慢性疲劳综合征 (CFS)、纤维肌痛 (FM)、冠状病毒-19 感染性疾病 (COVID) 和长期 COVID 综合征 (PCS)、病态建筑综合征 (SBS)、心动过速后综合征 (PoTS) 以及佐剂诱发的自身免疫/炎症综合征 (ASIA) 中的耳部异常：系统综述。

IF 9.2 1区医学 Q1 IMMUNOLOGY

Autoimmunity reviews Pub Date : 2024-10-01 DOI:10.1016/j.autrev.2024.103606

Thelma L. Skare , Jozélio Freire de Carvalho , Italo Roberto Torres de Medeiros , Yehuda Shoenfeld

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引用次数: 0

摘要

慢性疲劳综合征（CFS）、纤维肌痛（FM）、硅胶乳房植入物（SBI）、冠状病毒-19 感染性疾病（COVID）、COVID-19 疫苗接种（后 COVIDvac-syndrome ）、长 COVID 综合征（PCS）、病态建筑综合征（SBS）、这些病症的共同特点是症状不明确，并伴有自主神经功能紊乱。这类疾病的临床表现大多没有特异性，如疲劳、弥漫性疼痛、认知障碍、麻痹、心动过速、焦虑和抑郁。听力障碍和眩晕也有相关描述，这些病症的潜在病理生理过程可能依赖于自主神经自身免疫失调。作者对 CSF、FM、SBI、COVID、后 COVIDvac 综合征、PCS、SBS、POTS 和 ASIA 中的听力和迷宫障碍进行了文献综述。该研究遵循 PRISMA 指南，所查阅的文献包括 1990 年 1 月至 2024 年 1 月期间的论文。在对通过 Pubmed、Scielo 和 Embase 搜索到的文章进行初步评估后，共阅读了 172 篇文章并将其纳入本综述。本研究对听力损失、头晕、眩晕和耳鸣的发病率进行了描述，并将其与所调查的疾病相关联。发现的症状频率差异很大，但在大多数研究中，耳蜗症状最为常见。前庭症状的报告较少。本文讨论了主要的病理生理机制。病毒对内耳或神经通路的直接影响、血管灌注受损、交叉反应或自身免疫反应、氧化应激、DNA 甲基化、表观遗传修饰和基因活化都与所研究症状的产生有关。在临床实践中，所有患有这些自身免疫性疾病并伴有任何听力症状的患者都需要进行耳鼻喉科会诊，然后进行听力测定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Ear abnormalities in chronic fatigue syndrome (CFS), fibromyalgia (FM), Coronavirus-19 infectious disease (COVID) and long-COVID syndrome (PCS), sick-building syndrome (SBS), post-orthostatic tachycardia syndrome (PoTS), and autoimmune/inflammatory syndrome induced by adjuvants (ASIA): A systematic review

Chronic fatigue syndrome (CFS), fibromyalgia (FM), silicone breast implants (SBI), Coronavirus-19 infectious disease (COVID), COVID-19 vaccination (post-COVIDvac-syndrome), Long-COVID syndrome (PCS), sick-building syndrome (SBS), post-orthostatic tachycardia syndrome (PoTS), and autoimmune/ inflammatory syndrome induced by adjuvants (ASIA) are a cluster of poorly understood medical conditions that have in common a group of ill-defined symptoms and dysautonomic features. Most of the clinical findings of this group of diseases are unspecific, such as fatigue, diffuse pain, cognitive impairment, paresthesia, tachycardia, anxiety, and depression. Hearing disturbances and vertigo have also been described in this context, the underlying pathophysiologic process for these conditions might rely on autonomic autoimmune dysbalance.

The authors procced a literature review regarding to hearing and labyrinthic disturbances in CSF, FM, SBI, COVID, post-COVIDvac-syndrome, PCS, SBS, POTS, and ASIA. The PRISMA guidelines were followed, and the literature reviewed encompassed papers from January 1990 to January 2024.

After the initial evaluation of the articles found in the search through Pubmed, Scielo and Embase, a total of 172 articles were read and included in this review.

The prevalence of hearing loss, dizziness, vertigo and tinnitus was described and correlated with the diseases investigated in this study. There are great variability in the frequencies of symptoms found, but cochlear complaints are the most frequent in most studies. Vestibular symptoms are less reported.

The main pathophysiological mechanisms are discussed. Direct effects of the virus in the inner ear or nervous pathways, impaired vascular perfusion, cross-reaction or autoimmune immunoreactivity, oxidative stress, DNA methylation, epigenetic modifications and gene activation were implicated in the generation of the investigated symptoms.

In clinical practice, all patients with these autoimmune conditions who have any audiological complaint an ENT consultation followed by an audiometry are needed.

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来源期刊

Autoimmunity reviews 医学-免疫学

CiteScore

24.70

自引率

4.40%

发文量

164

审稿时长

21 days

期刊介绍： Autoimmunity Reviews is a publication that features up-to-date, structured reviews on various topics in the field of autoimmunity. These reviews are written by renowned experts and include demonstrative illustrations and tables. Each article will have a clear "take-home" message for readers. The selection of articles is primarily done by the Editors-in-Chief, based on recommendations from the international Editorial Board. The topics covered in the articles span all areas of autoimmunology, aiming to bridge the gap between basic and clinical sciences. In terms of content, the contributions in basic sciences delve into the pathophysiology and mechanisms of autoimmune disorders, as well as genomics and proteomics. On the other hand, clinical contributions focus on diseases related to autoimmunity, novel therapies, and clinical associations. Autoimmunity Reviews is internationally recognized, and its articles are indexed and abstracted in prestigious databases such as PubMed/Medline, Science Citation Index Expanded, Biosciences Information Services, and Chemical Abstracts.