Vestibular symptoms and objective vestibular dysfunction have been reported in patients with autoimmune and rheumatologic diseases, but available evidence remains fragmented and methodologically heterogeneous. Previous studies have often addressed audiovestibular involvement as a combined entity, limiting disease-specific interpretation of vestibular outcomes.
Audiologists and vestibular specialists should screen patients with systemic autoimmune or rheumatologic diseases for vestibular dysfunction, as this review provides GRADE-assessed evidence supporting the association; specific protocol changes depend on the individual disease and evidence grade reported.
Establishing a GRADE-rated evidence base for vestibular involvement in autoimmune diseases could prompt earlier vestibular referrals and integrated care between audiologists and rheumatologists.
- 01Systematic review used GRADE methodology to assess quality of evidence for vestibular dysfunction in autoimmune/rheumatologic diseases.