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Systemic diseases and disorders.
1Smell and Taste Center and Department of Otorhinolaryngology: Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Systemic diseases significantly impact smell and taste, affecting daily life and safety. This review examines how various health conditions alter these crucial senses, highlighting the need for more quantitative chemosensory research.
Area of Science:
- Neuroscience
- Sensory Science
- Internal Medicine
Background:
- Smell and taste alterations significantly affect quality of life, safety, and nutrition.
- These senses are influenced by numerous systemic diseases, including infections and chronic conditions like diabetes and hypertension.
- While literature exists on chemosensory function in disease, quantitative testing remains limited for many disorders.
Purpose of the Study:
- To review the current understanding of how a broad spectrum of systemic diseases and disorders influence the senses of taste and smell.
- To highlight the impact of these sensory changes on patient well-being and daily activities.
- To identify gaps in empirical assessment and the need for more quantitative chemosensory research.
Main Methods:
- Literature review of existing studies assessing taste and smell function in various systemic diseases.
- Compilation of data on the effects of infections (viral, bacterial, fungal, parasitic) and autoimmune/collagen diseases.
- Analysis of findings related to conditions such as diabetes and hypertension.
Main Results:
- Systemic diseases broadly impact chemosensory perception, affecting smell and taste abilities.
- Infections and chronic conditions are frequently associated with altered sensory function.
- Quantitative chemosensory data is scarce for many conditions, leading to incongruent findings in the literature.
Conclusions:
- Systemic diseases profoundly influence taste and smell, with significant implications for health and quality of life.
- Further quantitative research is essential to accurately assess and understand chemosensory deficits across a wider range of disorders.
- Standardized chemosensory testing is needed to address inconsistencies and improve clinical understanding.
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