• Atypical incudomalleal and incudostapedial joint changes were found in a 55-year-old woman with long-standing rheumatoid arthritis and sicca syndrome (Sjögren syndrome). Available audiograms taken at 37 and 42 years of age demonstrated slight bilateral high-frequency loss of hearing.
The ossicular joint changes involved dissolution of disk material together with proliferation of synovial-type elements of the disk and articular surfaces, with formation of pannus-like tissue. There was extensive destruction of cartilage, with cellular collagenous tissue extending along the exposed bone surfaces. Despite strong similarities to rheumatoid arthritis, a definite diagnosis cannot be made in the absence of the inflammatory, Iymphocyteplasma cell component.
(Arch Otolaryngol 103:284-286, 1977)
Gussen R. Atypical Ossicle Joint Lesions in Rheumatoid Arthritis With Sicca Syndrome (Sjögren Syndrome). Arch Otolaryngol. 1977;103(5):284–286. doi:10.1001/archotol.1977.00780220078009
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