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05.04.2016 | Original Article | Ausgabe 7/2016

Digestive Diseases and Sciences 7/2016

Hearing Loss in Patients with Inflammatory Bowel Disease

Zeitschrift:
Digestive Diseases and Sciences > Ausgabe 7/2016
Autoren:
Dov Wengrower, Benjamin Koslowsky, Uri Peleg, Betty Mazuz, Leore Cohen, Allin Ben-David, Menahem Gross, Eran Goldin, Chanan Shaul
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1007/​s10620-016-4074-9) contains supplementary material, which is available to authorized users.
This manuscript was presented as an abstract at ECCO Barcelona 2015 and DDW Chicago 2014.
Dov Wengrower and Benjamin Koslowsky contributed equally to this study.

Abstract

Background and Aims

Inflammatory bowel disease (IBD) has many characteristics of autoimmune diseases. Sensorineural hearing loss has been reported in many autoimmune diseases. Little is known about hearing loss in patients with IBD.

Methods

A prospective blinded comparative study was conducted over a 3-year period. IBD patients and controls underwent a complete otorhinolaryngeal examination and eudiometry test.

Results

Altogether 105 participants (76 patients and 29 controls) took part in this study. Mean age was 36, 51 % were males, and 40 % of the patients were presently hospitalized due to IBD exacerbation. Audiometric examination revealed that any hearing loss (mild to severe) was found in 29 (38 %) of the IBD population, compared to 4 (14 %) of the control group (p = 0.02). Extraintestinal manifestation (EIM) was present in 33/76 (43 %) of IBD patients. Any hearing loss and moderate to severe hearing loss were found in 17/33 (52 %) and 7/33 (21 %) in the EIM-positive group compared to 12/43 (28 %) and 4/43 (9 %) in the EIM-negative group (p = 0.036 and p = 0.14, respectively). Out of patients over the age of 40 with other EIMs, all 11/11 (100 %) of patients had any hearing loss compared to 8/12 (66 %) of patients over the age of 40 without other EIMs, p = 0.035.

Conclusions

Hearing loss may be another EIM of IBD. It is found in 38 % of IBD patients and in up to 52 % of patients with other EIMs and increases over the age of 40. Early hearing evaluation should be recommended to these high-risk IBD patients.

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