Assessment Of The Audio Vestibular System In Patients With Rheumatoid Arthritis

Abstract

Background Synovial inflammation in the diarthrodial joints (also known as diaphragmatic joints) in people with rheumatoid arthritis may cause cartilage degradation and bone erosion as well as a weakening and breaking down of the structures of the joint's ligaments, tendons, and capsular lining. As a result of this inflammation, ligaments and tendons might be damaged (RA). We wanted to assess RA patients' hearing and vestibular capacities and compare them to the general population's. We also considered the relationship between these findings and the seriousness and regularity of sickness incidence. In this prospective study, 50 instances of both men and women with an average age of 33.7 years (range from 23 to 66 years) were included, along with 50 healthy individuals with an average age of 33.7 years (ranging from 22 to 66 years), who did not fulfil the diagnostic criteria for RA. If a participant had a history of hearing loss, head-and-neck birth deformities, a work that required them to be around loud noises, a recent head injury, or a neurological condition, they were not permitted to participate in the study. There were three healthy individuals in each group. Result The Water caloric test, Pursuit test, and Saccade test revealed a sizable difference between the two groups. The difference between the two groups was also quite large for the milliseconds of the interpeak delay of Waves III-V, Waves I-V, and the amplitude ratio of Wave V to Wave I. The results of the videonystagmography did not significantly correlate with the severity of the illness, the ESR, or the RF. Conclusion There is a connection between RA and degradation of the audiovestibular system, regardless of the clinical or demographic characteristics of the patients. We hypothesise that RA more commonly than previously thought impacts hearing and vestibular function. Patients with RA who experience high-frequency hearing loss may have cochlear involvement.