Hearing loss due to urate deposition in the middle ear: A case report and literature review

IF 1.4 Q2 OTORHINOLARYNGOLOGY
M. Hoste , M. Cabri-Wiltzer , S. Hassid , J.-C. Degols , J. Vilain
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引用次数: 0

Abstract

Gout is the most common cause of monoarthritis in men occurring classically in the great toe and the knee. Extra-articular gout manifestations are rare. Only a few cases of head and neck urate crystals deposits have been described in the literature. Precipitations in the middle ear cause conductive hearing loss with common otoscopic anomalies and difficult imaging diagnosis.

We report a case of a healthy 58-years-old man with a middle ear urate deposit causing a progressive hearing loss as the very first symptom of gout. The nature of the deposit was unsure on computer tomography (CT) due to atypical density. The final diagnosis was revealed after surgical procedure and histologic examination.

A review of the literature is also presented. Seven cases of middle ear urate deposit as the first symptom of gout were found and compared.

Progressive conductive hearing loss in middle-aged patients with abnormal otoscopy and middle ear atypical density mass on CT scan must lead to a minimal surgical procedure with a histologic examination to exclude urate crystals deposits.

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中耳沉积物致听力损失1例报告及文献复习
痛风是男性单关节炎最常见的原因,通常发生在大脚趾和膝盖。关节外痛风的表现是罕见的。文献中只报道了少数头颈部尿酸盐结晶沉积的病例。中耳沉淀物引起传导性听力损失,常见耳镜异常,影像学诊断困难。我们报告一例健康的58岁男性与中耳尿酸沉积引起进行性听力损失作为痛风的第一个症状。由于密度不典型,在计算机断层扫描(CT)上不能确定沉积物的性质。最终的诊断是在手术和组织学检查后得出的。文献综述也提出。本文对7例以中耳尿酸沉积为首发症状的痛风患者进行了分析比较。进行性传导性听力损失的中年患者,耳镜检查异常,CT扫描中耳密度肿块不典型,必须进行最小的外科手术,并进行组织学检查,以排除尿酸结晶沉积。
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来源期刊
Journal of Otology
Journal of Otology Medicine-Otorhinolaryngology
CiteScore
2.70
自引率
0.00%
发文量
461
审稿时长
18 days
期刊介绍: Journal of Otology is an open access, peer-reviewed journal that publishes research findings from disciplines related to both clinical and basic science aspects of auditory and vestibular system and diseases of the ear. This journal welcomes submissions describing original experimental research that may improve our understanding of the mechanisms underlying problems of basic or clinical significance and treatment of patients with disorders of the auditory and vestibular systems. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines. Journal of Otology welcomes contributions from scholars in all countries and regions across the world.
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