We report two cases of irreversible sensineuronal hearing loss due to
hydroxychloroquine treatment. The first patient was a 44-year-old woma
n with long-standing systemic lupus erythematosus and the second case
was a 44-year-old man with clinical manifestations consistent with sub
acute cutaneous lupus erythematosus. They both developed irreversible
hearing loss after several years of hydroxychloroquine treatment. Sens
ineuronal deafness has previously, been reported in connection with ch
loroquine treatment, but this is the first report of ototoxicity assoc
iated with hydroxychloroquine.