Audiological Profile in Primary Sjögren’s Syndrome in a Tertiary Care Setting and its Clinical Implications

  • C. V. Thanooja
  • Ann Mary Augustine
  • Anjali Lepcha
  • Pulukool Sandhya
  • Amit Kumar Tyagi
  • Debashish Danda
  • Achamma Balraj
Original Article


This study aims to assess the frequency and the profile of hearing loss among patients with primary Sjögren’s syndrome in a tertiary care hospital in India and to look for an association between hearing loss and immunological parameters (anti-SSA antibody, anti-SSB antibody, anticardiolipin antibodies, complements C3 and C4). This prospective observational study was done from January 2011 to October 2011 on consecutive patients diagnosed with primary Sjögren’s syndrome in our tertiary care hospital. All patients underwent a puretone audiogram, tympanogram and acoustic reflex testing. The results of the tests were correlated with clinical and immunological findings. The frequency of audiometrically confirmed hearing loss in primary Sjögren’s syndrome was estimated to be 78.38 %, though only 17.24 % complained of hearing loss; minimal to mild sensorineural hearing loss were the most common varieties. The commonest finding on tympanometry was ‘A’ type curve and acoustic reflex was absent in 18.92 % of cases. There was no association between hearing loss and age, sicca symptoms, systemic symptoms or immunological test results in primary Sjögren’s syndrome. There was a high prevalence of hearing loss among patients with primary Sjögren’s syndrome, but most patients were unaware of this. Hearing assessment and regular monitoring of hearing thresholds is advisable for all patients with primary Sjögren’s syndrome.


Autoimmune disease Sjögren’s syndrome Hearing loss Autoimmune inner ear disease 



The authors wish to thank the institutional review board for its financial support toward this study through the fluid research fund.

Compliance with Ethical Standards

Conflict of interest

C. V. Thanooja, Ann Mary Augustine, Anjali Lepcha, Pulukool Sandhya, Amit Kumar Tyagi, Debashish Danda, Achamma Balraj declare that they have no conflict of interest.


This study was funded by a research grant from the institution.

Ethical Approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional review board and ethics committee and with the 1964 Helsinki declaration and its later amendments.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Association of Otolaryngologists of India 2015

Authors and Affiliations

  • C. V. Thanooja
    • 1
  • Ann Mary Augustine
    • 1
  • Anjali Lepcha
    • 1
  • Pulukool Sandhya
    • 2
  • Amit Kumar Tyagi
    • 1
  • Debashish Danda
    • 2
  • Achamma Balraj
    • 1
  1. 1.Department of ENTChristian Medical CollegeVelloreIndia
  2. 2.Department of RheumatologyChristian Medical CollegeVelloreIndia

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