Dr Ronald Chin’s Take On Autoimmune Inner Ear Disease
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Dr Ronald Chin’s Take On Autoimmune Inner Ear Disease

Dr Ronald Chin’s Take On Autoimmune Inner Ear Disease

An “uncontrolled” immune system response is the defining characteristic of autoimmune inner ear disease, which is characterized by bilateral sensorineural hearing loss (SNHL). Primarily, the autoimmune disease arises in the inner ear. It can also be a part of a systemic autoimmune disease like Wegeners granulomatosis, Cogan’s syndrome, or Systemic Lupus erythematosus. 

Symptoms of this disease include bilateral, asymmetrical SNHL that can be fluctuating or progressive, tinnitus, and vertigo. 

This is diagnosed using autoimmune workups like ESR, ANA, heat shock protein testing, and rheumatoid factor. To treat this, a high dosage of corticosteroids is recommended. In case corticosteroids fail, cytotoxic medications can be used.

Glue ear, after draining the ear drum

Glue ear, intact ear drum

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