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| URL | https://en.wikipedia.org/wiki/Anosmia |
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| Boilerpipe Text | From Wikipedia, the free encyclopedia
Anosmia
Other names
Loss of smell, smell blindness,
[
1
]
odor blindness
Inflamed nasal mucosa causing anosmia
Pronunciation
Specialty
Otorhinolaryngology
Types
Partial, total
[
2
]
Anosmia
, also known as
smell blindness
, is the lack of ability to detect one or more
smells
.
[
1
]
[
2
]
Anosmia may be temporary or permanent.
[
3
]
It differs from
hyposmia
, which is a decreased sensitivity to some or all smells.
[
2
]
Anosmia can be categorized into acquired anosmia and
congenital anosmia
. Acquired anosmia develops later in life due to various causes, such as upper respiratory infections,
head trauma
, or
neurodegenerative diseases
.
[
4
]
In contrast, congenital anosmia is present from birth and is typically caused by genetic factors or developmental abnormalities of the olfactory system.
[
5
]
While acquired anosmia may have potential treatments depending on the underlying cause, such as medications or surgery, congenital anosmia currently has no known cure, and management focuses on safety precautions and coping strategies.
[
6
]
Anosmia can be due to a number of factors, including
inflammation
of the
nasal mucosa
, blockage of
nasal passages
, or destruction of
temporal lobular
tissue.
[
7
]
Anosmia stemming from sinus inflammation is due to chronic mucosal changes in the lining of the
paranasal sinus
and in the middle and superior
turbinates
.
[
8
]
[
9
]
When anosmia is caused by inflammatory changes in the nasal passageways, it is treated simply by reducing inflammation.
[
10
]
[
11
]
It can be caused by chronic
meningitis
and
neurosyphilis
that would increase intracranial pressure over a long period of time,
[
12
]
and, in some cases, by
ciliopathy
,
[
13
]
including ciliopathy due to
primary ciliary dyskinesia
.
[
14
]
The term derives from the
Neo-Latin
anosmia
, based on
Ancient Greek
ἀν- (
an
-) + ὀσμή (
osmḗ
'smell'; another related term,
hyperosmia
, refers to an increased ability to smell). Some people may be anosmic for one particular odor, a condition known as "specific anosmia". The absence of the sense of smell from birth is known as
congenital anosmia
.
[
15
]
In the United States, 3% of people aged over 40 are affected by anosmia.
[
3
]
Anosmia is a common symptom of
COVID-19
and can persist as
long COVID
.
[
16
]
Anosmia can have a number of harmful effects.
[
17
]
People with sudden onset anosmia may find food less appetizing, though
congenital
anosmics rarely complain about this, and none report a loss in weight. Loss of smell can also be dangerous because it hinders the detection of
gas leaks
, fire, and spoiled food. Misconceptions of anosmia as trivial can make it more difficult for a patient to receive the same types of medical aid as someone who has lost other senses, such as hearing or sight.
[
18
]
Many experience one sided loss of smell, often as a result of minor head trauma. This type of anosmia is normally only detected if both of the nostrils are tested separately. Using this method of testing each nostril separately will often show a reduced or even completely absent sense of smell in either one nostril or both, something which is often not revealed if both nostrils are simultaneously tested.
[
19
]
Losing an established and sentimental
smell memory
(e.g. the
smell of grass
, of the grandparents' attic, of a particular book, of loved ones, or of oneself) has been known to cause feelings of
depression
.
[
20
]
[
better source needed
]
Loss of the ability to smell may lead to the loss of
libido
, but this usually does not apply to those with olfactory dysfunction at birth.
[
20
]
[
21
]
Often people who have loss of smell at birth report that they pretended to be able to smell as children because they thought that smelling was something that older/mature people could do, or did not understand the concept of smelling but did not want to appear different from others. When children get older, they often realize and report to their parents that they do not actually possess a sense of smell, often to the surprise of their parents.
[
citation needed
]
A temporary loss of smell can be caused by a blocked
nose
or infection. In contrast, a permanent loss of smell may be caused by death of
olfactory receptor neurons
in the nose or by
brain injury
in which there is damage to the
olfactory nerve
or damage to brain areas that process smell (see
olfactory system
). The lack of the sense of smell at birth, usually due to genetic factors, is referred to as
congenital anosmia
.
Family members of the patient with congenital anosmia are often found with similar histories; this suggests that the anosmia may follow an autosomal dominant pattern.
[
22
]
Anosmia may very occasionally be an early sign of a degenerative brain disease such as
Parkinson's disease
and
Alzheimer's disease
.
[
23
]
Another specific cause of permanent loss could be from damage to olfactory receptor neurons because of use of certain types of
nasal spray
; i.e., those that cause vasoconstriction of the nasal microcirculation. To avoid such damage and the subsequent risk of loss of smell, vasoconstricting nasal sprays should be used only when absolutely necessary and then for only a short amount of time. Non-vasoconstricting sprays, such as those used to treat allergy-related congestion, are safe to use for prescribed periods of time.
[
24
]
Anosmia can also be caused by nasal polyps. These polyps are found in people with allergies, histories of sinusitis, and family history. Individuals with
cystic fibrosis
often develop nasal polyps.
[
citation needed
]
Amiodarone
is a drug used in the treatment of arrhythmias of the heart. A clinical study demonstrated that the use of this drug induced anosmia in some patients. Although rare, there was a case in which a 66-year-old male was treated with amiodarone for
ventricular tachycardia
. After the use of the drug he began experiencing olfactory disturbance, however after decreasing the dosage of amiodarone, the severity of the anosmia decreased accordingly, suggesting a relationship between use of amiodarone to the development of anosmia.
[
25
]
Chemosensory disturbances, including loss of smell or taste, are the predominant neurological symptom of
COVID-19
.
[
26
]
[
27
]
As many as 80% of COVID-19 patients exhibit some change in
chemesthesis
, including smell. Loss of smell has also been found to be more predictive of COVID-19 than all other symptoms, including fever, cough, or fatigue, based on a survey of 2 million participants in the UK and US.
[
28
]
Google searches for "smell", "loss of smell", "anosmia", and other similar terms increased since the early months of the pandemic, and strongly correlated with increases in daily cases and deaths.
[
29
]
Research into the mechanisms underlying these symptoms is currently ongoing.
[
30
]
[
31
]
Many countries list anosmia as an official COVID-19 symptom, and some have developed "smell tests" as potential screening tools.
[
32
]
[
33
]
In 2020, the Global Consortium for Chemosensory Research, a collaborative research organization of international smell and taste researchers, formed to investigate loss of smell and related chemosensory symptoms.
[
34
]
Decision-making in COVID-19 patients
[
edit
]
Studies have indicated that patients who presented with anosmia during the acute phase of COVID-19 are more likely to develop changes in decision-making, exhibiting more impulsive responses, which are associated with functional and structural brain changes.
[
35
]
Upper respiratory tract infection (such as
sinusitis
, the
common cold
)
[
36
]
COVID-19
[
37
]
[
38
]
Nasal polyps
[
39
]
Idiopathic
hypogonadotropic hypogonadism
Hypothyroidism
Head trauma, damage to the
ethmoid bone
[
40
]
Dementia with Lewy bodies
Tumors
of the
frontal lobe
Antibiotics
Fibromyalgia
Multiple sclerosis
Exposure to
hydrogen sulfide
(
H
2
S
) by paralysis of the olfactory nerve.
[
41
]
Hypoglycaemia
Diabetes
Asthma
or
allergy
Hayfever
Chronic obstructive pulmonary disease
(COPD)
Long term
alcoholism
Cushing's syndrome
Exposure to a chemical that burns the inside of the nose
Stroke
Epilepsy
Radiation therapy to the head and neck
Liver
or
kidney disease
Parkinson's disease
[
42
]
Alzheimer's disease
[
43
]
Toxins (especially
acrylates
,
methacrylates
[
44
]
and
cadmium
[
45
]
[
46
]
)
Old age
[
47
]
Kallmann syndrome
Primary ciliary dyskinesia
Post-perfusion syndrome
Laryngectomy
with permanent
tracheostomy
Esthesioneuroblastoma
is an exceedingly rare cancerous tumor that originates in or near the
olfactory nerve
. Symptoms are anosmia (loss of sense of smell) often accompanied by chronic
sinusitis
.
[
48
]
Intranasal
drug use
Aspirin-exacerbated respiratory disease
, also known as Samter's triad
Foster Kennedy syndrome
Cadmium poisoning
Smoking
Neurotropic virus
[
49
]
Schizophrenia
[
50
]
Pernicious anemia
Zinc deficiency
Bell's Palsy
or nerve paralysis and damage
Idiopathic intracranial hypertension
Suprasellar
meningioma
Refsum's disease
Adrenergic agonists
or withdrawal from
alpha blockers
(vasoconstriction)
Sarcoidosis
[
51
]
Zinc-based intranasal cold products, including remedies labelled as "homeopathic"
[
52
]
Chronic atrophic rhinitis
Paget's disease of bone
[
53
]
Cerebral aneurysm
[
54
]
Granulomatosis with polyangiitis
Primary amoebic meningoencephalitis
Myasthenia gravis
[
55
]
Snakebite
[
56
]
Idiopathic anosmia (cause cannot be determined)
[
3
]
Diagnosis begins with a detailed history, including possible related injuries, such as upper respiratory infections or head injury. The examination may involve nasal
endoscopy
for obstructive factors such as polyps or swelling.
[
7
]
A nervous system examination is performed to see if the
cranial nerves
are affected.
[
7
]
On occasion, after head traumas, there are people who have unilateral anosmia. The sense of smell should be tested individually in each nostril.
[
19
]
Many cases of congenital anosmia remain unreported and undiagnosed. Since the disorder is present from birth the individual may have little or no understanding of the sense of smell, hence is unaware of the deficit.
[
57
]
It may also lead to reduction of appetite.
[
58
]
Though anosmia caused by brain damage cannot be treated, anosmia caused by inflammatory changes in the mucosa may be treated with
glucocorticoids
. Reduction of inflammation through the use of oral glucocorticoids such as prednisone, followed by long term topical glucocorticoid nasal spray, would easily and safely treat the anosmia. A prednisone regimen is adjusted based on the degree of the thickness of mucosa, the discharge of oedema and the presence or absence of nasal polyps.
[
10
]
However, the treatment is not permanent and may have to be repeated after a short while.
[
10
]
Together with medication, pressure of the upper area of the nose must be mitigated through aeration and drainage.
[
59
]
Anosmia caused by a
nasal polyp
may be treated by steroidal treatment or removal of the polyp.
[
60
]
Although very early in development,
gene therapy
has restored a sense of smell in mice with congenital anosmia when caused by
ciliopathy
. In this case, a genetic condition had affected cilia in their bodies which normally enabled them to detect air-borne chemicals, and an
adenovirus
was used to implant a working version of the
IFT88
gene into defective cells in the nose, which restored the cilia and allowed a sense of smell.
[
61
]
[
62
]
In the United States, 3% of people aged over 40 are affected by anosmia.
[
3
]
In 2012, smell was assessed in persons aged 40 years and older with rates of anosmia/severe hyposmia of 0.3% at age 40–49 rising to 14.1% at age 80+. Rates of hyposmia were much higher: 3.7% at age 40–49 and 25.9% at 80+.
