Audiological and vestibular evaluations in vitiligo patients

Keywords: VEMPs, vitiligo, vestibular system, hearing loss, otic melanocytes

Abstract

The aim of this paper was to investigate audiological abnormalities and potential vestibular injury in a sample of vitiligo subjects. Thirty-five patients with non-segmental vitiligo (NSV) were enrolled in the study. They underwent pure tonal audiometry (PTA), vestibular Fitzgerald-Hallpike caloric test, C-VEM, and O-VEMP testing.  The χ2 test and multiple regression analysis were performed. At PTA, 69% of patients presented with bilateral hearing loss, 8% monaural hearing loss, and 23% normal values. Bilateral caloric stimulations were performed and demonstrated that 14% of patients had a monolateral and 9% had a bilateral pathological response. VEMPs analysis showed that  20% of patients had no O-VEMPs response and 3% had no C-VEMPs response. Comparison between the normal values of healthy subjects and NSV patients showed an alteration of VEMPs in 44%. Multiple regression showed no statistical differences. We propose a specific diagnostic protocol employing PTA, bithermal caloric tests, C-VEMP, and O-VEMP testing to evaluate audio-vestibular damage. Our data were concordant with the anatomic-physiological melanocytic distribution and their possible degeneration linked with NSV. 

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Audiological and vestibular evaluations in vitiligo patients
Published
2021-08-09
How to Cite
1.
Manno A, Pace A, Iannella G, Rossetti V, Polimeni R, Milani A, Cocuzza S, Maniaci A, Magliulo G. Audiological and vestibular evaluations in vitiligo patients. Bosn J of Basic Med Sci [Internet]. 2021Aug.9 [cited 2021Oct.28];. Available from: https://www.bjbms.org/ojs/index.php/bjbms/article/view/5703
Section
Translational and Clinical Research