title: Otorhinolaryngological findings in a group of patients with rheumatic diseases.
abstract: BACKGROUND
  Otorhinolaryngological manifestations of rheumatologic diseases represent a great challenge not only to the generalistphysician but also to the ENT doctor andrheumatologist. They often represent early manifestations of an autoimmune disorder which requires prompt and aggressive immunosuppressive treatment. Auditory, nasal, laryngeal and eye symptoms can be the first manifestation of rheumatic diseases and their proper assessment helps the doctor to identify signs of disease activity. The objective of this study is to identify the ENT manifestations in patients with rheumatic diseases in a high complexity hospital, regarding facilitating an early diagnosis and treatment.
  
  
  METHODS
  We performed clinical and complete otorhinolaryngological evaluations in patients selected from the outpatient rheumatology in a standardized manner by the use of a standardized form filling during the secondhalf of 2010.
  
  
  RESULTS
  In the study group, systemic lupus erythematosus (SLE) patients had predominantly laryngeal manifestations, while patients with Sjögren's syndrome showed a higher prevalence of otologic manifestations. Changes in audiometric tests were found in 53% of Wegener's granulomatosis (WG) patients, 80% of relapsing polychondritis (RP), 33% of systemic lupus erythematosus (SLE) and 50% of Churg-Strauss syndrome (SCS). Regarding nasal alterations, these were found so prevalent in all conditions, especially Churg-Strauss syndrome.
  
  
  CONCLUSIONS
  This study demonstrated that most patients treated in our hospital has the ENT signs and symptoms commonly associated in previous studies on rheumatic diseases, but further studies with a larger number of patients must be made to establish such relations.
authors: Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
authors: Reinaldo Jordão
authors: RJ
authors: Gusmão
authors: Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
authors: Fernando Laffitte
authors: FL
authors: Fernandes
authors: Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
authors: Alexandre Caixeta
authors: AC
authors: Guimarães
authors: Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
authors: Lutiane
authors: L
authors: Scaramussa
authors: Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
authors: Zoraida
authors: Z
authors: Sachetto
authors: Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
authors: Henrique Furlan
authors: HF
authors: Pauna
authors: Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
authors: Guilherme Machado
authors: GM
authors: de Carvalho
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D008875:Middle Aged; D010038:Otorhinolaryngologic Diseases / Q000209:etiology*; D012216:Rheumatic Diseases / Q000150:complications*; D055815:Young Adult