[
63
]
Famous people with anosmia
[
edit
]
Kathy Clugston
, British radio presenter
[
64
]
[
65
]
Ben Cohen
of Ben and Jerry's
[
66
]
[
67
]
Perrie Edwards
, singer of
Little Mix
[
68
]
Lorenzo de' Medici
, 15th-century ruler of
Florence
[
69
]
Bill Pullman
, American actor
[
70
]
Jason Sudeikis
, American actor
[
71
]
Simon Tatham
, British computer programmer
[
72
]
William Wordsworth
, poet
[
73
]
[
74
]
Ageusia
, the loss of the sense of taste
Anosmia Awareness Day
Congenital anosmia
Olfactory fatigue
, the habituation of the sense of smell to a particular odor or odors
Parosmia
Phantosmia
Zicam
, a medicine that caused some users to permanently lose their sense of smell
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. |
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## Contents
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- [(Top)](https://en.wikipedia.org/wiki/Anosmia)
- [1 Signs and symptoms](https://en.wikipedia.org/wiki/Anosmia#Signs_and_symptoms)
- [2 Causes](https://en.wikipedia.org/wiki/Anosmia#Causes)
Toggle Causes subsection
- [2\.1 COVID-19-related anosmia](https://en.wikipedia.org/wiki/Anosmia#COVID-19-related_anosmia)
- [2\.1.1 Decision-making in COVID-19 patients](https://en.wikipedia.org/wiki/Anosmia#Decision-making_in_COVID-19_patients)
- [2\.2 Possible causes](https://en.wikipedia.org/wiki/Anosmia#Possible_causes)
- [3 Diagnosis](https://en.wikipedia.org/wiki/Anosmia#Diagnosis)
- [4 Treatment](https://en.wikipedia.org/wiki/Anosmia#Treatment)
- [5 Epidemiology](https://en.wikipedia.org/wiki/Anosmia#Epidemiology)
- [6 Famous people with anosmia](https://en.wikipedia.org/wiki/Anosmia#Famous_people_with_anosmia)
- [7 See also](https://en.wikipedia.org/wiki/Anosmia#See_also)
- [8 References](https://en.wikipedia.org/wiki/Anosmia#References)
- [9 Further reading](https://en.wikipedia.org/wiki/Anosmia#Further_reading)
Toggle the table of contents
# Anosmia
47 languages
- [العربية](https://ar.wikipedia.org/wiki/%D9%81%D9%82%D8%AF_%D8%A7%D9%84%D8%B4%D9%85 "فقد الشم – Arabic")
- [Azərbaycanca](https://az.wikipedia.org/wiki/Anosmiya "Anosmiya – Azerbaijani")
- [বাংলা](https://bn.wikipedia.org/wiki/%E0%A6%98%E0%A7%8D%E0%A6%B0%E0%A6%BE%E0%A6%A3%E0%A6%B9%E0%A6%BE%E0%A6%A8%E0%A6%BF "ঘ্রাণহানি – Bangla")
- [Brezhoneg](https://br.wikipedia.org/wiki/Anosmiezh "Anosmiezh – Breton")
- [Bosanski](https://bs.wikipedia.org/wiki/Anosmija "Anosmija – Bosnian")
- [Català](https://ca.wikipedia.org/wiki/An%C3%B2smia "Anòsmia – Catalan")
- [Čeština](https://cs.wikipedia.org/wiki/Anosmie "Anosmie – Czech")
- [Deutsch](https://de.wikipedia.org/wiki/Anosmie "Anosmie – German")
- [Esperanto](https://eo.wikipedia.org/wiki/Anosmio "Anosmio – Esperanto")
- [Español](https://es.wikipedia.org/wiki/Anosmia "Anosmia – Spanish")
- [فارسی](https://fa.wikipedia.org/wiki/%D8%A2%D9%86%D9%88%D8%B3%D9%85%DB%8C "آنوسمی – Persian")
- [Suomi](https://fi.wikipedia.org/wiki/Anosmia "Anosmia – Finnish")
- [Français](https://fr.wikipedia.org/wiki/Anosmie "Anosmie – French")
- [Galego](https://gl.wikipedia.org/wiki/Anosmia "Anosmia – Galician")
- [עברית](https://he.wikipedia.org/wiki/%D7%AA%D7%AA%D7%A8%D7%A0%D7%95%D7%AA "תתרנות – Hebrew")
- [हिन्दी](https://hi.wikipedia.org/wiki/%E0%A4%98%E0%A5%8D%E0%A4%B0%E0%A4%BE%E0%A4%A3%E0%A4%B9%E0%A4%BE%E0%A4%A8%E0%A4%BF "घ्राणहानि – Hindi")
- [Hrvatski](https://hr.wikipedia.org/wiki/Anozmija "Anozmija – Croatian")
- [Magyar](https://hu.wikipedia.org/wiki/Anozmia "Anozmia – Hungarian")
- [Հայերեն](https://hy.wikipedia.org/wiki/%D4%B1%D5%B6%D6%85%D5%BD%D5%B4%D5%AB%D5%A1 "Անօսմիա – Armenian")
- [Bahasa Indonesia](https://id.wikipedia.org/wiki/Anosmia "Anosmia – Indonesian")
- [Ido](https://io.wikipedia.org/wiki/Anosmio "Anosmio – Ido")
- [Italiano](https://it.wikipedia.org/wiki/Anosmia "Anosmia – Italian")
- [日本語](https://ja.wikipedia.org/wiki/%E7%84%A1%E5%97%85%E8%A6%9A%E7%97%87 "無嗅覚症 – Japanese")
- [ქართული](https://ka.wikipedia.org/wiki/%E1%83%90%E1%83%9C%E1%83%9D%E1%83%A1%E1%83%9B%E1%83%98%E1%83%90 "ანოსმია – Georgian")
- [Қазақша](https://kk.wikipedia.org/wiki/%D0%90%D0%BD%D0%BE%D1%81%D0%BC%D0%B8%D1%8F "Аносмия – Kazakh")
- [한국어](https://ko.wikipedia.org/wiki/%ED%9B%84%EA%B0%81_%EC%83%81%EC%8B%A4 "후각 상실 – Korean")
- [Кыргызча](https://ky.wikipedia.org/wiki/%D0%90%D0%BD%D0%BE%D1%81%D0%BC%D0%B8%D1%8F "Аносмия – Kyrgyz")
- [Lëtzebuergesch](https://lb.wikipedia.org/wiki/Anosmie "Anosmie – Luxembourgish")
- [മലയാളം](https://ml.wikipedia.org/wiki/%E0%B4%85%E0%B4%98%E0%B5%8D%E0%B4%B0%E0%B4%BE%E0%B4%A3%E0%B4%A4 "അഘ്രാണത – Malayalam")
- [Bahasa Melayu](https://ms.wikipedia.org/wiki/Anosmia "Anosmia – Malay")
- [Nederlands](https://nl.wikipedia.org/wiki/Anosmie "Anosmie – Dutch")
- [ଓଡ଼ିଆ](https://or.wikipedia.org/wiki/%E0%AC%86%E0%AC%98%E0%AD%8D%E0%AC%B0%E0%AC%BE%E0%AC%A3%E0%AC%B9%E0%AC%BE%E0%AC%A8%E0%AD%80 "ଆଘ୍ରାଣହାନୀ – Odia")
- [Polski](https://pl.wikipedia.org/wiki/Anosmia "Anosmia – Polish")
- [Português](https://pt.wikipedia.org/wiki/Anosmia "Anosmia – Portuguese")
- [Română](https://ro.wikipedia.org/wiki/Anosmie "Anosmie – Romanian")
- [Русский](https://ru.wikipedia.org/wiki/%D0%90%D0%BD%D0%BE%D1%81%D0%BC%D0%B8%D1%8F "Аносмия – Russian")
- [Srpskohrvatski / српскохрватски](https://sh.wikipedia.org/wiki/Anosmija "Anosmija – Serbo-Croatian")
- [Simple English](https://simple.wikipedia.org/wiki/Anosmia "Anosmia – Simple English")
- [Slovenščina](https://sl.wikipedia.org/wiki/Anozmija "Anozmija – Slovenian")
- [Српски / srpski](https://sr.wikipedia.org/wiki/%D0%90%D0%BD%D0%BE%D1%81%D0%BC%D0%B8%D1%98%D0%B0 "Аносмија – Serbian")
- [Svenska](https://sv.wikipedia.org/wiki/Anosmi "Anosmi – Swedish")
- [Тоҷикӣ](https://tg.wikipedia.org/wiki/%D0%90%D0%BD%D0%BE%D1%81%D0%BC%D0%B8%D1%8F "Аносмия – Tajik")
- [Türkçe](https://tr.wikipedia.org/wiki/Anozmi "Anozmi – Turkish")
- [Українська](https://uk.wikipedia.org/wiki/%D0%90%D0%BD%D0%BE%D1%81%D0%BC%D1%96%D1%8F "Аносмія – Ukrainian")
- [اردو](https://ur.wikipedia.org/wiki/%D9%84%D8%A7%D8%B4%D8%A7%D9%85%DB%81 "لاشامہ – Urdu")
- [Oʻzbekcha / ўзбекча](https://uz.wikipedia.org/wiki/Anosmiya "Anosmiya – Uzbek")
- [中文](https://zh.wikipedia.org/wiki/%E5%97%85%E8%A7%89%E4%B8%A7%E5%A4%B1 "嗅觉丧失 – Chinese")
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From Wikipedia, the free encyclopedia
Inability to smell
Medical condition
| Anosmia | |
|---|---|
| Other names | Loss of smell, smell blindness,[\[1\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Coon2014-1) odor blindness |
| [](https://en.wikipedia.org/wiki/File:Anosmia.jpg) | |
| Inflamed nasal mucosa causing anosmia | |
| Pronunciation | [/ænˈɒzmiə/](https://en.wikipedia.org/wiki/Help:IPA/English "Help:IPA/English") |
| [Specialty](https://en.wikipedia.org/wiki/Medical_specialty "Medical specialty") | [Otorhinolaryngology](https://en.wikipedia.org/wiki/Otorhinolaryngology "Otorhinolaryngology") |
| Types | Partial, total[\[2\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Jon2010-2) |
**Anosmia**, also known as **smell blindness**, is the lack of ability to detect one or more [smells](https://en.wikipedia.org/wiki/Odor "Odor").[\[1\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Coon2014-1)[\[2\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Jon2010-2) Anosmia may be temporary or permanent.[\[3\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Li2020-3) It differs from [hyposmia](https://en.wikipedia.org/wiki/Hyposmia "Hyposmia"), which is a decreased sensitivity to some or all smells.[\[2\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Jon2010-2)
Anosmia can be categorized into acquired anosmia and [congenital anosmia](https://en.wikipedia.org/wiki/Congenital_anosmia "Congenital anosmia"). Acquired anosmia develops later in life due to various causes, such as upper respiratory infections, [head trauma](https://en.wikipedia.org/wiki/Head_injury "Head injury"), or [neurodegenerative diseases](https://en.wikipedia.org/wiki/Neurodegenerative_disease "Neurodegenerative disease").[\[4\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-NCBI2021-4) In contrast, congenital anosmia is present from birth and is typically caused by genetic factors or developmental abnormalities of the olfactory system.[\[5\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-FifthSense-5) While acquired anosmia may have potential treatments depending on the underlying cause, such as medications or surgery, congenital anosmia currently has no known cure, and management focuses on safety precautions and coping strategies.[\[6\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-MayoClinic-6)
Anosmia can be due to a number of factors, including [inflammation](https://en.wikipedia.org/wiki/Inflammation "Inflammation") of the [nasal mucosa](https://en.wikipedia.org/wiki/Nasal_mucosa "Nasal mucosa"), blockage of [nasal passages](https://en.wikipedia.org/wiki/Nasal_passage "Nasal passage"), or destruction of [temporal lobular](https://en.wikipedia.org/wiki/Temporal_lobe "Temporal lobe") tissue.[\[7\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-huynh-7) Anosmia stemming from sinus inflammation is due to chronic mucosal changes in the lining of the [paranasal sinus](https://en.wikipedia.org/wiki/Paranasal_sinus "Paranasal sinus") and in the middle and superior [turbinates](https://en.wikipedia.org/wiki/Turbinate "Turbinate").[\[8\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-8)[\[9\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-pmid35386650-9)
When anosmia is caused by inflammatory changes in the nasal passageways, it is treated simply by reducing inflammation.[\[10\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Knight1998-10)[\[11\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-11) It can be caused by chronic [meningitis](https://en.wikipedia.org/wiki/Meningitis "Meningitis") and [neurosyphilis](https://en.wikipedia.org/wiki/Neurosyphilis "Neurosyphilis") that would increase intracranial pressure over a long period of time,[\[12\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-12) and, in some cases, by [ciliopathy](https://en.wikipedia.org/wiki/Ciliopathy "Ciliopathy"),[\[13\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Uytingco2019-13) including ciliopathy due to [primary ciliary dyskinesia](https://en.wikipedia.org/wiki/Primary_ciliary_dyskinesia "Primary ciliary dyskinesia").[\[14\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-14)
The term derives from the [Neo-Latin](https://en.wikipedia.org/wiki/Neo-Latin "Neo-Latin") *anosmia*, based on [Ancient Greek](https://en.wikipedia.org/wiki/Ancient_Greek "Ancient Greek") ἀν- (*an*\-) + ὀσμή (*osmḗ* 'smell'; another related term, [hyperosmia](https://en.wikipedia.org/wiki/Hyperosmia "Hyperosmia"), refers to an increased ability to smell). Some people may be anosmic for one particular odor, a condition known as "specific anosmia". The absence of the sense of smell from birth is known as [congenital anosmia](https://en.wikipedia.org/wiki/Congenital_anosmia "Congenital anosmia").[\[15\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-15)
In the United States, 3% of people aged over 40 are affected by anosmia.[\[3\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Li2020-3)
Anosmia is a common symptom of [COVID-19](https://en.wikipedia.org/wiki/COVID-19 "COVID-19") and can persist as [long COVID](https://en.wikipedia.org/wiki/Long_COVID "Long COVID").[\[16\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-16)
## Signs and symptoms
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=1 "Edit section: Signs and symptoms")\]
Anosmia can have a number of harmful effects.[\[17\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Toller-17) People with sudden onset anosmia may find food less appetizing, though [congenital](https://en.wikipedia.org/wiki/Congenital "Congenital") anosmics rarely complain about this, and none report a loss in weight. Loss of smell can also be dangerous because it hinders the detection of [gas leaks](https://en.wikipedia.org/wiki/Gas_leak "Gas leak"), fire, and spoiled food. Misconceptions of anosmia as trivial can make it more difficult for a patient to receive the same types of medical aid as someone who has lost other senses, such as hearing or sight.[\[18\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-18)
Many experience one sided loss of smell, often as a result of minor head trauma. This type of anosmia is normally only detected if both of the nostrils are tested separately. Using this method of testing each nostril separately will often show a reduced or even completely absent sense of smell in either one nostril or both, something which is often not revealed if both nostrils are simultaneously tested.[\[19\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Harvey2006-19)
Losing an established and sentimental [smell memory](https://en.wikipedia.org/wiki/Olfactory_memory "Olfactory memory") (e.g. the [smell of grass](https://en.wikipedia.org/wiki/Smell_of_freshly_cut_grass "Smell of freshly cut grass"), of the grandparents' attic, of a particular book, of loved ones, or of oneself) has been known to cause feelings of [depression](https://en.wikipedia.org/wiki/Clinical_depression "Clinical depression").[\[20\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-bbc1-20)\[*[better source needed](https://en.wikipedia.org/wiki/Wikipedia:Verifiability#Questionable_sources "Wikipedia:Verifiability")*\]
