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December 18, 2009
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Hearing Loss
(Deafness)

Medical Author: William C. Shiel, Jr, MD, FACP, FACR

What are forms of hearing loss?

Hearing loss, or deafness, can be present at birth (congenital), or become evident later in life (acquired). The distinction between acquired and congenital deafness specifies only the time that the deafness appears. It does not specify whether the cause of the deafness is genetic (inherited).

Acquired deafness may or may not be genetic. For example, it may be a manifestation of a delayed-onset form of genetic deafness. Alternatively, acquired deafness may be due to damage to the ear from noise.

Congenital deafness similarly may or may not be genetic. For example, it may be associated with a white forelock, and be caused by a genetic disease called Waardenburg syndrome. In fact, more than half of congenital hearing loss is inherited. Alternatively, congenital deafness may be due to a condition or infection to which the mother was exposed during pregnancy, such as the rubella virus.



Next: What are other classifications of hearing loss? »

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What is vitiligo, and what causes it?

Vitiligo (vit-ill-EYE-go) is a pigmentation disorder in which melanocytes (the cells that make pigment) in the skin are destroyed. As a result, white patches appear on the skin in different parts of the body. Similar patches also appear on both the mucous membranes (tissues that line the inside of the mouth and nose), and the retina (inner layer of the eyeball). The hair that grows on areas affected by vitiligo sometimes turns white.

The cause of vitiligo is not known, but doctors and researchers have several different theories. There is strong evidence that people with vitiligo inherit a group of three genes that make them susceptible to depigmentation. The most widely accepted view is that the depigmentation occurs because vitiligo is an autoimmune disease -- a disease in which a person's immune system reacts against the body's own organs or tissues. As such, people's bodies produce proteins called cytok...

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