Pediatric rheumatology

Ear involvement in patients affected by juvenile idiopathic arthritis

Joint Bone SpinePublished Cohort study

Authors' conclusion

Hearing impairment and/or abnormal tympanograms suggest ear involvement in patients with JIA.

Study context

Population
Patients with three juvenile idiophathic arthritis (JIA) subtypes (oligoarticular, polyarticular, psoriatic) aged 3–18 years
Participants
45 vs 30
Exposure
JIA patients vs healthy sex and age-matched children
  • JIAn = 45
  • Controln = 30reference
Outcome
Frequency of hearing impairment and associated risk factors
Methodological detailssex and age-matched healthy controls
  • Sex and age-matched healthy controls

Main finding

As reported in the abstract

Audiological impairment

JIA

35.5%

16/45 of 45

Observational data: associations, not effects.

Further findings

OutcomeJIAP value
Hypoacusis (ears)Control group ears17.8%P < 0.05
cJADAS10 and Childhood Health Assessment Questionnaire (CHAQ): JIA with hypoacusis vs JIA with normal audiometry · significantly greater
P < 0.001
cJADAS10 and CHAQ: JIA with hypoacusis vs JIA with normal audiometry · significantly greater
P < 0.001

Hypoacusis in patients with psoriasis (ears)

Hypoacusis in ears of patients with psoriasis
6/16

Abnormal tympanometry

Type As (shallow peak)
5
Type B (flat pattern)
4
Type C (negative pressure)
2

Absent stapedius reflex

Absent stapedius reflex
1 patient (3%)

Original publication

Ear involvement in patients affected by juvenile idiopathic arthritis. Joint Bone Spine. Published 1 November 2025. doi:10.1016/j.jbspin.2025.106002

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