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A Case of Autoimmune Inner Ear Disease Mimicking Bilateral Ménièreʼs Disease
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Hong-Ju Kim, Yoon-Gi Choi, HyunJi Kim, Kyu-Sung Kim
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Received February 1, 2018 Accepted March 8, 2018 Published online March 8, 2018
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[Accepted]
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Abstract
- Autoimmune inner ear disease(AIED) is a rare disease, accounting for <1% of all case of hearing impairment or dizziness. It is characterized by sensorineural hearing loss(SNHL) or vestibular dysfunction that result from an immune-mediated process. Clinical feature of AIED is SNHL that progresses over weeks to months and fluctuating hearing symptoms. Because there’s no diagnostic laboratory test, clinical features and re-sponse to immunosuppressive therapy were important for diagnosis of AIED. Many disease such as sudden sensorineural hearing loss and Meniere's disease may also mimic AIED, a broad differential must be maintained in patients suspected of having AIED. We report a case of a 46-year-old female who presented with sudden hearing loss and vertigo. We could diagnose her as AIED with systemic lupus erythematous(SLE). The symptoms were improved treated with steroids.
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