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Disorders of taste.

E Rareshide, R G Amedee

    The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
    |September 1, 1989
    PubMed
    Summary

    Millions experience taste and smell disorders, impacting health and well-being. Zinc therapy offers a potential treatment for some, while others require supportive care for chemosensory dysfunction.

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    Area of Science:

    • Otorhinolaryngology
    • Neurology
    • Endocrinology

    Background:

    • Chemosensory dysfunction affects over 2 million Americans, causing aesthetic, health, and psychosocial issues.
    • Common causes include upper respiratory infections, trauma, allergic rhinitis, or idiopathic factors.
    • Disorders may indicate underlying neoplastic, neurologic, endocrine, infectious, or nutritional problems, with only 1% being purely functional.

    Purpose of the Study:

    • To outline the evaluation and treatment strategies for patients with taste and smell disorders.
    • To identify potential therapeutic interventions for chemosensory dysfunction.

    Main Methods:

    • Patient evaluation involves a comprehensive history and physical examination.
    • A screening test battery is employed to identify treatable underlying etiologies.
    • Treatment response to exogenous zinc therapy is monitored over 2 to 4 months.

    Main Results:

    • Approximately one-third of patients with taste and smell dysfunction show improvement with zinc therapy.
    • A significant portion of patients do not respond to zinc therapy.

    Conclusions:

    • Early evaluation and diagnosis are crucial for managing taste and smell disorders.
    • Zinc therapy is a viable treatment option for a subset of patients.
    • Supportive measures are necessary for individuals unresponsive to zinc therapy.

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