appeared during vaso-occlusive crisis of a sickle cell anaemia (homozygous form of disease) and a sickle cell trait (heterozygous form) in two males aged sixteen and twenty-two, respectively. A high erythrocyte aggregability and low deformability were proved in both young men. Although hearing disorders have been reported in this disease, a sudden onset is not common. The treatment used was useful in the removal of painful crisis and infections, but deafness did not improve in either of then.

Key words:
Sudden deafness
Sickle cell disease

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