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Hearing Loss: Can Arthritis Cause Hearing Loss?

By , About.com Guide

Updated July 07, 2006

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Question: Hearing Loss: Can Arthritis Cause Hearing Loss?
Is there a connection between rheumatoid arthritis (RA) and ear problems?

Some people with rheumatoid arthritis complain of a full feeling in their ears or fluid in their ear, as well as some hearing loss. The problem appears to be chronic for many people with rheumatoid arthritis.

  • Are the ear / hearing problems a consequence of having rheumatoid arthritis?
  • What can be done to treat the full feeling or fluid in the ear?
  • Answer:

    The Connection Between Hearing Loss And Rheumatic Disease

    Hearing loss is not a commonly recognized feature of rheumatoid arthritis (RA). On the other hand, patients with Sjogren's Syndrome (a condition that occurs with an increased incidence in rheumatoid arthritis patients) can develop hearing loss, although severe hearing loss is unusual.

    More commonly, patients with Sjogren's Syndrome may complain of:

  • tinnitus (ringing)
  • mild hearing loss
  • ear pain due to inflammation in the nasal cavity blocking the eustachian tube
  • Arthritis Medications And Hearing Loss

    Rheumatoid arthritis patients taking NSAIDS (non-steroidal anti-inflammatory drugs) as well as the DMARD (disease-modifying anti-rheumatic drug) Plaquenil can develop symptoms of tinnitus and concomittant decreased hearing.

    If these symptoms occur, consider a change in medication.

  • The Facts Of NSAIDs
  • The Facts Of DMARDs
  • If symptoms persist, consult an ENT (Ear, Nose, and Throat specialist) for proper diagnosis and management.

    Related Resources

  • Rheumatoid Arthritis Screening Quiz
  • Sjogren's Syndrome Screening Quiz
  • Guide To Sjogren's Syndrome
  • What Is Autoimmune Inner Ear Disease?
  • Answer provided by Scott J. Zashin, M.D., clinical assistant professor at University of Texas Southwestern Medical School, Division of Rheumatology, in Dallas, Texas. Dr. Zashin is also an attending physician at Presbyterian Hospitals of Dallas and Plano. He is a fellow of the American College of Physicians and the American College of Rheumatology and a member of the American Medical Association. Dr. Zashin is author of Arthritis Without Pain - The Miracle Of Anti-TNF Blockers. The book is a must-have for anyone on one of the biologic drugs (Enbrel, Remicade, Humira) or considering the biologic drugs. Read my review of the book.

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