She was noted to have right tympanic membrane dullness and was treated with antibiotics along with nasal steroids due to a suspected sinus/ear infection. She denied having any vertigo, nausea, or vomiting but did give a history of mild flu-like symptoms associated with an aural fullness. We describe a case when a female with a history of HT was diagnosed with AIED in the setting of an idiopathic refractory sensorineural hearing loss.Ī 61-year-old female with a history of HT with positive antithyroid peroxidase (anti-TPO) antibodies, on thyroxine replacement therapy was referred to the ENT clinic by her primary care physician due to progressive right-sided hearing loss for 2 weeks. Although poorly understood, this disease is one of the few reversible forms of hearing loss with a favorable outcome. Given the absence of specific tests, the diagnosis of AIED may be difficult and mainly depends on an appropriate clinical presentation, exclusion of the other causes, and a positive response to steroid therapy. Various cases have been reported in the medical literature documenting an association between these two autoimmune disorders. However, autoimmune inner ear disease (AIED) should be considered as a possible cause when an individual with the history of HT presents with acute-onset vestibulocochlear symptoms due to a similar pathophysiology. This auditory dysfunction can be multifactorial as indicated by case studies done on HT. ![]() Patients with Hashimoto’s thyroiditis (HT) are at higher risk of developing audiological abnormalities as compared to the healthy individuals.
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