Introduction – Rheumatoid arthritis (RA) is well known to affect many different organ systems. Some previous work suggests that this includes the auditory system. The aim of this study was to evaluate whether patients with rheumatoid arthritis (RA) are more likely to have hearing loss compared with people without RA a. Materials and methods – Case-control cross-sectional study; 2 groups: 22 RA patients (20 women and 2 men, mean age of 44.2 years, disease duration median of 41 months (21, 141)) and 17 healthy subjects (13 women and 4 men, mean age of 41 years) apparied for age and sex (no difference between the two groups regarding age and sex). No subject of the 2 groups has had any abnormalities at otoscopic examination. Standard frequency pure tone audiometric tests, impedance audiometry (tympanometry and acoustic reflex test) were performed and compared between the 2 groups. Results: Hypoacousis was more common symptom in RA patients (50 vs 35 %; p=0.06). RA patients have worse hearing at low and middle frequencies (250 Hz to 2 kHz) and more elevated Air-bone gaps (45.5 vs 5.9; p= 0.01). Furthermore, Stapedial reflex abonormalities were significantly more frequent in RA patients (27.2 vs 0%; p=0.02). Conclusion: This study suggests that hearing loss risk is higher in RA patients . Audiological evaluation should must be performed periodically to identify possible audiological damage. Neverthless, larger studies are needed to confirm those results.