在威尔逊病的味觉和嗅觉功能
Mandy K Salmon1, William G Cohen1, Fengling Hu2
1Department of Otorhinolaryngology- Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Journal of the neurological sciences
|March 17, 2024
概括
威尔逊病 (WD) 损害了嗅觉功能,但没有损害味觉功能. 需要进一步的研究,以了解为什么嗅觉受到影响,而味觉在WD患者中保持完整.
科学领域:
- 神经学 神经学
- 代谢障碍 代谢障碍 代谢障碍
- 感官科学 感官科学
背景情况:
- 威尔逊病 (WD) 是一种遗传代谢障碍,其特征是过度的铜积累.
- 在WD中,铜代谢异常导致肝脏,神经和精神症状.
- 虽然在WD中已经注意到嗅觉功能障碍,但味觉功能尚未被研究.
研究的目的:
- 为了研究和比较患有威尔逊病 (WD) 和健康对照患者的味觉和嗅觉功能.
- 为了确定WD是否影响味觉感知.
- 为了评估WD患者的嗅觉功能.
主要方法:
- 对29名WD患者和790名健康对照进行了定量味道和气味测试.
- 使用无水实证味道测试 (WETT®) 评估了味道.
- 香味使用经过修订的宾夕法尼亚大学香味识别测试 (R-UPSIT®) 进行了评估,数据使用多重线性回归分析,控制年龄和性别.
主要成果:
- 在WD患者和对照人群之间没有观察到味道测试得分的显著差异 (p=0.242).
- 与对照组相比,WD患者的嗅觉功能显著降低 (p<0.001).
- 味觉和嗅觉功能都没有受到WD症状亚型,药物或诊断后的持续时间的影响.
结论:
- 威尔逊病显著损害嗅觉功能,但不影响味觉感知.
- 感官缺陷的分歧需要进一步研究潜在的病理生理机制.
- 了解这些机制可以为WD和感官系统相互作用提供新的见解.
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