Year : 2016  |  Volume : 9  |  Issue : 2  |  Page : 198--199

Sensorineural hearing loss in Kawasaki disease


Mahmood Dhahir Al-Mendalawi 
 Department of Paediatrics, Al-Kindy College of Medicine, Baghdad University, Baghdad, Iraq

Correspondence Address:
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, Baghdad University, Baghdad
Iraq




How to cite this article:
Al-Mendalawi MD. Sensorineural hearing loss in Kawasaki disease.Ann Pediatr Card 2016;9:198-199


How to cite this URL:
Al-Mendalawi MD. Sensorineural hearing loss in Kawasaki disease. Ann Pediatr Card [serial online] 2016 [cited 2020 Jun 3 ];9:198-199
Available from: http://www.annalspc.com/text.asp?2016/9/2/198/180676


Full Text

Sir,

I read with interest the case report by Aggarwal et al. on the sensorineural hearing loss (SNHL) in a child with Kawasaki disease (KD).[1] The authors state that “Because of the reported high incidence of the SNHL, we strongly recommend screening all children with KD for hearing loss.”[1] I presume that such recommendation ought to be cautiously taken. This is based on the following two points:

Recently published data pointed out that SNHL in children with KD might occur during treatment of the acute phase; SNHL usually involves mild bilateral hearing loss and recovers naturally.[2]A significant association has been found between persistent SNHL, although often not initially noted, with certain variables in KD patients, namely, prolonged presence of thrombocytosis, anemia, high erythrocyte sedimentation rate, and the delayed use of intravenous administration of immunoglobulin after the first 10 days of illness.[3]

I, therefore, presume that instead of the audiological screening of all KD patients, as recommended by the authors, screening should be reserved for those patients with the aforementioned variables. This appears to be more justifiable and likely to disclose significant SNHL as well as it is cost-effective, particularly in an area with limited resources.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Aggarwal V, Etinger V, Orjuela AF. Sensorineural hearing loss in Kawasaki disease. Ann Pediatr Card 2016;9:87-9.
2Park SY, Kim YH, Kim YH, Hyun MC, Lee YH. Sensorineural hearing loss in patients with Kawasaki disease. Korean J Pediatr 2015;58:434-9.
3Magalhães CM, Magalhães Alves NR, Oliveira KM, Silva IM, Gandolfi L, Pratesi R. Sensorineural hearing loss: An underdiagnosed complication of Kawasaki disease. J Clin Rheumatol 2010;16:322-5.