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Vol. 61. Issue 5.
Pages 332-337 (January 2010)
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Vol. 61. Issue 5.
Pages 332-337 (January 2010)
Sjögren's syndrome: Audiological and clinical behaviour in terms of age
Síndrome de Sjögren comportamiento clínico y audiológico en función de la edad
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Iveth M. Montoya-Arandaa,
Corresponding author
iveth_ag@yahoo.com.mx

Corresponding author.
, Yolanda R. Peñaloza-Lópezb, Diana J. Gutiérrez-Tinajeroc
a Servicio de Foniatría Pediátrica, Hospital Infantil de Federico Gómez, Mexico
b Servicio de Procesos Centrales de la Audición, Instituto Nacional de Rehabilitación, Mexico City, Mexico
c Servicio de Audiología, Instituto Nacional de Rehabilitación, Mexico City, Mexico
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Abstract
Introduction and objective

To determine the clinical and audiological behaviour per age group in Sjögren's Syndrome (SS), considering that it is the second most frequent autoimmune rheumatic disease.

Material and method

The study included 29 patients with SS with clinical history and audiological studies. The design was prospective, descriptive and transversal.

Results

Average patient age was 41 years. All the patients with hearing loss in conventional tone audiometry were of the sensory type. At high frequencies, 66% of the patients did not respond at 20KHz, and 48% at the frequency of 16KHz. In logoaudiometry and impedancemetry, the results were the ones expected for the auditory thresholds.

Conclusions

Auditory damage related to SS is located in the inner ear. Patients must be informed by their physician of the risk of having auditory damage as a complication of the disease. Audiological evaluation must be performed periodically to identify possible audiological damage.

Keywords:
Sjögren's syndrome
Hyperacusis
Auditory damage
Audiometry
High frequencies
Resumen
Introducción y objetivo

Determinar el comportamiento clínico y audiológico por grupos de edad en el síndrome de Sjögren (SS) considerando que ésta es la segunda enfermedad reumatológica autoinmune más frecuente.

Material y método

Se trata de 29 pacientes con SS con historia clínica y estudios audiológicos. Diseño prospectivo, descriptivo y transversal.

Resultados

La edad promedio es de 41 años, todos los pacientes que presentaron hipoacusia en la audiometría tonal convencional fueron de tipo sensorial. En frecuencias altas 66% de los pacientes no tienen respuesta a 20kHz y el 48% para la frecuencia de 16kHz. En logoaudiometría e impedanciometría los resultados fueron los esperados para los umbrales auditivos.

Conclusiones

El daño auditivo relacionado con SS probablemente se ubica en el oído interno. Estos pacientes deben estar informados por su médico tratante del riesgo de presentar daño auditivo como complicación de su enfermedad. La valoración audiológica se debe realizar de forma periódica para identificar precozmente los posibles daños audiológicos.

Palabras clave:
Síndrome de Sjögren
Hipoacusia
Daño auditivo
Audiometría
Altas frecuencias

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