Title:
Acase of sudden hearing loss associated withANCA
Authors:
Y. Alimoglu , F. S. Sacli , E. Inci and E. Eroz
Institutions:
1Otolaryngology­Department,­Cerrahpasa­Medical­Faculty,­Istanbul­University,­Istanbul,­Turkey;­ Internal­Medicine­2 Department,­ Cerrahpasa­ Medical­ Faculty,­ Istanbul­ University,­ Istanbul,­ Turkey;­ Otolaryngology­ Department,­Cerrahpasa­Medical­Faculty,­Istanbul­University,­Istanbul,­Turkey
Keywords:
­Sudden­hearing­loss;­vasculitis;­ANCA;­sensorineural­hearing­loss
Pages:
57 - 59
Abstract:
A case of sudden hearing loss associated with ANCA­.A­46-year-old­female­patient­presented­to­our­clinic­with­ complaints­of­aural­fullness­and­hearing­loss­for­two­days.­On­audiometric­examination,­she­had­sensorineural­hearing­ loss­in­the­left­ear.­Mean­pure­tone­audiometry­(PTA)­was­53dB.­Her­medical­history­was­significant­for­oral­medication- controlled­diabetes­mellitus­and­chronic­thyroiditis.­Laboratory­studies­showed­an­erythrocyte­sedimentation­rate­(ESR)­ of­40­mm/h­and­an­anti-neutrophil­cytoplasmic­antibody­directed­against­myeloperoxidase­(MPO-ANCA)­level­of­ 33.1­EU/ml.­ANCA-associated­vasculitis­was­considered.­The­patient­was­started­on­immunosuppressive­treatment.­ Seven­months­after­the­initial­episode,­the­patient­suffered­a­relapse.­At­17­month­follow-up­after­the­initial­event,­the­ patient ­is­healthy­with­normal­hearing.­Serum­MPO-ANCA­is­within­normal­limits.
Issue:
Vol. 9, 2013, 1st trimester


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Acase of sudden hearing loss associated withANCA