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Increased risk of olfactory and taste dysfunction in the United States psoriasis population

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Background

It is plausible that immunopathological processes associated with psoriasis might contribute to the occurrence of olfactory or taste dysfunction. However, the actual association was still unknown.

Purpose

To determine the relationship between olfactory or taste dysfunction and psoriasis.

Methods

Two cross-sectional studies were performed by using National Health and Nutrition Examination Survey (NHANES) data. Participants with psoriasis were defined as cases and those without psoriasis were identified as controls. Taste and smell self-reported questionnaires were used to define smell/taste alterations and identification tests were used to assure the smell/taste dysfunctions. Logistic regression models with inverse probability treatment weighting (IPTW) strategies were conducted to investigated the relationship between psoriasis and olfactory or taste dysfunction.

Results

Self-reported questionnaires indicated that psoriasis patients were more likely to have perceived taste alteration (IPTW-aOR = 1.43) and smell alteration (IPTW-aOR = 1.22). Identification tests revealed that psoriasis was associated with taste dysfunction (IPTW-aOR = 1.28) and olfactory dysfunction (IPTW-aOR = 1.22). Relevant findings showed that psoriasis may be significantly associated with taste or olfactory dysfunction regardless of the questionnaire data or identification examination data used.

Conclusion

Olfactory and taste dysfunction could be considered comorbidities in patients with psoriasis based on our observational study. Therefore, physicians should be cautious of olfaction and taste alterations among patients with psoriasis.

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References

  1. Stevenson RJ (2012) The role of attention in flavour perception. Flavour 1(1):2

    Article  Google Scholar 

  2. Liu G, Zong G, Doty RL, Sun Q (2016) Prevalence and risk factors of taste and smell impairment in a nationwide representative sample of the US population: a cross-sectional study. BMJ Open 6(11):e013246

    Article  Google Scholar 

  3. Neuland C, Bitter T, Marschner H, Gudziol H, Guntinas-Lichius O (2011) Health-related and specific olfaction-related quality of life in patients with chronic functional anosmia or severe hyposmia. Laryngoscope 121(4):867–872

    Article  Google Scholar 

  4. Pinto JM, Wroblewski KE, Kern DW, Schumm LP, McClintock MK (2014) Olfactory dysfunction predicts 5-year mortality in older adults. PLoS ONE 9(10):e107541

    Article  Google Scholar 

  5. Konstantinidis I, Haehner A, Frasnelli J, Reden J, Quante G, Damm M et al (2006) Post-infectious olfactory dysfunction exhibits a seasonal pattern. Rhinology 44(2):135–139

    CAS  Google Scholar 

  6. Fonteyn S, Huart C, Deggouj N, Collet S, Eloy P, Rombaux P (2014) Non-sinonasal-related olfactory dysfunction: a cohort of 496 patients. Eur Ann Otorhinolaryngol Head Neck Dis 131(2):87–91

    Article  CAS  Google Scholar 

  7. Spence C (2015) Just how much of what we taste derives from the sense of smell? Flavour 4(1):30

    Article  Google Scholar 

  8. Yao L, Yi X, Pinto JM, Yuan X, Guo Y, Liu Y et al (2018) Olfactory cortex and Olfactory bulb volume alterations in patients with post-infectious Olfactory loss. Brain Imaging Behav 12(5):1355–1362

    Article  Google Scholar 

  9. Pellegrino R, Farruggia MC, Small DM, Veldhuizen MG (2021) Post-traumatic olfactory loss and brain response beyond olfactory cortex. Sci Rep 11(1):4043

    Article  CAS  Google Scholar 

  10. Kunte H, Schmidt F, Kronenberg G, Hoffmann J, Schmidt C, Harms L et al (2013) Olfactory dysfunction in patients with idiopathic intracranial hypertension. Neurology 81(4):379–382

    Article  CAS  Google Scholar 

  11. Borgnakke WS, Anderson PF, Shannon C, Jivanescu A (2015) Is there a relationship between oral health and diabetic neuropathy? Curr Diab Rep 15(11):93

    Article  Google Scholar 

  12. Özmen S, Dülger S, Çoban S, Özmen ÖA, Güzelsoy M, Dikiş Ö et al (2016) Olfactory and erectile dysfunction association in smoking and non-smoking men. Physiol Behav 160:1–5

    Article  Google Scholar 

  13. Chéruel F, Jarlier M, Sancho-Garnier H (2017) Effect of cigarette smoke on gustatory sensitivity, evaluation of the deficit and of the recovery time-course after smoking cessation. Tob Induc Dis 15:15

