Case Report
Year: 2021 | Month: September | Volume: 8 | Issue: 9 | Pages: 327-330
DOI: https://doi.org/10.52403/ijrr.20210943
Vertigo in Systemic Lupus Erythematosus: A Case Report
Amira Fitriananda Putri1, Hanik Badriyah Hidayati2
1Department of Neurology, 2Department of Neurology, Faculty of Medicine, Airlangga University, Surabaya, Indonesia
Corresponding Author: Amira Fitriananda Putri
ABSTRACT
Introduction: Systemic lupus erythematosus (SLE) is a chronic inflammatory disease with multiorgan involvement based on an autoimmune process. SLE, although rare, is associated with comorbid vertigo. Vertigo in SLE is caused by a disturbance in the balance system in the inner ear. Few journals discuss SLE related to vertigo. We will report a case SLE with complaints of recurrent vertigo.
Case: A-37-year-old woman came with complaints of recurrent vertigo since 1 day ago with a duration of about 15 minutes associated with nausea, vomiting and nystagmus. Patient did not complain tinnitus or hearing disorders. The patient has been diagnosed as SLE since two years ago. The physical examination showed normal and Neuro-otological examination revealed nystagmus horizontal unidirectional, negative skew deviation test, positive Head Impulse Test (HIT).
Conclusion: Patients with a diagnosis of SLE can find comorbid peripheral vestibular disorders such as vertigo where there is an antibody mechanism that can damage the inner ear. Treatment of audiovestibular symptoms is usually strongly associated with systemic conditions and in patients with vertigo used betahistine to treatment.
Keywords: SLE, Inner Ear, Vertigo.
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