耳症状を初発とした大動脈炎症候群の一例

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A 34-year-old female with hearing loss and tinnitus of both cars and vertigo is reported. Both ears responded slightly to the administration of steroid hormone, ATP and vitamin B. When satisfactory improvement of hearing was achieved, steroid therapy was stopped. However, administration of ATP and vitamin B resulted in further improvement. Seven months after the onset of hearing loss, hearing could not be improved even by increasing the amount of steroid. Autoimmune diseases were strongly suspected, but could not be confirmed. Sensorineural hearing loss gradually developed. After 5 and a half years, the diagnosis of aortitis syndrome was established by the second aortography and digital subtraction angiography. This case suggests that sensorineural hearing loss associated with aortitis syndrome is the result of arteritis at or near the inner ear.
耳鼻咽喉科臨床学会の論文