Can miR-34a be suitable for monitoring sensorineural hearing loss in patients with mitochondrial disease? A case series
Published in International Journal of Neuroscience, 2020
Roberta Marozzo, Valentina Pegoraro, Laura Dipietro, Massimo Ralli, Corrado Angelini, Arianna Di Stadio
Patient 1 was a 75 year-old man, affected by mitochondrial myopathy with multiple mitochondrial DNA (mtDNA) deletions, suffering from chronic obstructive pulmonary disease, hypertension, and Still disease. At the time of the study, the patient was being treated with corticosteroids (4 mg), rabeprazole (20 mg), idebenone (2700 mg), carnitine (2 g), alpha-lipoic acid (600 mg), oral supplement “Creatinine Plus” (1/die), tamsulosin (0.4 mg), verapamil chloralhydrate (180 mg), umeclidinium bromide (1 puff), beclomethasone (160 mg), formoterol (6 mg) (1 puff) and calcium carbonate and cholecalciferol (1 capsule). Also, the patient took 35 mg of Risedronic acid sodic salt weekly and 25.000 UI of vitamin D3 every 15 days. PTA showed a moderate to severe form of bilateral SNHL and normal impedance with bilateral absence of stapedius reflexes. The DPOAE test showed cochlear function impairment in the 1500-8000 Hz frequency range. ABR waves I and II were absent bilaterally, while waves III and V were normal.