    Article  Google Scholar 

  14. Siegel JK, Wroblewski KE, McClintock MK, Pinto JM (2019) Olfactory dysfunction persists after smoking cessation and signals increased cardiovascular risk. Int Forum Allergy Rhinol 9(9):977–985

    Article  Google Scholar 

  15. Roh D, Lee DH, Kim SW, Kim SW, Kim BG, Kim DH et al (2021) The association between olfactory dysfunction and cardiovascular disease and its risk factors in middle-aged and older adults. Sci Rep 11(1):1248

    Article  CAS  Google Scholar 

  16. Shoenfeld N, Agmon-Levin N, Flitman-Katzevman I, Paran D, Katz BS, Kivity S et al (2009) The sense of smell in systemic lupus erythematosus. Arthritis Rheum 60(5):1484–1487

    Article  Google Scholar 

  17. Steinbach S, Proft F, Schulze-Koops H, Hundt W, Heinrich P, Schulz S et al (2011) Gustatory and olfactory function in rheumatoid arthritis. Scand J Rheumatol 40(3):169–177

    Article  CAS  Google Scholar 

  18. Perricone C, Shoenfeld N, Agmon-Levin N, de Carolis C, Perricone R, Shoenfeld Y (2013) Smell and autoimmunity: a comprehensive review. Clin Rev Allergy Immunol 45(1):87–96

    Article  CAS  Google Scholar 

  19. Tekeli H, Senol MG, Altundag A, Yalcınkaya E, Kendirli MT, Yaşar H et al (2015) Olfactory and gustatory dysfunction in Myasthenia gravis: a study in Turkish patients. J Neurol Sci 356(1–2):188–192

    Article  Google Scholar 

  20. Boehncke WH, Schon MP (2015) Psoriasis. Lancet 386(9997):983–994

    Article  CAS  Google Scholar 

  21. Parisi R, Iskandar IYK, Kontopantelis E, Augustin M, Griffiths CEM, Ashcroft DM (2020) National, regional, and worldwide epidemiology of psoriasis: systematic analysis and modelling study. BMJ 369:m1590

    Article  Google Scholar 

  22. Foundation NP. Psoriasis statistics.

  23. Parisi R, Symmons DP, Griffiths CE, Ashcroft DM, Identification, Management of P et al (2013) Global epidemiology of psoriasis: a systematic review of incidence and prevalence. J Invest Dermatol 133(2):377–385

    Article  CAS  Google Scholar 

  24. Rachakonda TD, Schupp CW, Armstrong AW (2014) Psoriasis prevalence among adults in the United States. J Am Acad Dermatol 70(3):512–516

    Article  Google Scholar 

  25. Woźniak E, Owczarczyk-Saczonek A, Placek W (2021) Psychological stress, mast cells, and psoriasis-is there any relationship? Int J Mol Sci 22(24):13252

    Article  Google Scholar 

  26. Qureshi AA, Choi HK, Setty AR, Curhan GC (2009) Psoriasis and the risk of diabetes and hypertension: a prospective study of US female nurses. Arch Dermatol 145(4):379–382

    Article  Google Scholar 

  27. Xiao J, Chen LH, Tu YT, Deng XH, Tao J (2009) Prevalence of myocardial infarction in patients with psoriasis in central China. J Eur Acad Dermatol Venereol 23(11):1311–1315

    Article  CAS  Google Scholar 

  28. Ahlehoff O, Gislason GH, Charlot M, Jørgensen CH, Lindhardsen J, Olesen JB et al (2011) Psoriasis is associated with clinically significant cardiovascular risk: a Danish nationwide cohort study. J Intern Med 270(2):147–157

    Article  CAS  Google Scholar 

  29. Robati RM, Partovi-Kia M, Haghighatkhah HR, Younespour S, Abdollahimajd F (2014) Increased serum leptin and resistin levels and increased carotid intima-media wall thickness in patients with psoriasis: is psoriasis associated with atherosclerosis? J Am Acad Dermatol 71(4):642–648

    Article  CAS  Google Scholar 

  30. Organization WH (2016) Global report on psoriasis. World Health Organization, Geneva

    Google Scholar 

  31. Snast I, Reiter O, Atzmony L, Leshem YA, Hodak E, Mimouni D et al (2018) Psychological stress and psoriasis: a systematic review and meta-analysis. Br J Dermatol 178(5):1044–1055