Loss of the ability to smell may lead to the loss of [libido](https://en.wikipedia.org/wiki/Libido "Libido"), but this usually does not apply to those with olfactory dysfunction at birth.[\[20\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-bbc1-20)[\[21\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-21)
Often people who have loss of smell at birth report that they pretended to be able to smell as children because they thought that smelling was something that older/mature people could do, or did not understand the concept of smelling but did not want to appear different from others. When children get older, they often realize and report to their parents that they do not actually possess a sense of smell, often to the surprise of their parents.\[*[citation needed](https://en.wikipedia.org/wiki/Wikipedia:Citation_needed "Wikipedia:Citation needed")*\]
## Causes
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=2 "Edit section: Causes")\]
A temporary loss of smell can be caused by a blocked [nose](https://en.wikipedia.org/wiki/Human_nose "Human nose") or infection. In contrast, a permanent loss of smell may be caused by death of [olfactory receptor neurons](https://en.wikipedia.org/wiki/Olfactory_receptor_neuron "Olfactory receptor neuron") in the nose or by [brain injury](https://en.wikipedia.org/wiki/Acquired_brain_injury "Acquired brain injury") in which there is damage to the [olfactory nerve](https://en.wikipedia.org/wiki/Olfactory_nerve "Olfactory nerve") or damage to brain areas that process smell (see [olfactory system](https://en.wikipedia.org/wiki/Olfactory_system "Olfactory system")). The lack of the sense of smell at birth, usually due to genetic factors, is referred to as *[congenital anosmia](https://en.wikipedia.org/wiki/Congenital_anosmia "Congenital anosmia").* Family members of the patient with congenital anosmia are often found with similar histories; this suggests that the anosmia may follow an autosomal dominant pattern.[\[22\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-22) Anosmia may very occasionally be an early sign of a degenerative brain disease such as [Parkinson's disease](https://en.wikipedia.org/wiki/Parkinson%27s_disease "Parkinson's disease") and [Alzheimer's disease](https://en.wikipedia.org/wiki/Alzheimer%27s_disease "Alzheimer's disease").[\[23\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-23)
Another specific cause of permanent loss could be from damage to olfactory receptor neurons because of use of certain types of [nasal spray](https://en.wikipedia.org/wiki/Nasal_spray "Nasal spray"); i.e., those that cause vasoconstriction of the nasal microcirculation. To avoid such damage and the subsequent risk of loss of smell, vasoconstricting nasal sprays should be used only when absolutely necessary and then for only a short amount of time. Non-vasoconstricting sprays, such as those used to treat allergy-related congestion, are safe to use for prescribed periods of time.[\[24\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-24) Anosmia can also be caused by nasal polyps. These polyps are found in people with allergies, histories of sinusitis, and family history. Individuals with [cystic fibrosis](https://en.wikipedia.org/wiki/Cystic_fibrosis "Cystic fibrosis") often develop nasal polyps.\[*[citation needed](https://en.wikipedia.org/wiki/Wikipedia:Citation_needed "Wikipedia:Citation needed")*\]
[Amiodarone](https://en.wikipedia.org/wiki/Amiodarone "Amiodarone") is a drug used in the treatment of arrhythmias of the heart. A clinical study demonstrated that the use of this drug induced anosmia in some patients. Although rare, there was a case in which a 66-year-old male was treated with amiodarone for [ventricular tachycardia](https://en.wikipedia.org/wiki/Ventricular_tachycardia "Ventricular tachycardia"). After the use of the drug he began experiencing olfactory disturbance, however after decreasing the dosage of amiodarone, the severity of the anosmia decreased accordingly, suggesting a relationship between use of amiodarone to the development of anosmia.[\[25\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-25)
### COVID-19-related anosmia
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=3 "Edit section: COVID-19-related anosmia")\]
Chemosensory disturbances, including loss of smell or taste, are the predominant neurological symptom of [COVID-19](https://en.wikipedia.org/wiki/COVID-19 "COVID-19").[\[26\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-26)[\[27\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-27) As many as 80% of COVID-19 patients exhibit some change in [chemesthesis](https://en.wikipedia.org/wiki/Chemesthesis "Chemesthesis"), including smell. Loss of smell has also been found to be more predictive of COVID-19 than all other symptoms, including fever, cough, or fatigue, based on a survey of 2 million participants in the UK and US.[\[28\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-28) Google searches for "smell", "loss of smell", "anosmia", and other similar terms increased since the early months of the pandemic, and strongly correlated with increases in daily cases and deaths.[\[29\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-29) Research into the mechanisms underlying these symptoms is currently ongoing.[\[30\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-30)[\[31\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-31)
Many countries list anosmia as an official COVID-19 symptom, and some have developed "smell tests" as potential screening tools.[\[32\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-32)[\[33\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-33)
In 2020, the Global Consortium for Chemosensory Research, a collaborative research organization of international smell and taste researchers, formed to investigate loss of smell and related chemosensory symptoms.[\[34\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-34)
#### Decision-making in COVID-19 patients
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=4 "Edit section: Decision-making in COVID-19 patients")\]
Studies have indicated that patients who presented with anosmia during the acute phase of COVID-19 are more likely to develop changes in decision-making, exhibiting more impulsive responses, which are associated with functional and structural brain changes.[\[35\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-35)
### Possible causes
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=5 "Edit section: Possible causes")\]
| | |
|---|---|
|  | This section **needs more [reliable medical references](https://en.wikipedia.org/wiki/Wikipedia:Identifying_reliable_sources_\(medicine\) "Wikipedia:Identifying reliable sources (medicine)") for [verification](https://en.wikipedia.org/wiki/Wikipedia:Verifiability "Wikipedia:Verifiability") or relies too heavily on [primary sources](https://en.wikipedia.org/wiki/Wikipedia:Primary_sources "Wikipedia:Primary sources")**. Please review the contents of the section and [add the appropriate references](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit) if you can. Unsourced or poorly sourced material may be challenged and [removed](https://en.wikipedia.org/wiki/Wikipedia:Verifiability#Burden_of_evidence "Wikipedia:Verifiability"). *Find sources:* ["Anosmia"](https://www.google.com/search?as_eq=wikipedia&q=%22Anosmia%22) – [news](https://www.google.com/search?tbm=nws&q=%22Anosmia%22+-wikipedia&tbs=ar:1) **·** [newspapers](https://www.google.com/search?&q=%22Anosmia%22&tbs=bkt:s&tbm=bks) **·** [books](https://www.google.com/search?tbs=bks:1&q=%22Anosmia%22+-wikipedia) **·** [scholar](https://scholar.google.com/scholar?q=%22Anosmia%22) **·** [JSTOR](https://www.jstor.org/action/doBasicSearch?Query=%22Anosmia%22&acc=on&wc=on) *(October 2025)* |
- Upper respiratory tract infection (such as [sinusitis](https://en.wikipedia.org/wiki/Sinusitis "Sinusitis"), the [common cold](https://en.wikipedia.org/wiki/Common_cold "Common cold"))[\[36\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Doty2001-36)
- [COVID-19](https://en.wikipedia.org/wiki/COVID-19 "COVID-19")[\[37\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-37)[\[38\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-38)
- [Nasal polyps](https://en.wikipedia.org/wiki/Nasal_polyps "Nasal polyps")[\[39\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Ta2010-39)
- Idiopathic [hypogonadotropic hypogonadism](https://en.wikipedia.org/wiki/Hypogonadotropic_hypogonadism "Hypogonadotropic hypogonadism")
- [Hypothyroidism](https://en.wikipedia.org/wiki/Hypothyroidism "Hypothyroidism")
- Head trauma, damage to the [ethmoid bone](https://en.wikipedia.org/wiki/Ethmoid_bone "Ethmoid bone")[\[40\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Doty1997-40)
- [Dementia with Lewy bodies](https://en.wikipedia.org/wiki/Dementia_with_Lewy_bodies "Dementia with Lewy bodies")
- [Tumors](https://en.wikipedia.org/wiki/Tumors "Tumors") of the [frontal lobe](https://en.wikipedia.org/wiki/Frontal_lobe "Frontal lobe")
- [Antibiotics](https://en.wikipedia.org/wiki/Antibiotics "Antibiotics")
- [Fibromyalgia](https://en.wikipedia.org/wiki/Fibromyalgia "Fibromyalgia")
- [Multiple sclerosis](https://en.wikipedia.org/wiki/Multiple_sclerosis "Multiple sclerosis")
- Exposure to [hydrogen sulfide](https://en.wikipedia.org/wiki/Hydrogen_sulfide "Hydrogen sulfide") (H
2S) by paralysis of the olfactory nerve.[\[41\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-41)
- [Hypoglycaemia](https://en.wikipedia.org/wiki/Hypoglycaemia "Hypoglycaemia")
- [Diabetes](https://en.wikipedia.org/wiki/Diabetes "Diabetes")
- [Asthma](https://en.wikipedia.org/wiki/Asthma "Asthma") or [allergy](https://en.wikipedia.org/wiki/Allergy "Allergy")
- [Hayfever](https://en.wikipedia.org/wiki/Hayfever "Hayfever")
- [Chronic obstructive pulmonary disease](https://en.wikipedia.org/wiki/Chronic_obstructive_pulmonary_disease "Chronic obstructive pulmonary disease") (COPD)
- Long term [alcoholism](https://en.wikipedia.org/wiki/Alcoholism "Alcoholism")
- [Cushing's syndrome](https://en.wikipedia.org/wiki/Cushing%27s_syndrome "Cushing's syndrome")
- Exposure to a chemical that burns the inside of the nose
- [Stroke](https://en.wikipedia.org/wiki/Stroke "Stroke")
- [Epilepsy](https://en.wikipedia.org/wiki/Epilepsy "Epilepsy")
- Radiation therapy to the head and neck
- [Liver](https://en.wikipedia.org/wiki/Liver_disease "Liver disease") or [kidney disease](https://en.wikipedia.org/wiki/Kidney_disease "Kidney disease")
- [Parkinson's disease](https://en.wikipedia.org/wiki/Parkinson%27s_disease "Parkinson's disease")[\[42\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Doty1988-42)
- [Alzheimer's disease](https://en.wikipedia.org/wiki/Alzheimer%27s_disease "Alzheimer's disease")[\[43\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Murphy1988-43)
- Toxins (especially [acrylates](https://en.wikipedia.org/wiki/Acrylate "Acrylate"), [methacrylates](https://en.wikipedia.org/wiki/Methacrylate "Methacrylate")[\[44\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Schwartz-44) and [cadmium](https://en.wikipedia.org/wiki/Cadmium "Cadmium")[\[45\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Rose1992-45)[\[46\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Rydzewski1998-46))
- Old age[\[47\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-47)
- [Kallmann syndrome](https://en.wikipedia.org/wiki/Kallmann_syndrome "Kallmann syndrome")
- [Primary ciliary dyskinesia](https://en.wikipedia.org/wiki/Primary_ciliary_dyskinesia "Primary ciliary dyskinesia")
- [Post-perfusion syndrome](https://en.wikipedia.org/wiki/Post-perfusion_syndrome "Post-perfusion syndrome")
- [Laryngectomy](https://en.wikipedia.org/wiki/Laryngectomy "Laryngectomy") with permanent [tracheostomy](https://en.wikipedia.org/wiki/Tracheostomy "Tracheostomy")
- [Esthesioneuroblastoma](https://en.wikipedia.org/wiki/Esthesioneuroblastoma "Esthesioneuroblastoma") is an exceedingly rare cancerous tumor that originates in or near the [olfactory nerve](https://en.wikipedia.org/wiki/Olfactory_nerve "Olfactory nerve"). Symptoms are anosmia (loss of sense of smell) often accompanied by chronic [sinusitis](https://en.wikipedia.org/wiki/Sinusitis "Sinusitis").[\[48\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-48)
- [Intranasal](https://en.wikipedia.org/wiki/Insufflation_\(medicine\) "Insufflation (medicine)") [drug use](https://en.wikipedia.org/wiki/Recreational_drug_use "Recreational drug use")
- [Aspirin-exacerbated respiratory disease](https://en.wikipedia.org/wiki/Aspirin-exacerbated_respiratory_disease "Aspirin-exacerbated respiratory disease"), also known as Samter's triad
