[Clinical analysis of ear symptoms of 40 patients with ANCA-associated vasculitis].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 38(3): 183-187, 2024 Mar.
Article
em Zh
| MEDLINE
| ID: mdl-38433684
ABSTRACT
Objective:
To analyze the clinical feature, diagnosis and treatment of Anca-associated vasculitis with ear symptoms.Methods:
In this retrospective study, we summarized the clinical and laboratory examination, pure tone audiometry, aural immittance measurement, CT scan of temporal bone and treatment of 40 patients in the First Medical Center of the PLA General Hospital.Results:
A total of 11 casesï¼27.5%ï¼ had the initial symptom in the ear. The most common symptoms were hearing loss, and the other symptoms included a sense of ear fullness, otorrhea and tinnitus. There were 35 cases with hearing loss 19 cases with conductive hearing lossï¼47.5%ï¼, 9 cases with sensorineural hearing lossï¼22.5%ï¼, and 7 cases with mixed hearing lossï¼17.5%ï¼. 5 cases had a sense of ear fullness or tinnitus, and the results of the hearing test were normalï¼12.5%ï¼. All of the 40 patients had multi-system involvement, and respiratory system accounted for the most. All patients had a positive result of Anti-neutrophil cytoplasmic antibodyï¼ANCAï¼. Treatment included systemic hormonal, immunosuppressive, or biologic therapy. There were 3 cases recoveredï¼7.5%ï¼, 22 cases with alleviated ear symptomsï¼55.0%ï¼, 6 cases with recurrent hearing lossï¼15%ï¼ and 9 cases had no significant improvementï¼22.5%ï¼.Conclusion:
Conductive deafnessï¼secretory otitis mediaï¼ can be the first manifestation in the early stage of otitis media with AAVï¼OMAAVï¼, later it may turn to binaural mixed deafness. Otolaryngologists need to consider OMAAV diagnosis when diagnosing and treating patients with recurrent secretory otitis media. Multi-system symptom consultation and ANCA examination can help identify. Early systemic medication and the application of immunosuppressants or biological agents can help relieve the ear symptoms.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Zumbido
/
Otite Média com Derrame
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Surdez
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Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos
Limite:
Humans
Idioma:
Zh
Revista:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Ano de publicação:
2024
Tipo de documento:
Article