Background: Recently there is growing interest for inner ear involvement in systemic autoimmune diseases. Several studies showed inflammatory cells in the inner ear, describing the presence of resident cochlear macrophages in animal models and the recruitment of inflammatory macrophages to the cochlea.⁽¹⁾ Method: 16 rheumatoid arthritis patients were enrolled in this study. Audiological assessment was done using pure tone audiometry (PTA). Vestibular assessment for lateral semicircular canal was done by video head impulse test (VHIT). Results: 50% of rheumatoid arthritis patients were discovered to be suffering of hearing loss of all types and degrees detected by pure tone audiometry, VHIT was normal in all patients. Conclusion: Hearing impairment is not uncommon finding in rheumatoid arthritis patients. It can have a negative impact on a patient's quality of life. So, audiological assessment and follow up are necessary for rheumatoid arthritis patients.