Risk of Sudden Sensorineural Hearing Loss in Patients with Psoriasis: A Retrospective Cohort Study

doi:10.1007/s40257-015-0117-9

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Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/29639

Title:	Risk of Sudden Sensorineural Hearing Loss in Patients with Psoriasis: A Retrospective Cohort Study
Authors:	Yen, Yung-Chang Lin, Yung-Song Weng, Shih-Feng Lai, Feng-Jie
Contributors:	醫務管理系
Keywords:	Systemic-lupus-erythematosus Population-basedcohort Diabetes-mellitus Cardiovascular-disease Arterial stiffness Inner-ear Migraine Arthritis Comorbidities Inflammation
Date:	2015-06
Issue Date:	2016-04-19 19:02:56 (UTC+8)
Publisher:	Adis Int Ltd
Abstract:	Significance Psoriasis, a common immune-mediated disease, affects approximately 2 % of the population worldwide. Sudden sensorineural hearing loss (SSNHL) might be a manifestation of systemic vascular involvement in autoimmune disease. However, to the best of our knowledge, there is no systematic English-language examination of the risk of SSNHL in patients with psoriasis.Objectives We tested the hypothesis that psoriasis is a risk factor for developing SSNHL.Methods Using Taiwan's National Health Insurance Research Database, we conducted a retrospective cohort study to compare patients diagnosed with psoriasis from January 1, 2001 through December 31, 2006 (n = 28,817) with gender-, age-, and comorbidities-matched controls (n = 28,817). We followed each patient until the end of 2011 and evaluated the incidence of SSNHL for at least 6 years after the initial psoriasis diagnosis.Results The incidence of SSNHL was 1.51 times higher in the psoriasis cohort than in the control cohort (7.12 vs 4.73 per 10,000 person-years). Using Cox proportional hazard regressions, the adjusted hazard ratio (AHR) was 1.51 (95 % confidence interval [CI] 1.18-1.93). Comorbid hypertension was an independent risk factor for SSNHL (AHR 1.49; 95 % CI 1.05-2.13). However, the incidence rate ratios (IRRs) for each comorbidity subgroup in the psoriasis and control cohorts were not significantly different.Conclusions and Relevance Psoriasis was significantly associated with a higher risk of developing SSNHL. We suggest that physicians advise patients with psoriasis to seek medical attention if they have hearing impairments, because they may also have a higher risk of developing SSNHL.
Relation:	American Journal of Clinical Dermatology, v.16 n.3, pp.213-220
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Periodical Articles

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