- [Foster Kennedy syndrome](https://en.wikipedia.org/wiki/Foster_Kennedy_syndrome "Foster Kennedy syndrome")
- [Cadmium poisoning](https://en.wikipedia.org/wiki/Cadmium_poisoning "Cadmium poisoning")
- [Smoking](https://en.wikipedia.org/wiki/Tobacco_smoking "Tobacco smoking")
- [Neurotropic virus](https://en.wikipedia.org/wiki/Neurotropic_virus "Neurotropic virus")[\[49\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-49)
- [Schizophrenia](https://en.wikipedia.org/wiki/Schizophrenia "Schizophrenia")[\[50\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-50)
- [Pernicious anemia](https://en.wikipedia.org/wiki/Pernicious_anemia "Pernicious anemia")
- [Zinc deficiency](https://en.wikipedia.org/wiki/Zinc_deficiency "Zinc deficiency")
- [Bell's Palsy](https://en.wikipedia.org/wiki/Bell%27s_Palsy "Bell's Palsy") or nerve paralysis and damage
- [Idiopathic intracranial hypertension](https://en.wikipedia.org/wiki/Idiopathic_intracranial_hypertension "Idiopathic intracranial hypertension")
- [Suprasellar](https://en.wikipedia.org/wiki/Sella_turcica "Sella turcica") [meningioma](https://en.wikipedia.org/wiki/Meningioma "Meningioma")
- [Refsum's disease](https://en.wikipedia.org/wiki/Refsum%27s_disease "Refsum's disease")
- [Adrenergic agonists](https://en.wikipedia.org/wiki/Adrenergic_agonist "Adrenergic agonist") or withdrawal from [alpha blockers](https://en.wikipedia.org/wiki/Alpha_blocker "Alpha blocker") (vasoconstriction)
- [Sarcoidosis](https://en.wikipedia.org/wiki/Sarcoidosis "Sarcoidosis")[\[51\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-51)
- [Zinc-based intranasal cold products, including remedies labelled as "homeopathic"](https://en.wikipedia.org/wiki/Zinc#Precautions "Zinc")[\[52\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-NYT1-52)
- [Chronic atrophic rhinitis](https://en.wikipedia.org/wiki/Chronic_atrophic_rhinitis "Chronic atrophic rhinitis")
- [Paget's disease of bone](https://en.wikipedia.org/wiki/Paget%27s_disease_of_bone "Paget's disease of bone")[\[53\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-53)
- [Cerebral aneurysm](https://en.wikipedia.org/wiki/Cerebral_aneurysm "Cerebral aneurysm")[\[54\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-54)
- [Granulomatosis with polyangiitis](https://en.wikipedia.org/wiki/Granulomatosis_with_polyangiitis "Granulomatosis with polyangiitis")
- [Primary amoebic meningoencephalitis](https://en.wikipedia.org/wiki/Primary_amoebic_meningoencephalitis "Primary amoebic meningoencephalitis")
- [Myasthenia gravis](https://en.wikipedia.org/wiki/Myasthenia_gravis "Myasthenia gravis")[\[55\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-55)
- [Snakebite](https://en.wikipedia.org/wiki/Snakebite "Snakebite")[\[56\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-56)
- Idiopathic anosmia (cause cannot be determined)[\[3\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Li2020-3)
## Diagnosis
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=6 "Edit section: Diagnosis")\]
Diagnosis begins with a detailed history, including possible related injuries, such as upper respiratory infections or head injury. The examination may involve nasal [endoscopy](https://en.wikipedia.org/wiki/Endoscopy "Endoscopy") for obstructive factors such as polyps or swelling.[\[7\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-huynh-7) A nervous system examination is performed to see if the [cranial nerves](https://en.wikipedia.org/wiki/Cranial_nerves "Cranial nerves") are affected.[\[7\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-huynh-7) On occasion, after head traumas, there are people who have unilateral anosmia. The sense of smell should be tested individually in each nostril.[\[19\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Harvey2006-19)
Many cases of congenital anosmia remain unreported and undiagnosed. Since the disorder is present from birth the individual may have little or no understanding of the sense of smell, hence is unaware of the deficit.[\[57\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-57) It may also lead to reduction of appetite.[\[58\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-58)
## Treatment
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=7 "Edit section: Treatment")\]
Though anosmia caused by brain damage cannot be treated, anosmia caused by inflammatory changes in the mucosa may be treated with [glucocorticoids](https://en.wikipedia.org/wiki/Glucocorticoids "Glucocorticoids"). Reduction of inflammation through the use of oral glucocorticoids such as prednisone, followed by long term topical glucocorticoid nasal spray, would easily and safely treat the anosmia. A prednisone regimen is adjusted based on the degree of the thickness of mucosa, the discharge of oedema and the presence or absence of nasal polyps.[\[10\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Knight1998-10) However, the treatment is not permanent and may have to be repeated after a short while.[\[10\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Knight1998-10) Together with medication, pressure of the upper area of the nose must be mitigated through aeration and drainage.[\[59\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-59)
Anosmia caused by a [nasal polyp](https://en.wikipedia.org/wiki/Nasal_polyp "Nasal polyp") may be treated by steroidal treatment or removal of the polyp.[\[60\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-60)
Although very early in development, [gene therapy](https://en.wikipedia.org/wiki/Gene_therapy "Gene therapy") has restored a sense of smell in mice with congenital anosmia when caused by [ciliopathy](https://en.wikipedia.org/wiki/Ciliopathy "Ciliopathy"). In this case, a genetic condition had affected cilia in their bodies which normally enabled them to detect air-borne chemicals, and an [adenovirus](https://en.wikipedia.org/wiki/Adenovirus "Adenovirus") was used to implant a working version of the [IFT88](https://en.wikipedia.org/wiki/IFT88 "IFT88") gene into defective cells in the nose, which restored the cilia and allowed a sense of smell.[\[61\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-61)[\[62\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-62)
## Epidemiology
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=8 "Edit section: Epidemiology")\]
In the United States, 3% of people aged over 40 are affected by anosmia.[\[3\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Li2020-3)
In 2012, smell was assessed in persons aged 40 years and older with rates of anosmia/severe hyposmia of 0.3% at age 40–49 rising to 14.1% at age 80+. Rates of hyposmia were much higher: 3.7% at age 40–49 and 25.9% at 80+.[\[63\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-NHANES12-63)
## Famous people with anosmia
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=9 "Edit section: Famous people with anosmia")\]
| | |
|---|---|
| [![\[icon\]](https://upload.wikimedia.org/wikipedia/commons/thumb/1/1c/Wiki_letter_w_cropped.svg/20px-Wiki_letter_w_cropped.svg.png)](https://en.wikipedia.org/wiki/File:Wiki_letter_w_cropped.svg) | This section **needs expansion**. You can help by [adding missing information](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=). *(January 2024)* |
- [Kathy Clugston](https://en.wikipedia.org/wiki/Kathy_Clugston "Kathy Clugston"), British radio presenter[\[64\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-64)[\[65\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-65)
- [Ben Cohen](https://en.wikipedia.org/wiki/Ben_Cohen_\(businessman\) "Ben Cohen (businessman)") of Ben and Jerry's[\[66\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-66)[\[67\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Sullivan_2021_o756-67)
- [Perrie Edwards](https://en.wikipedia.org/wiki/Perrie_Edwards "Perrie Edwards"), singer of [Little Mix](https://en.wikipedia.org/wiki/Little_Mix "Little Mix")[\[68\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-68)
- [Lorenzo de' Medici](https://en.wikipedia.org/wiki/Lorenzo_de%27_Medici "Lorenzo de' Medici"), 15th-century ruler of [Florence](https://en.wikipedia.org/wiki/Florence "Florence")[\[69\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-69)
- [Bill Pullman](https://en.wikipedia.org/wiki/Bill_Pullman "Bill Pullman"), American actor[\[70\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-70)
- [Jason Sudeikis](https://en.wikipedia.org/wiki/Jason_Sudeikis "Jason Sudeikis"), American actor[\[71\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-71)
- [Simon Tatham](https://en.wikipedia.org/wiki/Simon_Tatham "Simon Tatham"), British computer programmer[\[72\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-72)
- [William Wordsworth](https://en.wikipedia.org/wiki/William_Wordsworth "William Wordsworth"), poet[\[73\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-73)[\[74\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-74)
## See also
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=10 "Edit section: See also")\]
- [Ageusia](https://en.wikipedia.org/wiki/Ageusia "Ageusia"), the loss of the sense of taste
- [Anosmia Awareness Day](https://en.wikipedia.org/wiki/Anosmia_Awareness_Day "Anosmia Awareness Day")
- [Congenital anosmia](https://en.wikipedia.org/wiki/Congenital_anosmia "Congenital anosmia")
- [Olfactory fatigue](https://en.wikipedia.org/wiki/Olfactory_fatigue "Olfactory fatigue"), the habituation of the sense of smell to a particular odor or odors
- [Parosmia](https://en.wikipedia.org/wiki/Parosmia "Parosmia")
- [Phantosmia](https://en.wikipedia.org/wiki/Phantosmia "Phantosmia")
- [Zicam](https://en.wikipedia.org/wiki/Zicam "Zicam"), a medicine that caused some users to permanently lose their sense of smell
## References
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=11 "Edit section: References")\]
1. ^ [***a***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Coon2014_1-0) [***b***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Coon2014_1-1)
Coon D, Mitterer J (2014). ["4. Sensation and perception"](https://books.google.com/books?id=-4jCBAAAQBAJ&pg=PA136). *Introduction to Psychology: Gateways to Mind and Behavior*. Boston: Cengage Learning. p. 136. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-1-305-09187-0](https://en.wikipedia.org/wiki/Special:BookSources/978-1-305-09187-0 "Special:BookSources/978-1-305-09187-0")
. [LCCN](https://en.wikipedia.org/wiki/LCCN_\(identifier\) "LCCN (identifier)") [2014942026](https://lccn.loc.gov/2014942026).
2. ^ [***a***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Jon2010_2-0) [***b***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Jon2010_2-1) [***c***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Jon2010_2-2)
Jones N (2010). ["2. Making sense of symptoms"](https://books.google.com/books?id=arSSpm-OgjYC&pg=PA25). In Jones N (ed.). *Practical Rhinology*. CRC Press. pp. 24–25\. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-1-4441-0861-3](https://en.wikipedia.org/wiki/Special:BookSources/978-1-4441-0861-3 "Special:BookSources/978-1-4441-0861-3")
.
3. ^ [***a***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Li2020_3-0) [***b***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Li2020_3-1) [***c***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Li2020_3-2) [***d***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Li2020_3-3)
Li X, Lui F (6 July 2020). ["Anosmia"](https://www.ncbi.nlm.nih.gov/books/NBK482152/). *StatPearls*. StatPearls Publishing. [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [29489163](https://pubmed.ncbi.nlm.nih.gov/29489163). Retrieved 1 December 2020.
4. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-NCBI2021_4-0)**
Li, X.; Lui, F. (2021). ["Anosmia - StatPearls - NCBI Bookshelf"](https://www.ncbi.nlm.nih.gov/books/NBK482152/). *NCBI*. [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [29489163](https://pubmed.ncbi.nlm.nih.gov/29489163). Retrieved 2024-07-06.
5. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-FifthSense_5-0)**
["Congenital Anosmia"](https://www.fifthsense.org.uk/congenital-anosmia/). *Fifth Sense*. Retrieved 2024-07-06.
6. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-MayoClinic_6-0)**
["Loss of smell (anosmia) Causes"](https://www.mayoclinic.org/symptoms/loss-of-smell/basics/causes/sym-20050804). *Mayo Clinic*. Retrieved 2024-07-06.
7. ^ [***a***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-huynh_7-0) [***b***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-huynh_7-1) [***c***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-huynh_7-2)
Huynh PP, Ishii LE, Ishii M (July 2020). ["What Is Anosmia?"](https://doi.org/10.1001%2Fjama.2020.10966). *JAMA*. **324** (2): 206. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1001/jama.2020.10966](https://doi.org/10.1001%2Fjama.2020.10966). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [32556300](https://pubmed.ncbi.nlm.nih.gov/32556300). [S2CID](https://en.wikipedia.org/wiki/S2CID_\(identifier\) "S2CID (identifier)") [219916772](https://api.semanticscholar.org/CorpusID:219916772).