    Article  CAS  Google Scholar 

  32. Lowes MA, Suárez-Fariñas M, Krueger JG (2014) Immunology of psoriasis. Annu Rev Immunol 32(1):227–255

    Article  CAS  Google Scholar 

  33. Kao LT, Li IH, Wang WM, Lee HC, Kao HH, Pan KT (2020) Illicit drugs, cannabis, and psoriasis in the United States: National Health and Nutrition Examination Survey. J Am Acad Dermatol 82(6):1514–1517

    Article  Google Scholar 

  34. Rawal S, Hoffman HJ, Honda M, Huedo-Medin TB, Duffy VB (2015) The Taste and Smell Protocol in the 2011–2014 US National Health and Nutrition Examination Survey (NHANES): test-retest reliability and validity testing. Chemosens Percept 8(3):138–148

    Article  Google Scholar 

  35. Zheng Y, Shen Y, Zhu Z, Hu H (2020) Associations between cadmium exposure and taste and smell dysfunction: Results from the National Health and Nutrition Examination Survey (NHANES), 2011–2014. Int J Environ Res Public Health 17(3):943

    Article  CAS  Google Scholar 

  36. Laudien M, Lamprecht P, Hedderich J, Holle J, Ambrosch P (2009) Olfactory dysfunction in Wegener’s granulomatosis. Rhinology 47(3):254–259

    Article  CAS  Google Scholar 

  37. Lutterotti A, Vedovello M, Reindl M, Ehling R, DiPauli F, Kuenz B et al (2011) Olfactory threshold is impaired in early, active multiple sclerosis. Mult Scler 17(8):964–969

    Article  CAS  Google Scholar 

  38. Proft F, Steinbach S, Dechant C, Witt M, Reindl C, Schulz S et al (2014) Gustatory and olfactory function in patients with granulomatosis with polyangiitis (Wegener’s). Scand J Rheumatol 43(6):512–518

    Article  CAS  Google Scholar 

  39. Veyseller B, Doğan R, Ozücer B, Aksoy F, Meriç A, Su O et al (2014) Olfactory function and nasal manifestations of Behçet’s disease. Auris Nasus Larynx 41(2):185–189

    Article  Google Scholar 

  40. Akyol L, Günbey E, Karlı R, Önem S, Özgen M, Sayarlıoğlu M (2016) Evaluation of olfactory function in Behçet’s disease. Eur J Rheumatol 3(4):153–156

    Article  Google Scholar 

  41. Bombini MF, Peres FA, Lapa AT, Sinicato NA, Quental BR, Pincelli ÁSM et al (2018) Olfactory function in systemic lupus erythematosus and systemic sclerosis. A longitudinal study and review of the literature. Autoimmun Rev 17(4):405–412

    Article  Google Scholar 

  42. Chen Q, Qiu F, Liu H, Li X, Li J (2019) Altered olfactory function in patients with systemic lupus erythematosus. Med Sci Monit 25:5929–5933

    Article  CAS  Google Scholar 

  43. Aydın E, Tekeli H, Karabacak E, Altunay İK, Aydın Ç, Çerman AA et al (2016) Olfactory functions in patients with psoriasis vulgaris: correlations with the severity of the disease. Arch Dermatol Res 308(6):409–414

    Article  Google Scholar 

  44. Kim DK, Choi SA, Eun KM, Kim SK, Kim DW, Phi JH (2019) Tumour necrosis factor alpha and interleukin-5 inhibit olfactory regeneration via apoptosis of olfactory sphere cells in mice models of allergic rhinitis. Clin Exp Allergy 49(8):1139–1149

    CAS  Google Scholar 

  45. Pozharskaya T, Lane AP (2013) Interferon gamma causes olfactory dysfunction without concomitant neuroepithelial damage. Int Forum Allergy Rhinol 3(11):861–865

    Article  Google Scholar 

  46. Wang H, Zhou M, Brand J, Huang L (2007) Inflammation activates the interferon signaling pathways in taste bud cells. J Neurosci 27(40):10703–10713

    Article  CAS  Google Scholar 

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Correspondence to Li-Ting Kao.

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Zhong, PX., Chen, YH., Li, IH. et al. Increased risk of olfactory and taste dysfunction in the United States psoriasis population. Eur Arch Otorhinolaryngol 280, 695–702 (2023). https://doi.org/10.1007/s00405-022-07530-4

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  • DOI: https://doi.org/10.1007/s00405-022-07530-4

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