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Olfactory impairment after chronic occupational cadmium exposure
C S Rose1, P G Heywood, R M Costanzo
1Department of Physiology, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0551.
Summary
Chronic cadmium exposure in workers was linked to olfactory dysfunction, impacting smell detection and identification. This suggests occupational fumes may harm both kidney and olfactory systems.
Area of Science:
- Environmental Health
- Toxicology
- Neuroscience
Background:
- Olfactory disorders affect millions, but the role of occupational and environmental exposures remains unclear.
- Cadmium is a toxic metal with known renal effects, but its impact on olfaction is not well-established.
Purpose of the Study:
- To investigate the association between occupational cadmium exposure and olfactory dysfunction in workers.
- To assess the relationship between cadmium body burden, renal damage, and olfactory function.
Main Methods:
- Studied 55 workers with chronic occupational exposure to cadmium fumes.
- Measured urinary cadmium and beta 2-microglobulin to assess exposure and renal damage.
- Quantified olfactory function using butanol detection threshold and odor identification tests.
Main Results:
- 44% of cadmium-exposed workers showed mild hyposmia; 13% had moderate to severe hyposmia.
- Workers with high urinary cadmium and proteinuria exhibited the most significant olfactory impairment, particularly in odor detection.
- Cadmium-exposed workers had higher rates of hyposmia compared to a normosmic reference group.
Conclusions:
- Chronic occupational cadmium exposure is associated with olfactory dysfunction.
- Cadmium-induced renal damage may coincide with olfactory impairment, suggesting a link between systemic toxicity and sensory deficits.