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Helliwell T (June 2010). ["Inflammatory diseases of the nasal cavities and paranasal sinuses"](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7172334). *Diagnostic Histopathology*. **16** (6): 255–264\. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1016/j.mpdhp.2010.03.008](https://doi.org/10.1016%2Fj.mpdhp.2010.03.008). [PMC](https://en.wikipedia.org/wiki/PMC_\(identifier\) "PMC (identifier)") [7172334](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7172334). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [32336992](https://pubmed.ncbi.nlm.nih.gov/32336992).
9. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-pmid35386650_9-0)**
Lin YT, Yeh TH (2022). ["Studies on Clinical Features, Mechanisms, and Management of Olfactory Dysfunction Secondary to Chronic Rhinosinusitis"](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8974686). *Frontiers in Allergy*. **3** 835151. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.3389/falgy.2022.835151](https://doi.org/10.3389%2Ffalgy.2022.835151). [PMC](https://en.wikipedia.org/wiki/PMC_\(identifier\) "PMC (identifier)") [8974686](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8974686). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [35386650](https://pubmed.ncbi.nlm.nih.gov/35386650).
10. ^ [***a***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Knight1998_10-0) [***b***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Knight1998_10-1) [***c***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Knight1998_10-2)
Knight A (August 1988). "Anosmia". *Lancet*. **2** (8609): 512. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1016/s0140-6736(88)90160-2](https://doi.org/10.1016%2Fs0140-6736%2888%2990160-2). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [2900434](https://pubmed.ncbi.nlm.nih.gov/2900434). [S2CID](https://en.wikipedia.org/wiki/S2CID_\(identifier\) "S2CID (identifier)") [208793859](https://api.semanticscholar.org/CorpusID:208793859).
(subscription required)
11. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-11)**
"Sinusitis Clinical Practice Guideline Quick Reference Tools", *Pediatric Clinical Practice Guidelines & Policies*, American Academy of Pediatrics, pp. 481–484, 2022-04-11, [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1542/9781610026086-part01-27](https://doi.org/10.1542%2F9781610026086-part01-27), [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-1-61002-608-6](https://en.wikipedia.org/wiki/Special:BookSources/978-1-61002-608-6 "Special:BookSources/978-1-61002-608-6")
`{{citation}}`: CS1 maint: work parameter with ISBN ([link](https://en.wikipedia.org/wiki/Category:CS1_maint:_work_parameter_with_ISBN "Category:CS1 maint: work parameter with ISBN"))
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"Anosmia". *The Lancet*. **241** (6228): 55. 1943. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1016/S0140-6736(00)89085-6](https://doi.org/10.1016%2FS0140-6736%2800%2989085-6). [S2CID](https://en.wikipedia.org/wiki/S2CID_\(identifier\) "S2CID (identifier)") [241387103](https://api.semanticscholar.org/CorpusID:241387103).
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Uytingco CR, Green WW, Martens JR (2019). ["Olfactory Loss and Dysfunction in Ciliopathies: Molecular Mechanisms and Potential Therapies"](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034980). *Current Medicinal Chemistry*. **26** (17): 3103–3119\. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.2174/0929867325666180105102447](https://doi.org/10.2174%2F0929867325666180105102447). [PMC](https://en.wikipedia.org/wiki/PMC_\(identifier\) "PMC (identifier)") [6034980](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034980). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [29303074](https://pubmed.ncbi.nlm.nih.gov/29303074).
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Ul Hassan A, Hassan G, Khan SH, Rasool Z, Abida A (January 2009). ["Ciliopathy with special emphasis on kartageners syndrome"](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3068795). *International Journal of Health Sciences*. **3** (1): 65–69\. [PMC](https://en.wikipedia.org/wiki/PMC_\(identifier\) "PMC (identifier)") [3068795](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3068795). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [21475513](https://pubmed.ncbi.nlm.nih.gov/21475513).
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Boesveldt S, Postma EM, Boak D, Welge-Luessen A, Schöpf V, Mainland JD, et al. (September 2017). ["Anosmia-A Clinical Review"](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5863566). *Chemical Senses*. **42** (7): 513–523\. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1093/chemse/bjx025](https://doi.org/10.1093%2Fchemse%2Fbjx025). [PMC](https://en.wikipedia.org/wiki/PMC_\(identifier\) "PMC (identifier)") [5863566](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5863566). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [28531300](https://pubmed.ncbi.nlm.nih.gov/28531300).
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["Q\&A: COVID-19 and loss of smell, taste"](https://www.mayoclinichealthsystem.org/hometown-health/featured-topic/q-and-a-covid-19-and-loss-of-smell-taste). *Mayo Clinic Health System*. Retrieved 2022-02-23.
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Toller SV (December 1999). ["Assessing the impact of anosmia: review of a questionnaire's findings"](https://doi.org/10.1093%2Fchemse%2F24.6.705). *Chemical Senses*. **24** (6): 705–712\. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1093/chemse/24.6.705](https://doi.org/10.1093%2Fchemse%2F24.6.705). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [10587505](https://pubmed.ncbi.nlm.nih.gov/10587505).
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Ball, Stephen; Boak, Duncan; Dixon, Joanne; Carrie, Sean; Philpott, Carl M. (November 2021). ["Barriers to effective health care for patients who have smell or taste disorders"](https://onlinelibrary.wiley.com/doi/10.1111/coa.13818). *Clinical Otolaryngology*. **46** (6): 1213–1222\. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1111/coa.13818](https://doi.org/10.1111%2Fcoa.13818). [ISSN](https://en.wikipedia.org/wiki/ISSN_\(identifier\) "ISSN (identifier)") [1749-4478](https://search.worldcat.org/issn/1749-4478). [PMC](https://en.wikipedia.org/wiki/PMC_\(identifier\) "PMC (identifier)") [8239785](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8239785). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [34085404](https://pubmed.ncbi.nlm.nih.gov/34085404).
19. ^ [***a***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Harvey2006_19-0) [***b***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Harvey2006_19-1)
Harvey P (February 2006). ["Anosmia"](http://pn.bmj.com/content/6/1/65.extract). *[Practical Neurology](https://en.wikipedia.org/wiki/Practical_Neurology "Practical Neurology")*. **6** (1): 65.
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Heald C (December 27, 2006). ["Sense and scent ability"](https://news.bbc.co.uk/2/hi/uk_news/magazine/6199605.stm). *BBC News*. Retrieved April 25, 2010.
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Gudziol V, Wolff-Stephan S, Aschenbrenner K, Joraschky P, Hummel T (July 2009). "Depression resulting from olfactory dysfunction is associated with reduced sexual appetite--a cross-sectional cohort study". *The Journal of Sexual Medicine*. **6** (7): 1924–1929\. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1111/j.1743-6109.2009.01266.x](https://doi.org/10.1111%2Fj.1743-6109.2009.01266.x). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [19453919](https://pubmed.ncbi.nlm.nih.gov/19453919).
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Waguespack RW (1992). ["Congenital Anosmia"](https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/620279). *Archives of Otolaryngology–Head & Neck Surgery*. **118** (1): 10. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1001/archotol.1992.01880010012002](https://doi.org/10.1001%2Farchotol.1992.01880010012002).
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Walker, Ian M.; Fullard, Michelle E.; Morley, James F.; Duda, John E. (2021), "Olfaction as an early marker of Parkinson's disease and Alzheimer's disease", [*The Human Hypothalamus: Neuropsychiatric Disorders*](https://linkinghub.elsevier.com/retrieve/pii/B9780128199732000307), Handbook of Clinical Neurology, vol. 182, Elsevier, pp. 317–329, [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1016/b978-0-12-819973-2.00030-7](https://doi.org/10.1016%2Fb978-0-12-819973-2.00030-7), [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
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24. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-24)** [Preventing Anosmia from Intranasal Zinc Administration](https://web.archive.org/web/20060101000005/http://www.coldcure.com/anosmia/anosmia.html)\[*[unreliable medical source?](https://en.wikipedia.org/wiki/Wikipedia:Identifying_reliable_sources_\(medicine\) "Wikipedia:Identifying reliable sources (medicine)")*\]
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Maruyama T, Yasuda S, Odashiro K, Kaji Y, Harada M (November 2007). ["Anosmia induced by amiodarone"](https://doi.org/10.1016%2Fj.amjmed.2006.08.029). *The American Journal of Medicine*. **120** (11) e9. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1016/j.amjmed.2006.08.029](https://doi.org/10.1016%2Fj.amjmed.2006.08.029). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [17976411](https://pubmed.ncbi.nlm.nih.gov/17976411).
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Lechien JR, Chiesa-Estomba CM, De Siati DR, et al. (August 2020). ["Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): a multicenter European study"](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7134551). *European Archives of Oto-Rhino-Laryngology*. **277** (8): 2251–2261\. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1007/s00405-020-05965-1](https://doi.org/10.1007%2Fs00405-020-05965-1). [PMC](https://en.wikipedia.org/wiki/PMC_\(identifier\) "PMC (identifier)") [7134551](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7134551). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [32253535](https://pubmed.ncbi.nlm.nih.gov/32253535).
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Walker A, Hopkins C, Surda P (July 2020). ["Use of Google Trends to investigate loss-of-smell-related searches during the COVID-19 outbreak"](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262261). *International Forum of Allergy & Rhinology*. **10** (7): 839–847\. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1002/alr.22580](https://doi.org/10.1002%2Falr.22580). [PMC](https://en.wikipedia.org/wiki/PMC_\(identifier\) "PMC (identifier)") [7262261](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262261). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [32279437](https://pubmed.ncbi.nlm.nih.gov/32279437).
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["Why Does Olivia Wilde's Fiancé Jason Sudeikis Think Her Cooking Always Tastes Good?"](http://www.people.com/article/olivia-wilde-answers-one-last-thing). *People*. February 27, 2015. [Archived](https://web.archive.org/web/20160125183619/http://www.people.com/article/olivia-wilde-answers-one-last-thing) from the original on January 25, 2016. Retrieved April 25, 2016. "My fiancé \[Jason Sudeikis\] has no sense of smell — he was born without it...."
72. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-72)**
["The 'Simon Tatham Has No Sense Of Smell' FAQ"](https://www.chiark.greenend.org.uk/~sgtatham/smell.html). *www.chiark.greenend.org.uk*. Retrieved 2025-08-02.
73. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-73)**
Boyson, Rowan Rose (2011). "Wordsworth's Anosmia". *La Questione Romantica*. **3** (2): 63–80\.
74. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-74)**
Healey, Nicola (24 June 2025). ["Losing 'a sense sublime': anosmia and poetry"](https://wildcourt.co.uk/losing-a-sense-sublime-anosmia-and-poetry/). *Wild Court*. Retrieved 5 August 2025.
## Further reading
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=12 "Edit section: Further reading")\]
[](https://en.wikipedia.org/wiki/File:Scholia_logo.svg)
[Scholia](https://www.wikidata.org/wiki/Wikidata:Scholia "d:Wikidata:Scholia") has a profile for [**anosmia (Q468433)**](https://iw.toolforge.org/scholia/Q468433 "toolforge:scholia/Q468433").
- Blodgett B (2010). [*Remembering Smell: A Memoir of Losing—and Discovering—the Primal Sense*](https://archive.org/details/rememberingsmell00blod_0). Houghton Mifflin Harcourt. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-0-618-86188-0](https://en.wikipedia.org/wiki/Special:BookSources/978-0-618-86188-0 "Special:BookSources/978-0-618-86188-0")
.
- Birnbaum M (2011). *Season to Taste: How I Lost my Sense of Smell and Found my Way*. Ecco. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-0-06-191531-4](https://en.wikipedia.org/wiki/Special:BookSources/978-0-06-191531-4 "Special:BookSources/978-0-06-191531-4")
.
- DeVere R, Calvert M (2010). *Navigating Smell and Taste Disorders*. Demos Health. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-1-932603-96-5](https://en.wikipedia.org/wiki/Special:BookSources/978-1-932603-96-5 "Special:BookSources/978-1-932603-96-5")
.
- Gilbert A (2008). *What the Nose Knows.The Science of Scent in Everyday Life*. Crown. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-1-4000-8234-6](https://en.wikipedia.org/wiki/Special:BookSources/978-1-4000-8234-6 "Special:BookSources/978-1-4000-8234-6")
.
- Herz R (2007). *The Scent of Desire. Discovering Our Enigmatic Sense of Smell*. HarperCollins. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-0-06-082538-6](https://en.wikipedia.org/wiki/Special:BookSources/978-0-06-082538-6 "Special:BookSources/978-0-06-082538-6")
.
- Tafalla M (2010). *Nunca sabrás a qué huele Bagdad (You will never know the smell of Bagdad)* (in Spanish). Autonomous University of Barcelona. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-84-490-2611-9](https://en.wikipedia.org/wiki/Special:BookSources/978-84-490-2611-9 "Special:BookSources/978-84-490-2611-9")
.
\- Novel dealing with congenital anosmia.
- Keller A, Malaspina D (July 2013). ["Hidden consequences of olfactory dysfunction: a patient report series"](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733708). *BMC Ear, Nose and Throat Disorders*. **13** (1) 8. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1186/1472-6815-13-8](https://doi.org/10.1186%2F1472-6815-13-8). [PMC](https://en.wikipedia.org/wiki/PMC_\(identifier\) "PMC (identifier)") [3733708](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733708). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [23875929](https://pubmed.ncbi.nlm.nih.gov/23875929).
- Tafalla M (September 2013). ["A world without the olfactory dimension"](https://doi.org/10.1002%2Far.22734). *Anatomical Record*. **296** (9): 1287–1296\. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1002/ar.22734](https://doi.org/10.1002%2Far.22734). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [23907763](https://pubmed.ncbi.nlm.nih.gov/23907763).
- Tafalla M (2013). ["Anosmic Aesthetics"](http://aesthetics.ff.cuni.cz/archive/341/anosmic-aesthetics). *Estetika: The Central European Journal of Aesthetics*. **50** (1/2013). Prag: 53–80\. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.33134/eeja.103](https://doi.org/10.33134%2Feeja.103).
- Wilson DA, Stevenson RJ (2006). *Learning to Smell. Olfactory Perception from Neurobiology to Behavior*. The Johns Hopkins University Press. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-0-8018-8368-2](https://en.wikipedia.org/wiki/Special:BookSources/978-0-8018-8368-2 "Special:BookSources/978-0-8018-8368-2")
.
| | |
|---|---|
| Classification | [D](https://www.wikidata.org/wiki/Q468433 "d:Q468433") **[ICD](https://en.wikipedia.org/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems "International Statistical Classification of Diseases and Related Health Problems")\-[10](https://en.wikipedia.org/wiki/ICD-10 "ICD-10")**: [R43.0](https://icd.who.int/browse10/2019/en#/R43.0) **[ICD](https://en.wikipedia.org/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems "International Statistical Classification of Diseases and Related Health Problems")\-[9-CM](https://en.wikipedia.org/wiki/List_of_ICD-9_codes "List of ICD-9 codes")**: [781\.1](http://www.icd9data.com/getICD9Code.ashx?icd9=781.1) **[MeSH](https://en.wikipedia.org/wiki/Medical_Subject_Headings "Medical Subject Headings")**: [D000857](https://meshb.nlm.nih.gov/record/ui?ui=D000857) |
| [v](https://en.wikipedia.org/wiki/Template:Symptoms_and_signs_related_to_perception,_emotion_and_behaviour "Template:Symptoms and signs related to perception, emotion and behaviour") [t](https://en.wikipedia.org/wiki/Template_talk:Symptoms_and_signs_related_to_perception,_emotion_and_behaviour "Template talk:Symptoms and signs related to perception, emotion and behaviour") [e](https://en.wikipedia.org/wiki/Special:EditPage/Template:Symptoms_and_signs_related_to_perception,_emotion_and_behaviour "Special:EditPage/Template:Symptoms and signs related to perception, emotion and behaviour")[Signs and symptoms](https://en.wikipedia.org/wiki/Signs_and_symptoms "Signs and symptoms") relating to [perception](https://en.wikipedia.org/wiki/Perception "Perception"), [emotion](https://en.wikipedia.org/wiki/Emotion "Emotion") and [behaviour](https://en.wikipedia.org/wiki/Behaviour "Behaviour") | |
|---|---|
| [Cognition](https://en.wikipedia.org/wiki/Cognition "Cognition") | [Confusion](https://en.wikipedia.org/wiki/Confusion "Confusion") [Delirium](https://en.wikipedia.org/wiki/Delirium "Delirium") [Psychosis](https://en.wikipedia.org/wiki/Psychosis "Psychosis") [Delusion](https://en.wikipedia.org/wiki/Delusion "Delusion") [Amnesia](https://en.wikipedia.org/wiki/Amnesia "Amnesia") [Anterograde amnesia](https://en.wikipedia.org/wiki/Anterograde_amnesia "Anterograde amnesia") [Retrograde amnesia](https://en.wikipedia.org/wiki/Retrograde_amnesia "Retrograde amnesia") [Convulsion](https://en.wikipedia.org/wiki/Convulsion "Convulsion") [Dizziness](https://en.wikipedia.org/wiki/Dizziness "Dizziness") [Disequilibrium](https://en.wikipedia.org/wiki/Disequilibrium_\(medicine\) "Disequilibrium (medicine)") [Presyncope](https://en.wikipedia.org/wiki/Presyncope "Presyncope")/[Lightheadedness](https://en.wikipedia.org/wiki/Lightheadedness "Lightheadedness") [Vertigo](https://en.wikipedia.org/wiki/Vertigo "Vertigo") |
| [Emotion](https://en.wikipedia.org/wiki/Emotion "Emotion") | [Anger](https://en.wikipedia.org/wiki/Anger "Anger") [Anxiety](https://en.wikipedia.org/wiki/Anxiety "Anxiety") [Depression](https://en.wikipedia.org/wiki/Depression_\(mood\) "Depression (mood)") [Fear](https://en.wikipedia.org/wiki/Fear "Fear") [Paranoia](https://en.wikipedia.org/wiki/Paranoia "Paranoia") [Hostility](https://en.wikipedia.org/wiki/Hostility "Hostility") [Irritability](https://en.wikipedia.org/wiki/Irritability "Irritability") [Suicidal ideation](https://en.wikipedia.org/wiki/Suicidal_ideation "Suicidal ideation") |
| [Behavior](https://en.wikipedia.org/wiki/Behavior "Behavior") | [Verbosity](https://en.wikipedia.org/wiki/Verbosity "Verbosity") [Russell's sign](https://en.wikipedia.org/wiki/Russell%27s_sign "Russell's sign") |
| [Perception](https://en.wikipedia.org/wiki/Perception "Perception") | |
| | |
| [Sight](https://en.wikipedia.org/wiki/Sight "Sight") | [Blindness](https://en.wikipedia.org/wiki/Blindness "Blindness") [Diplopia](https://en.wikipedia.org/wiki/Diplopia "Diplopia") [Scotoma](https://en.wikipedia.org/wiki/Scotoma "Scotoma") [Colorblindness](https://en.wikipedia.org/wiki/Colorblindness "Colorblindness") [Nyctalopia](https://en.wikipedia.org/wiki/Nyctalopia "Nyctalopia") |
| | |
| [Hearing](https://en.wikipedia.org/wiki/Hearing "Hearing") | [Deafness](https://en.wikipedia.org/wiki/Deafness "Deafness") [Spatial hearing loss](https://en.wikipedia.org/wiki/Spatial_hearing_loss "Spatial hearing loss") |
| | |
| [Smell](https://en.wikipedia.org/wiki/Olfaction "Olfaction") | [Anosmia]() [Hyposmia](https://en.wikipedia.org/wiki/Hyposmia "Hyposmia") [Dysosmia](https://en.wikipedia.org/wiki/Dysosmia "Dysosmia") [Parosmia](https://en.wikipedia.org/wiki/Parosmia "Parosmia") [Phantosmia](https://en.wikipedia.org/wiki/Phantosmia "Phantosmia") [Hyperosmia](https://en.wikipedia.org/wiki/Hyperosmia "Hyperosmia") |
| | |
| [Taste](https://en.wikipedia.org/wiki/Taste "Taste") | [Ageusia](https://en.wikipedia.org/wiki/Ageusia "Ageusia") [Hypogeusia](https://en.wikipedia.org/wiki/Hypogeusia "Hypogeusia") [Dysgeusia](https://en.wikipedia.org/wiki/Dysgeusia "Dysgeusia") [Hypergeusia](https://en.wikipedia.org/wiki/Hypergeusia "Hypergeusia") |

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Anosmia
47 languages
[Add topic](https://en.wikipedia.org/wiki/Anosmia) |
| Readable Markdown | From Wikipedia, the free encyclopedia
| Anosmia | |
|---|---|
| Other names | Loss of smell, smell blindness,[\[1\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Coon2014-1) odor blindness |
| [](https://en.wikipedia.org/wiki/File:Anosmia.jpg) | |
| Inflamed nasal mucosa causing anosmia | |
| Pronunciation | |
| [Specialty](https://en.wikipedia.org/wiki/Medical_specialty "Medical specialty") | [Otorhinolaryngology](https://en.wikipedia.org/wiki/Otorhinolaryngology "Otorhinolaryngology") |
| Types | Partial, total[\[2\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Jon2010-2) |
**Anosmia**, also known as **smell blindness**, is the lack of ability to detect one or more [smells](https://en.wikipedia.org/wiki/Odor "Odor").[\[1\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Coon2014-1)[\[2\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Jon2010-2) Anosmia may be temporary or permanent.[\[3\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Li2020-3) It differs from [hyposmia](https://en.wikipedia.org/wiki/Hyposmia "Hyposmia"), which is a decreased sensitivity to some or all smells.[\[2\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Jon2010-2)
Anosmia can be categorized into acquired anosmia and [congenital anosmia](https://en.wikipedia.org/wiki/Congenital_anosmia "Congenital anosmia"). Acquired anosmia develops later in life due to various causes, such as upper respiratory infections, [head trauma](https://en.wikipedia.org/wiki/Head_injury "Head injury"), or [neurodegenerative diseases](https://en.wikipedia.org/wiki/Neurodegenerative_disease "Neurodegenerative disease").[\[4\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-NCBI2021-4) In contrast, congenital anosmia is present from birth and is typically caused by genetic factors or developmental abnormalities of the olfactory system.[\[5\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-FifthSense-5) While acquired anosmia may have potential treatments depending on the underlying cause, such as medications or surgery, congenital anosmia currently has no known cure, and management focuses on safety precautions and coping strategies.[\[6\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-MayoClinic-6)
Anosmia can be due to a number of factors, including [inflammation](https://en.wikipedia.org/wiki/Inflammation "Inflammation") of the [nasal mucosa](https://en.wikipedia.org/wiki/Nasal_mucosa "Nasal mucosa"), blockage of [nasal passages](https://en.wikipedia.org/wiki/Nasal_passage "Nasal passage"), or destruction of [temporal lobular](https://en.wikipedia.org/wiki/Temporal_lobe "Temporal lobe") tissue.[\[7\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-huynh-7) Anosmia stemming from sinus inflammation is due to chronic mucosal changes in the lining of the [paranasal sinus](https://en.wikipedia.org/wiki/Paranasal_sinus "Paranasal sinus") and in the middle and superior [turbinates](https://en.wikipedia.org/wiki/Turbinate "Turbinate").[\[8\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-8)[\[9\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-pmid35386650-9)
When anosmia is caused by inflammatory changes in the nasal passageways, it is treated simply by reducing inflammation.[\[10\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Knight1998-10)[\[11\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-11) It can be caused by chronic [meningitis](https://en.wikipedia.org/wiki/Meningitis "Meningitis") and [neurosyphilis](https://en.wikipedia.org/wiki/Neurosyphilis "Neurosyphilis") that would increase intracranial pressure over a long period of time,[\[12\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-12) and, in some cases, by [ciliopathy](https://en.wikipedia.org/wiki/Ciliopathy "Ciliopathy"),[\[13\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Uytingco2019-13) including ciliopathy due to [primary ciliary dyskinesia](https://en.wikipedia.org/wiki/Primary_ciliary_dyskinesia "Primary ciliary dyskinesia").[\[14\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-14)
The term derives from the [Neo-Latin](https://en.wikipedia.org/wiki/Neo-Latin "Neo-Latin") *anosmia*, based on [Ancient Greek](https://en.wikipedia.org/wiki/Ancient_Greek "Ancient Greek") ἀν- (*an*\-) + ὀσμή (*osmḗ* 'smell'; another related term, [hyperosmia](https://en.wikipedia.org/wiki/Hyperosmia "Hyperosmia"), refers to an increased ability to smell). Some people may be anosmic for one particular odor, a condition known as "specific anosmia". The absence of the sense of smell from birth is known as [congenital anosmia](https://en.wikipedia.org/wiki/Congenital_anosmia "Congenital anosmia").[\[15\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-15)
In the United States, 3% of people aged over 40 are affected by anosmia.[\[3\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Li2020-3)
Anosmia is a common symptom of [COVID-19](https://en.wikipedia.org/wiki/COVID-19 "COVID-19") and can persist as [long COVID](https://en.wikipedia.org/wiki/Long_COVID "Long COVID").[\[16\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-16)
Anosmia can have a number of harmful effects.[\[17\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Toller-17) People with sudden onset anosmia may find food less appetizing, though [congenital](https://en.wikipedia.org/wiki/Congenital "Congenital") anosmics rarely complain about this, and none report a loss in weight. Loss of smell can also be dangerous because it hinders the detection of [gas leaks](https://en.wikipedia.org/wiki/Gas_leak "Gas leak"), fire, and spoiled food. Misconceptions of anosmia as trivial can make it more difficult for a patient to receive the same types of medical aid as someone who has lost other senses, such as hearing or sight.[\[18\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-18)
Many experience one sided loss of smell, often as a result of minor head trauma. This type of anosmia is normally only detected if both of the nostrils are tested separately. Using this method of testing each nostril separately will often show a reduced or even completely absent sense of smell in either one nostril or both, something which is often not revealed if both nostrils are simultaneously tested.[\[19\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Harvey2006-19)
