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Physiological discrimination and correlation between olfactory and gustatory dysfunction in long-term COVID-19.
1Neuroscience, Imaging and Clinical Sciences Department, 'G. d'Annunzio' Chieti-Pescara University, Chieti, Italy.
Physiological Reports
|November 22, 2022
Summary
Long COVID can cause lasting smell and taste dysfunction. A year-long study using an electronic nose found varied sensory loss patterns and correlations, suggesting neuroinvasion impacts chemical senses.
Area of Science:
- Neuroscience
- Otorhinolaryngology
- Infectious Diseases
Background:
- COVID-19, caused by SARS-CoV-2, presents with taste and smell dysfunction, but underlying mechanisms and long-term effects require further understanding.
- Differentiating between taste and smell impairments is crucial for accurate diagnosis and management of post-viral sensory deficits.
Observation:
- A longitudinal study re-evaluated long-term COVID-19 patients with anosmia (loss of smell) and ageusia (loss of taste) after one year.
- A volatilomic approach utilizing an electronic nose, coupled with olfactometric and gustometric tests, assessed a spectrum of sensory dysfunctions.
- Observed patterns included normal senses to complete loss, with specific correlations noted between olfactory threshold and olfactory perception.
Findings:
- A strong correlation exists between olfactory threshold and olfactory uni- and cross-modal perception.
- A moderate correlation was found between olfactory and taste thresholds.
- No significant correlation was identified between olfactory threshold and taste threshold, highlighting distinct sensory pathways.
Implications:
- Testing chemical senses can objectively differentiate between taste and olfactory impairments in post-COVID-19 patients.
- The findings support the hypothesis of long-term viral neuroinvasion, likely via the olfactory system, potentially damaging related multisensory areas affecting taste and smell.
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