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• Double-blind studies were conducted for the treatment of idiopathic sudden hearing loss (ISHL) with oral steroids. The condition was defined as not less than a 30-dB loss over three contiguous frequencies in three days or less.

Dvorin and colleagues 1 estimate that 11% of adult outpatients with acute respiratory infection across the United States and 23% in the state of Louisiana are treated with systemic steroids. 1 These observations are based on administrative data that may be incomplete or inaccurate. However, the data are alarming given that there is no evidence that treatment with steroids is of benefit for

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