Losing an established and sentimental [smell memory](https://en.wikipedia.org/wiki/Olfactory_memory "Olfactory memory") (e.g. the [smell of grass](https://en.wikipedia.org/wiki/Smell_of_freshly_cut_grass "Smell of freshly cut grass"), of the grandparents' attic, of a particular book, of loved ones, or of oneself) has been known to cause feelings of [depression](https://en.wikipedia.org/wiki/Clinical_depression "Clinical depression").[\[20\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-bbc1-20)\[*[better source needed](https://en.wikipedia.org/wiki/Wikipedia:Verifiability#Questionable_sources "Wikipedia:Verifiability")*\]
Loss of the ability to smell may lead to the loss of [libido](https://en.wikipedia.org/wiki/Libido "Libido"), but this usually does not apply to those with olfactory dysfunction at birth.[\[20\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-bbc1-20)[\[21\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-21)
Often people who have loss of smell at birth report that they pretended to be able to smell as children because they thought that smelling was something that older/mature people could do, or did not understand the concept of smelling but did not want to appear different from others. When children get older, they often realize and report to their parents that they do not actually possess a sense of smell, often to the surprise of their parents.\[*[citation needed](https://en.wikipedia.org/wiki/Wikipedia:Citation_needed "Wikipedia:Citation needed")*\]
A temporary loss of smell can be caused by a blocked [nose](https://en.wikipedia.org/wiki/Human_nose "Human nose") or infection. In contrast, a permanent loss of smell may be caused by death of [olfactory receptor neurons](https://en.wikipedia.org/wiki/Olfactory_receptor_neuron "Olfactory receptor neuron") in the nose or by [brain injury](https://en.wikipedia.org/wiki/Acquired_brain_injury "Acquired brain injury") in which there is damage to the [olfactory nerve](https://en.wikipedia.org/wiki/Olfactory_nerve "Olfactory nerve") or damage to brain areas that process smell (see [olfactory system](https://en.wikipedia.org/wiki/Olfactory_system "Olfactory system")). The lack of the sense of smell at birth, usually due to genetic factors, is referred to as *[congenital anosmia](https://en.wikipedia.org/wiki/Congenital_anosmia "Congenital anosmia").* Family members of the patient with congenital anosmia are often found with similar histories; this suggests that the anosmia may follow an autosomal dominant pattern.[\[22\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-22) Anosmia may very occasionally be an early sign of a degenerative brain disease such as [Parkinson's disease](https://en.wikipedia.org/wiki/Parkinson%27s_disease "Parkinson's disease") and [Alzheimer's disease](https://en.wikipedia.org/wiki/Alzheimer%27s_disease "Alzheimer's disease").[\[23\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-23)
Another specific cause of permanent loss could be from damage to olfactory receptor neurons because of use of certain types of [nasal spray](https://en.wikipedia.org/wiki/Nasal_spray "Nasal spray"); i.e., those that cause vasoconstriction of the nasal microcirculation. To avoid such damage and the subsequent risk of loss of smell, vasoconstricting nasal sprays should be used only when absolutely necessary and then for only a short amount of time. Non-vasoconstricting sprays, such as those used to treat allergy-related congestion, are safe to use for prescribed periods of time.[\[24\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-24) Anosmia can also be caused by nasal polyps. These polyps are found in people with allergies, histories of sinusitis, and family history. Individuals with [cystic fibrosis](https://en.wikipedia.org/wiki/Cystic_fibrosis "Cystic fibrosis") often develop nasal polyps.\[*[citation needed](https://en.wikipedia.org/wiki/Wikipedia:Citation_needed "Wikipedia:Citation needed")*\]
[Amiodarone](https://en.wikipedia.org/wiki/Amiodarone "Amiodarone") is a drug used in the treatment of arrhythmias of the heart. A clinical study demonstrated that the use of this drug induced anosmia in some patients. Although rare, there was a case in which a 66-year-old male was treated with amiodarone for [ventricular tachycardia](https://en.wikipedia.org/wiki/Ventricular_tachycardia "Ventricular tachycardia"). After the use of the drug he began experiencing olfactory disturbance, however after decreasing the dosage of amiodarone, the severity of the anosmia decreased accordingly, suggesting a relationship between use of amiodarone to the development of anosmia.[\[25\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-25)
Chemosensory disturbances, including loss of smell or taste, are the predominant neurological symptom of [COVID-19](https://en.wikipedia.org/wiki/COVID-19 "COVID-19").[\[26\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-26)[\[27\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-27) As many as 80% of COVID-19 patients exhibit some change in [chemesthesis](https://en.wikipedia.org/wiki/Chemesthesis "Chemesthesis"), including smell. Loss of smell has also been found to be more predictive of COVID-19 than all other symptoms, including fever, cough, or fatigue, based on a survey of 2 million participants in the UK and US.[\[28\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-28) Google searches for "smell", "loss of smell", "anosmia", and other similar terms increased since the early months of the pandemic, and strongly correlated with increases in daily cases and deaths.[\[29\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-29) Research into the mechanisms underlying these symptoms is currently ongoing.[\[30\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-30)[\[31\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-31)
Many countries list anosmia as an official COVID-19 symptom, and some have developed "smell tests" as potential screening tools.[\[32\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-32)[\[33\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-33)
In 2020, the Global Consortium for Chemosensory Research, a collaborative research organization of international smell and taste researchers, formed to investigate loss of smell and related chemosensory symptoms.[\[34\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-34)
#### Decision-making in COVID-19 patients
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=4 "Edit section: Decision-making in COVID-19 patients")\]
Studies have indicated that patients who presented with anosmia during the acute phase of COVID-19 are more likely to develop changes in decision-making, exhibiting more impulsive responses, which are associated with functional and structural brain changes.[\[35\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-35)
- Upper respiratory tract infection (such as [sinusitis](https://en.wikipedia.org/wiki/Sinusitis "Sinusitis"), the [common cold](https://en.wikipedia.org/wiki/Common_cold "Common cold"))[\[36\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Doty2001-36)
- [COVID-19](https://en.wikipedia.org/wiki/COVID-19 "COVID-19")[\[37\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-37)[\[38\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-38)
- [Nasal polyps](https://en.wikipedia.org/wiki/Nasal_polyps "Nasal polyps")[\[39\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Ta2010-39)
- Idiopathic [hypogonadotropic hypogonadism](https://en.wikipedia.org/wiki/Hypogonadotropic_hypogonadism "Hypogonadotropic hypogonadism")
- [Hypothyroidism](https://en.wikipedia.org/wiki/Hypothyroidism "Hypothyroidism")
- Head trauma, damage to the [ethmoid bone](https://en.wikipedia.org/wiki/Ethmoid_bone "Ethmoid bone")[\[40\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Doty1997-40)
- [Dementia with Lewy bodies](https://en.wikipedia.org/wiki/Dementia_with_Lewy_bodies "Dementia with Lewy bodies")
- [Tumors](https://en.wikipedia.org/wiki/Tumors "Tumors") of the [frontal lobe](https://en.wikipedia.org/wiki/Frontal_lobe "Frontal lobe")
- [Antibiotics](https://en.wikipedia.org/wiki/Antibiotics "Antibiotics")
- [Fibromyalgia](https://en.wikipedia.org/wiki/Fibromyalgia "Fibromyalgia")
- [Multiple sclerosis](https://en.wikipedia.org/wiki/Multiple_sclerosis "Multiple sclerosis")
- Exposure to [hydrogen sulfide](https://en.wikipedia.org/wiki/Hydrogen_sulfide "Hydrogen sulfide") (H
2S) by paralysis of the olfactory nerve.[\[41\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-41)
- [Hypoglycaemia](https://en.wikipedia.org/wiki/Hypoglycaemia "Hypoglycaemia")
- [Diabetes](https://en.wikipedia.org/wiki/Diabetes "Diabetes")
- [Asthma](https://en.wikipedia.org/wiki/Asthma "Asthma") or [allergy](https://en.wikipedia.org/wiki/Allergy "Allergy")
- [Hayfever](https://en.wikipedia.org/wiki/Hayfever "Hayfever")
- [Chronic obstructive pulmonary disease](https://en.wikipedia.org/wiki/Chronic_obstructive_pulmonary_disease "Chronic obstructive pulmonary disease") (COPD)
- Long term [alcoholism](https://en.wikipedia.org/wiki/Alcoholism "Alcoholism")
- [Cushing's syndrome](https://en.wikipedia.org/wiki/Cushing%27s_syndrome "Cushing's syndrome")
- Exposure to a chemical that burns the inside of the nose
- [Stroke](https://en.wikipedia.org/wiki/Stroke "Stroke")
- [Epilepsy](https://en.wikipedia.org/wiki/Epilepsy "Epilepsy")
- Radiation therapy to the head and neck
- [Liver](https://en.wikipedia.org/wiki/Liver_disease "Liver disease") or [kidney disease](https://en.wikipedia.org/wiki/Kidney_disease "Kidney disease")
- [Parkinson's disease](https://en.wikipedia.org/wiki/Parkinson%27s_disease "Parkinson's disease")[\[42\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Doty1988-42)
- [Alzheimer's disease](https://en.wikipedia.org/wiki/Alzheimer%27s_disease "Alzheimer's disease")[\[43\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Murphy1988-43)
- Toxins (especially [acrylates](https://en.wikipedia.org/wiki/Acrylate "Acrylate"), [methacrylates](https://en.wikipedia.org/wiki/Methacrylate "Methacrylate")[\[44\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Schwartz-44) and [cadmium](https://en.wikipedia.org/wiki/Cadmium "Cadmium")[\[45\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Rose1992-45)[\[46\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Rydzewski1998-46))
- Old age[\[47\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-47)
- [Kallmann syndrome](https://en.wikipedia.org/wiki/Kallmann_syndrome "Kallmann syndrome")
- [Primary ciliary dyskinesia](https://en.wikipedia.org/wiki/Primary_ciliary_dyskinesia "Primary ciliary dyskinesia")
- [Post-perfusion syndrome](https://en.wikipedia.org/wiki/Post-perfusion_syndrome "Post-perfusion syndrome")
- [Laryngectomy](https://en.wikipedia.org/wiki/Laryngectomy "Laryngectomy") with permanent [tracheostomy](https://en.wikipedia.org/wiki/Tracheostomy "Tracheostomy")
- [Esthesioneuroblastoma](https://en.wikipedia.org/wiki/Esthesioneuroblastoma "Esthesioneuroblastoma") is an exceedingly rare cancerous tumor that originates in or near the [olfactory nerve](https://en.wikipedia.org/wiki/Olfactory_nerve "Olfactory nerve"). Symptoms are anosmia (loss of sense of smell) often accompanied by chronic [sinusitis](https://en.wikipedia.org/wiki/Sinusitis "Sinusitis").[\[48\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-48)
- [Intranasal](https://en.wikipedia.org/wiki/Insufflation_\(medicine\) "Insufflation (medicine)") [drug use](https://en.wikipedia.org/wiki/Recreational_drug_use "Recreational drug use")
- [Aspirin-exacerbated respiratory disease](https://en.wikipedia.org/wiki/Aspirin-exacerbated_respiratory_disease "Aspirin-exacerbated respiratory disease"), also known as Samter's triad
- [Foster Kennedy syndrome](https://en.wikipedia.org/wiki/Foster_Kennedy_syndrome "Foster Kennedy syndrome")
- [Cadmium poisoning](https://en.wikipedia.org/wiki/Cadmium_poisoning "Cadmium poisoning")
- [Smoking](https://en.wikipedia.org/wiki/Tobacco_smoking "Tobacco smoking")
- [Neurotropic virus](https://en.wikipedia.org/wiki/Neurotropic_virus "Neurotropic virus")[\[49\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-49)
- [Schizophrenia](https://en.wikipedia.org/wiki/Schizophrenia "Schizophrenia")[\[50\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-50)
- [Pernicious anemia](https://en.wikipedia.org/wiki/Pernicious_anemia "Pernicious anemia")
- [Zinc deficiency](https://en.wikipedia.org/wiki/Zinc_deficiency "Zinc deficiency")
- [Bell's Palsy](https://en.wikipedia.org/wiki/Bell%27s_Palsy "Bell's Palsy") or nerve paralysis and damage
- [Idiopathic intracranial hypertension](https://en.wikipedia.org/wiki/Idiopathic_intracranial_hypertension "Idiopathic intracranial hypertension")
- [Suprasellar](https://en.wikipedia.org/wiki/Sella_turcica "Sella turcica") [meningioma](https://en.wikipedia.org/wiki/Meningioma "Meningioma")
- [Refsum's disease](https://en.wikipedia.org/wiki/Refsum%27s_disease "Refsum's disease")
- [Adrenergic agonists](https://en.wikipedia.org/wiki/Adrenergic_agonist "Adrenergic agonist") or withdrawal from [alpha blockers](https://en.wikipedia.org/wiki/Alpha_blocker "Alpha blocker") (vasoconstriction)
