title: The challenge of sensorineural hearing loss in rheumatoid arthritis.
abstract: Patients with rheumatoid arthritis are exposed to a variety of pharmacologic agents capable of causing sensorineural hearing loss. We describe such a patient who was eventually found to have an acoustic neuroma. The case illustrates the difficulty of diagnosing acoustic neuroma and the need for a high index of suspicion when unilateral hearing loss is detected. The evaluation of patients with sensorineural hearing loss is discussed.
authors.affiliation: Department of Internal Medicine, University of Missouri-Columbia School of Medicine.
authors.forename: B
authors.initials: B
authors.lastname: Mukerji
authors.forename: S A
authors.initials: SA
authors.lastname: Estrem
authors.forename: F X
authors.initials: FX
authors.lastname: O'Sullivan
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy; D003937:Diagnosis, Differential; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000150:complications / Q000175:diagnosis*; D012307:Risk Factors
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal