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Special Groups
Published in Vineet Relhan, Vijay Kumar Garg, Sneha Ghunawat, Khushbu Mahajan, Comprehensive Textbook on Vitiligo, 2020
Sandipan Dhar, Sahana M. Srinivas
Vitiligo has been associated with rare syndromes like Vogt-Koyanagi-Harada syndrome and Alezzandrini syndrome. Vogt-Koyanagi-Harada syndrome is characterized by uveitis, aseptic meningitis, dysacusia, alopecia, poliosis, and vitiligo. Alezzandrini syndrome is a constellation of segmental vitiligo, poliosis, ipsilateral uveitis, and partial hearing loss. In both conditions, vitiligo starts in late childhood or adolescence and is resistant to treatment [21].
Piebaldism
Published in Electra Nicolaidou, Clio Dessinioti, Andreas D. Katsambas, Hypopigmentation, 2019
Jovan Lalošević, Miloš Nikolić
Poliosis and leukoderma can also be present in certain acquired conditions. They have been commonly associated with vitiligo, more frequently in patients with the segmental form, with eyebrows being most commonly affected.27 Vogt-Koyanagi-Harada syndrome is a rare multisystem autoimmune disease that affects tissues containing melanin, including the eye, inner ear, meninges, and skin. The disease is characterized by bilateral uveitis associated with vitiligo, poliosis, aseptic meningitis, tinnitus, dysacusis, and alopecia.28 Alezzandrini syndrome is a condition characterized by unilateral degeneration of the retina, unilateral vitiligo, poliosis, and hearing abnormalities.29 White hair is often noted with early hair regrowth in alopecia areata (AA). Pigmented hairs are selectively affected in AA and may result in sudden whitening of a salt-and-pepper scalp.30,31 In sarcoidosis, poliosis can be present on the eyelashes, in the setting of uveitis.32 Also, it can be a manifestation of chronic blepharitis.33
Tinnitus following COVID-19 vaccination: report of three cases
Published in International Journal of Audiology, 2022
Daniela Parrino, Andrea Frosolini, Chiara Gallo, Romolo Daniele De Siati, Giacomo Spinato, Cosimo de Filippis
A 63-year-old man presented with sudden onset of left tinnitus 20 hours after the first vaccine dose, associated to hyperacusis and dysacusis (increased sensitivity and altered perception of environmental sounds, respectively). He was already known at our department for bilateral symmetrical mild high frequencies sensorineural hearing loss (SNHL). He did not report other adverse effects except local pain. He suffered from chronic gastritis, extrinsic asthma and reactive depression for which he had undergone psychotherapy. He had not previously been diagnosed with COVID-19. Otoscopy examination was normal. PTa revealed a slight threshold worsening on his left ear in comparison with the latest available audiometry performed 6 months before. Psychoacoustic Measures of Tinnitus resulted with a white noise of 25 dB intensity, THI score was 76/100. Oral corticosteroid therapy was proposed, but the patient refused. Control evaluation after 7 days found a spontaneous improvement of PTa, Psychoacoustic Measures of Tinnitus and THI score (36/100). The patient is still on the waiting list for MRI.
The International Association of Physicians in Audiology: from the Bulletin to HBC, a history 40 years long
Published in Hearing, Balance and Communication, 2021
Alessandro Martini, Davide Brotto, Stavros Hatzopoulos
The specialty of Audiological Medicine has been developing in a number of countries into a stronger collaboration with other physicians involved in the diagnosis and treatment of communication disorders. The aim of the transformation of the journal was to provide scientific information on the broad area of audiology and related sciences; a journal in which all the sciences/topics related to audiovestibular medicine and communication disorders have to be represented, e.g. molecular biology, genetics, cellular biology, pathology, neurophysiology, neuropsychology, neuroradiology etc., with particular attention to the ‘clinical’ implications of new scientific discoveries in our field. We will try to cover all topics related to our clinical practice (hearing screening, paediatric audiology, auditory neuropathy, dysacusis, tinnitus, balance disorders, and others – mainly audiological, but also speech production and languages difficulties). For this reason, the subtitle of the Journal changed to ‘International forum for hearing, balance and communication disorders’ [12,13].
On the definition of APD and the need for a conceptual model of terminology
Published in International Journal of Audiology, 2019
Dillon (2018) listed (in chronological order) the following terms as having been used to label persons with listening difficulties where the terms were agnostic as to the cause of the listening difficulty: central auditory dysfunction (Berry and Blair 1976), central auditory processing disorder (Sullivan 1975), auditory inferiority complex (Byrne and Kerr 1987), auditory disability with normal hearing (Stephens and Rendell 1988), selective dysacusis (Narula and Mason 1988), obscure auditory dysfunction (Saunders and Haggard 1989), central presbycusis (Stach, Spretnjak, and Jerger 1990), auditory dysacusis (Jayaram, Baguley, and Moffat 1992), King-Kopetzy syndrome (Hinchcliffe 1992), idiopathic discriminatory dysfunction (Rappaport, Phillips, and Gulliver 1993), APD (Jerger and Musiek 2000), (central) auditory processing disorder (ASHA 2005), and speech-in-noise (SPiN) impairment with a normal audiogram (Guest et al. 2018). Dillon (2018) noted that common to all of these terms was the intent to use them to describe persons with auditory perception poorer than expected from hearing thresholds in a manner that was sufficiently broad to include diverse types of deficits.