- [Sarcoidosis](https://en.wikipedia.org/wiki/Sarcoidosis "Sarcoidosis")[\[51\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-51)
- [Zinc-based intranasal cold products, including remedies labelled as "homeopathic"](https://en.wikipedia.org/wiki/Zinc#Precautions "Zinc")[\[52\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-NYT1-52)
- [Chronic atrophic rhinitis](https://en.wikipedia.org/wiki/Chronic_atrophic_rhinitis "Chronic atrophic rhinitis")
- [Paget's disease of bone](https://en.wikipedia.org/wiki/Paget%27s_disease_of_bone "Paget's disease of bone")[\[53\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-53)
- [Cerebral aneurysm](https://en.wikipedia.org/wiki/Cerebral_aneurysm "Cerebral aneurysm")[\[54\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-54)
- [Granulomatosis with polyangiitis](https://en.wikipedia.org/wiki/Granulomatosis_with_polyangiitis "Granulomatosis with polyangiitis")
- [Primary amoebic meningoencephalitis](https://en.wikipedia.org/wiki/Primary_amoebic_meningoencephalitis "Primary amoebic meningoencephalitis")
- [Myasthenia gravis](https://en.wikipedia.org/wiki/Myasthenia_gravis "Myasthenia gravis")[\[55\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-55)
- [Snakebite](https://en.wikipedia.org/wiki/Snakebite "Snakebite")[\[56\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-56)
- Idiopathic anosmia (cause cannot be determined)[\[3\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Li2020-3)
Diagnosis begins with a detailed history, including possible related injuries, such as upper respiratory infections or head injury. The examination may involve nasal [endoscopy](https://en.wikipedia.org/wiki/Endoscopy "Endoscopy") for obstructive factors such as polyps or swelling.[\[7\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-huynh-7) A nervous system examination is performed to see if the [cranial nerves](https://en.wikipedia.org/wiki/Cranial_nerves "Cranial nerves") are affected.[\[7\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-huynh-7) On occasion, after head traumas, there are people who have unilateral anosmia. The sense of smell should be tested individually in each nostril.[\[19\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Harvey2006-19)
Many cases of congenital anosmia remain unreported and undiagnosed. Since the disorder is present from birth the individual may have little or no understanding of the sense of smell, hence is unaware of the deficit.[\[57\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-57) It may also lead to reduction of appetite.[\[58\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-58)
Though anosmia caused by brain damage cannot be treated, anosmia caused by inflammatory changes in the mucosa may be treated with [glucocorticoids](https://en.wikipedia.org/wiki/Glucocorticoids "Glucocorticoids"). Reduction of inflammation through the use of oral glucocorticoids such as prednisone, followed by long term topical glucocorticoid nasal spray, would easily and safely treat the anosmia. A prednisone regimen is adjusted based on the degree of the thickness of mucosa, the discharge of oedema and the presence or absence of nasal polyps.[\[10\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Knight1998-10) However, the treatment is not permanent and may have to be repeated after a short while.[\[10\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Knight1998-10) Together with medication, pressure of the upper area of the nose must be mitigated through aeration and drainage.[\[59\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-59)
Anosmia caused by a [nasal polyp](https://en.wikipedia.org/wiki/Nasal_polyp "Nasal polyp") may be treated by steroidal treatment or removal of the polyp.[\[60\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-60)
Although very early in development, [gene therapy](https://en.wikipedia.org/wiki/Gene_therapy "Gene therapy") has restored a sense of smell in mice with congenital anosmia when caused by [ciliopathy](https://en.wikipedia.org/wiki/Ciliopathy "Ciliopathy"). In this case, a genetic condition had affected cilia in their bodies which normally enabled them to detect air-borne chemicals, and an [adenovirus](https://en.wikipedia.org/wiki/Adenovirus "Adenovirus") was used to implant a working version of the [IFT88](https://en.wikipedia.org/wiki/IFT88 "IFT88") gene into defective cells in the nose, which restored the cilia and allowed a sense of smell.[\[61\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-61)[\[62\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-62)
In the United States, 3% of people aged over 40 are affected by anosmia.[\[3\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Li2020-3)
In 2012, smell was assessed in persons aged 40 years and older with rates of anosmia/severe hyposmia of 0.3% at age 40–49 rising to 14.1% at age 80+. Rates of hyposmia were much higher: 3.7% at age 40–49 and 25.9% at 80+.[\[63\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-NHANES12-63)
## Famous people with anosmia
\[[edit](https://en.wikipedia.org/w/index.php?title=Anosmia&action=edit§ion=9 "Edit section: Famous people with anosmia")\]
- [Kathy Clugston](https://en.wikipedia.org/wiki/Kathy_Clugston "Kathy Clugston"), British radio presenter[\[64\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-64)[\[65\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-65)
- [Ben Cohen](https://en.wikipedia.org/wiki/Ben_Cohen_\(businessman\) "Ben Cohen (businessman)") of Ben and Jerry's[\[66\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-66)[\[67\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-Sullivan_2021_o756-67)
- [Perrie Edwards](https://en.wikipedia.org/wiki/Perrie_Edwards "Perrie Edwards"), singer of [Little Mix](https://en.wikipedia.org/wiki/Little_Mix "Little Mix")[\[68\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-68)
- [Lorenzo de' Medici](https://en.wikipedia.org/wiki/Lorenzo_de%27_Medici "Lorenzo de' Medici"), 15th-century ruler of [Florence](https://en.wikipedia.org/wiki/Florence "Florence")[\[69\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-69)
- [Bill Pullman](https://en.wikipedia.org/wiki/Bill_Pullman "Bill Pullman"), American actor[\[70\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-70)
- [Jason Sudeikis](https://en.wikipedia.org/wiki/Jason_Sudeikis "Jason Sudeikis"), American actor[\[71\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-71)
- [Simon Tatham](https://en.wikipedia.org/wiki/Simon_Tatham "Simon Tatham"), British computer programmer[\[72\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-72)
- [William Wordsworth](https://en.wikipedia.org/wiki/William_Wordsworth "William Wordsworth"), poet[\[73\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-73)[\[74\]](https://en.wikipedia.org/wiki/Anosmia#cite_note-74)
- [Ageusia](https://en.wikipedia.org/wiki/Ageusia "Ageusia"), the loss of the sense of taste
- [Anosmia Awareness Day](https://en.wikipedia.org/wiki/Anosmia_Awareness_Day "Anosmia Awareness Day")
- [Congenital anosmia](https://en.wikipedia.org/wiki/Congenital_anosmia "Congenital anosmia")
- [Olfactory fatigue](https://en.wikipedia.org/wiki/Olfactory_fatigue "Olfactory fatigue"), the habituation of the sense of smell to a particular odor or odors
- [Parosmia](https://en.wikipedia.org/wiki/Parosmia "Parosmia")
- [Phantosmia](https://en.wikipedia.org/wiki/Phantosmia "Phantosmia")
- [Zicam](https://en.wikipedia.org/wiki/Zicam "Zicam"), a medicine that caused some users to permanently lose their sense of smell
1. ^ [***a***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Coon2014_1-0) [***b***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Coon2014_1-1)
Coon D, Mitterer J (2014). ["4. Sensation and perception"](https://books.google.com/books?id=-4jCBAAAQBAJ&pg=PA136). *Introduction to Psychology: Gateways to Mind and Behavior*. Boston: Cengage Learning. p. 136. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-1-305-09187-0](https://en.wikipedia.org/wiki/Special:BookSources/978-1-305-09187-0 "Special:BookSources/978-1-305-09187-0")
. [LCCN](https://en.wikipedia.org/wiki/LCCN_\(identifier\) "LCCN (identifier)") [2014942026](https://lccn.loc.gov/2014942026).
2. ^ [***a***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Jon2010_2-0) [***b***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Jon2010_2-1) [***c***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Jon2010_2-2)
Jones N (2010). ["2. Making sense of symptoms"](https://books.google.com/books?id=arSSpm-OgjYC&pg=PA25). In Jones N (ed.). *Practical Rhinology*. CRC Press. pp. 24–25\. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-1-4441-0861-3](https://en.wikipedia.org/wiki/Special:BookSources/978-1-4441-0861-3 "Special:BookSources/978-1-4441-0861-3")
.
3. ^ [***a***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Li2020_3-0) [***b***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Li2020_3-1) [***c***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Li2020_3-2) [***d***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Li2020_3-3)
Li X, Lui F (6 July 2020). ["Anosmia"](https://www.ncbi.nlm.nih.gov/books/NBK482152/). *StatPearls*. StatPearls Publishing. [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [29489163](https://pubmed.ncbi.nlm.nih.gov/29489163). Retrieved 1 December 2020.
4. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-NCBI2021_4-0)**
Li, X.; Lui, F. (2021). ["Anosmia - StatPearls - NCBI Bookshelf"](https://www.ncbi.nlm.nih.gov/books/NBK482152/). *NCBI*. [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [29489163](https://pubmed.ncbi.nlm.nih.gov/29489163). Retrieved 2024-07-06.
5. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-FifthSense_5-0)**
["Congenital Anosmia"](https://www.fifthsense.org.uk/congenital-anosmia/). *Fifth Sense*. Retrieved 2024-07-06.
6. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-MayoClinic_6-0)**
["Loss of smell (anosmia) Causes"](https://www.mayoclinic.org/symptoms/loss-of-smell/basics/causes/sym-20050804). *Mayo Clinic*. Retrieved 2024-07-06.
7. ^ [***a***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-huynh_7-0) [***b***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-huynh_7-1) [***c***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-huynh_7-2)
Huynh PP, Ishii LE, Ishii M (July 2020). ["What Is Anosmia?"](https://doi.org/10.1001%2Fjama.2020.10966). *JAMA*. **324** (2): 206. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1001/jama.2020.10966](https://doi.org/10.1001%2Fjama.2020.10966). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [32556300](https://pubmed.ncbi.nlm.nih.gov/32556300). [S2CID](https://en.wikipedia.org/wiki/S2CID_\(identifier\) "S2CID (identifier)") [219916772](https://api.semanticscholar.org/CorpusID:219916772).
8. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-8)**
Helliwell T (June 2010). ["Inflammatory diseases of the nasal cavities and paranasal sinuses"](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7172334). *Diagnostic Histopathology*. **16** (6): 255–264\. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.1016/j.mpdhp.2010.03.008](https://doi.org/10.1016%2Fj.mpdhp.2010.03.008). [PMC](https://en.wikipedia.org/wiki/PMC_\(identifier\) "PMC (identifier)") [7172334](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7172334). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [32336992](https://pubmed.ncbi.nlm.nih.gov/32336992).
9. **[^](https://en.wikipedia.org/wiki/Anosmia#cite_ref-pmid35386650_9-0)**
Lin YT, Yeh TH (2022). ["Studies on Clinical Features, Mechanisms, and Management of Olfactory Dysfunction Secondary to Chronic Rhinosinusitis"](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8974686). *Frontiers in Allergy*. **3** 835151. [doi](https://en.wikipedia.org/wiki/Doi_\(identifier\) "Doi (identifier)"):[10\.3389/falgy.2022.835151](https://doi.org/10.3389%2Ffalgy.2022.835151). [PMC](https://en.wikipedia.org/wiki/PMC_\(identifier\) "PMC (identifier)") [8974686](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8974686). [PMID](https://en.wikipedia.org/wiki/PMID_\(identifier\) "PMID (identifier)") [35386650](https://pubmed.ncbi.nlm.nih.gov/35386650).
10. ^ [***a***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Knight1998_10-0) [***b***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Knight1998_10-1) [***c***](https://en.wikipedia.org/wiki/Anosmia#cite_ref-Knight1998_10-2)
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\- Novel dealing with congenital anosmia.
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- Wilson DA, Stevenson RJ (2006). *Learning to Smell. Olfactory Perception from Neurobiology to Behavior*. The Johns Hopkins University Press. [ISBN](https://en.wikipedia.org/wiki/ISBN_\(identifier\) "ISBN (identifier)")
[978-0-8018-8368-2](https://en.wikipedia.org/wiki/Special:BookSources/978-0-8018-8368-2 "Special:BookSources/978-0-8018-8368-2")
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