Autorreferência de problemas auditivos e vestibulares em mulheres com tireoidite de Hashimoto

• Autor(a) principal: Laitano, Aline
• Data de Publicação: 2020
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://repositorio.pucsp.br/jspui/handle/handle/23986
• topic: CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA; Doença de Hashimoto; Perda auditiva; Tontura; Zumbido; Hashimoto's disease; Hearing loss; Dizziness; Tinnitus

Introduction: Hashimoto's thyroiditis is an autoimmune thyroid disease in which the immune system attacks the gland itself with high concentrations of antithyroid antibodies. It is one of the most common endocrinological diseases and the most common cause of hypothyroidism. It usually appears more in women than in men, between 30 and 50 years of age, although it can occur in adolescents and young women. Research shows that there is a strong association between the concentration of antithyroid antibodies and the hearing organ, suggesting that their circulation in the blood is a risk factor for hearing loss, dizziness and tinnitus. In this context, no research focusing specifically on self-reported hearing and vestibular problems in the population with Hashimoto's thyroiditis was found. Objective: To investigate complaints of hearing and vestibular problems in women with Hashimoto's thyroiditis. Method: This is an observational, cross-sectional survey conducted with 140 women aged 18 to 59 years from endocrinology practices and a public hospital in the city of Porto Alegre/RS. Two study groups were constituted: one with Hashimoto's thyroiditis (GH) and one control without Hashimoto's thyroiditis (CG). The data collection instrument used was a health survey with personal data, history of diseases and drug treatments, self-referral questions and visual analog scales of hearing and balance. Of the 140 women in the sample, 55 also performed conventional audiometric assessment. Results: The proportion of women who reported hearing loss is higher in the Hashimoto group (63.8%) than in the Control group (17.1%). The proportion of women who reported feeling dizzy and tinnitus is higher in the group. Hashimoto (34.3% and 55.7%, respectively) than in the Control group (5.7% and 20.0%, respectively) and the chance of a Hashimoto individual not hearing as before is 9.78 times the chance that an individual in the Control group will not hear as before. In the audiometric analysis, the Hashimoto group had more hearing loss than the control group (44.4% and 10.7%, p = 0.005). Conclusion: This paper shows that Hashimoto's thyroiditis is a risk factor for complaints of hearing and vestibular problems