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Parosmia

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106:. This, in turn, leads to the signal triggering a different smell than the stimulating odor, and thus the patient cannot sync the input and output odors. Damage to ORNs describes a peripheral defect in the pathway, but there are also instances where damage to the processing center in the brain can lead to distorted odors. 117:
of the brain. Physical damage to this area would alter how the area processes information in a variety of ways, but there are also diseases that can alter how this area works. If the part of the brain that interprets these input signals is damaged, then a distorted output is possible. This would also
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certain smells, specifically coffees, cigarettes, onions, and perfumes, induced a "nauseating" odor for the patient, which was artificial and unrelated to a known smell. In another case study cited in the same paper, a woman had parosmia in one nostril but not the other. Medical examination
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characterized by the inability of the brain to correctly identify an odor's "natural" smell. Instead, the natural odor is usually transformed into an unpleasant aroma, typically a "burned", "rotting", "fecal", or "chemical" smell. There can also be rare instances of a pleasant odor called
138:(UPSIT). "Sniffin' Sticks" are another diagnostic method. These techniques can help deduce whether a specific case of parosmia can be attributed to just one stimulating odor or if there is a group of odors that will elicit the displaced smell. In one case studied by Frasnelli 101:
has also been linked to parosmia, specifically by damaging ORNs. Damage to these neurons could render them unable to correctly encode a signal representing a particular odor, which would send an erroneous signal to the odor processing center, the
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Symptoms of most patients afflicted with parosmia decrease over time. Although there are instances of parosmia affecting patients for years, this is certainly not the majority of cases. There have been experimental treatments of parosmia with
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lead to parosmia. Temporal lobe epilepsy has led to cases of parosmia, but these were only temporary; the onset of parosmia was a seizure and it typically lasted a week or two after. Parosmia is sometimes associated with
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did not reveal any abnormalities; however the parosmia in this case was degenerative, getting worse in time. The authors report that cases of parosmia can predict regeneration of olfactory senses.
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Franselli, J; B.N. Landis; S. Heilmann; B. Hauswald; K.B. Huttenbrink; J.S. Lacroix; D.A. Leopold; T. Hummel (2004). "Clinical presentation of qualitative olfactory dysfunction".
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Jacek, Sarah; R.J. Stevenson; L.A. Miller (November 2007). "Olfactory dysfunction in temporal lobe epilepsy: A case of ictus-related parosmia".
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as a rare side effect. Common triggers in COVID-19 related parosmia include coffee, chocolate, meat, onion and toothpaste. Exposure to harmful
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could also lead to dysfunctions that relate to what the afflicted brain area controls. In humans, the olfactory bulb is located on the
114: 730: 69:. The condition was rare and little-researched until it became relatively more widespread since 2020 as a side effect of 122:. Although the specific pathway is undetermined, the lack of dopamine has resulted in documented cases of parosmia and 86: 745: 523:"Olfactory Hallucinations without Clinical Motor Activity: A Comparison of Unirhinal with Birhinal Phantosmia" 965: 853: 90: 711: 305: 94: 974: 119: 736:"Signs and symptoms, etiologies and clinical course of parosmia + in a series of 84 patients" 740: 261:
Landis, B.N.; J. Frasnelli J; T. Hummel (January 2006). "Euosmia: A rare form of parosmia".
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There are numerous diseases with which parosmia is associated. In a case study, Frasnelli
8: 1070: 831: 700: 339:"A local steroid injection method for olfactory loss due to upper respiratory infection" 1065: 836: 776: 617: 557: 522: 503: 455: 430: 286: 38: 705: 947: 924: 897: 644: 609: 601: 562: 544: 495: 460: 360: 313: 278: 221: 775: 621: 507: 290: 593: 552: 534: 487: 450: 442: 350: 270: 211: 89:(URTIs). It is hypothesized that URTIs can result in parosmia because of damage to 200:"Distorted odorant perception - Analysis of a series of 56 patients with parosmia" 862: 716: 635:
Neundorfer, B; T Valdivieso (1977). "Parosmia and anosmia under L-Dopa Therapy".
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examined five patients that endured parosmia or phantosmia, most as a result of
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Henkin, Robert; Potolicchio, Samuel; Levy, Lucien (15 November 2013).
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Wolfensberger, M.; Schnieper, I.; Welge-Lüssen, A. (March 2000).
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inability to properly identify an odor's "natural" smell
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Bonfils, P; P Avan; P Faulcon; D Malinvaud (Feb 2005).
634: 306:"Distorted, Bizarre Food Smells Haunt Covid Survivors" 520: 663: 136:
University of Pennsylvania Smell Identification Test
431:"Parosmia and hyposmia induced by solvent exposure" 380:"Covid-19 smell loss 'made meat taste like petrol'" 204:Archives of Otolaryngology–Head & Neck Surgery 1057: 582:"Sniffin'Sticks: a new olfactory test battery" 761: 168:to the point that the odors are negligible. 134:One method used to diagnose parosmia is the 237: 235: 180:, perceiving smells not objectively present 768: 754: 556: 538: 454: 354: 215: 93:(ORNs). The condition has been linked to 336: 232: 1076:Symptoms and signs of mental disorders 1058: 435:British Journal of Industrial Medicine 428: 303: 749: 377: 13: 87:upper respiratory tract infections 14: 1087: 659: 16:Dysfunction with smell detection 628: 573: 471: 422: 396: 371: 330: 304:Schoch, Deborah (2021-06-15). 297: 254: 191: 1: 184: 129: 150: 60:"smell") is a dysfunctional 7: 966:Sensory processing disorder 492:10.1016/j.yebeh.2007.05.016 171: 10: 1092: 598:10.1080/000164800750001134 217:10.1001/archotol.131.2.107 91:olfactory receptor neurons 956: 933: 878: 795: 667: 533:(4). 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Index

Symptoms
smell detection
COVID-19
upper respiratory tract infections
olfactory receptor neurons
coronavirus disease 2019
solvents
olfactory bulb
head trauma
inferior side
Parkinson's disease
phantosmia
University of Pennsylvania Smell Identification Test
MRI
L-Dopa
anosmia
hyposmia
Phantosmia
"Distorted odorant perception - Analysis of a series of 56 patients with parosmia"
doi
10.1001/archotol.131.2.107
PMID
15723940


doi
10.1080/00016480510043954
PMID
16308262
S2CID

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