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More Than Smell—COVID-19 Is Associated With Severe Impairment of Smell, Taste, and Chemesthesis

Parma, Valentina (author)
Ohla, Kathrin (author)
Veldhuizen, Maria G. (author)
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Niv, Masha Y. (author)
Kelly, Christine E. (author)
Bakke, Alyssa J. (author)
Cooper, Keiland W. (author)
Bouysset, Cédric (author)
Pirastu, Nicola (author)
Dibattista, Michele (author)
Kaur, Rishemjit (author)
Liuzza, Marco Tullio (author)
Pepino, Marta Y. (author)
Schöpf, Veronika (author)
Pereda-Loth, Veronica (author)
Olsson, Shannon B. (author)
Gerkin, Richard C. (author)
Dominguez, Paloma Rohlfs (author)
Albayay, Javier (author)
Farruggia, Michael C. (author)
Bhutani, Surabhi (author)
Fjaeldstad, Alexander W. (author)
Kumar, Ritesh (author)
Menini, Anna (author)
Bensafi, Moustafa (author)
Sandell, Mari (author)
Konstantinidis, Iordanis (author)
Di Pizio, Antonella (author)
Genovese, Federica (author)
Öztürk, Lina (author)
Thomas-Danguin, Thierry (author)
Frasnelli, Johannes (author)
Boesveldt, Sanne (author)
Saatci, Özlem (author)
Saraiva, Luis R. (author)
Lin, Cailu (author)
Golebiowski, Jérôme (author)
Hwang, Liang-Dar (author)
Ozdener, Mehmet Hakan (author)
Guàrdia, Maria Dolors (author)
Laudamiel, Christophe (author)
Ritchie, Marina (author)
Havlícek, Jan (author)
Pierron, Denis (author)
Roura, Eugeni (author)
Navarro, Marta (author)
Nolden, Alissa A. (author)
Lim, Juyun (author)
Whitcroft, Katherine L. (author)
Colquitt, Lauren R. (author)
Ferdenzi, Camille (author)
Brindha, Evelyn (author)
Altundag, Aytug (author)
Macchi, Alberto (author)
Nunez-Parra, Alexia (author)
Patel, Zara M. (author)
Fiorucci, Sébastien (author)
Philpott, Carl M. (author)
Smith, Barry C. (author)
Lundström, Johan N. (author)
Karolinska Institutet
Mucignat, Carla (author)
Parker, Jane K. (author)
van den Brink, Mirjam (author)
Schmuker, Michael (author)
Fischmeister, Florian Ph S. (author)
Heinbockel, Thomas (author)
Shields, Vonnie D. C. (author)
Faraji, Farhoud (author)
Santamaria, Enrique (author)
Fredborg, William E. A. (author)
Stockholms universitet,Psykologiska institutionen
Morini, Gabriella (author)
Olofsson, Jonas K. (author)
Stockholms universitet,Psykologiska institutionen
Jalessi, Maryam (author)
Karni, Noam (author)
D'Errico, Anna (author)
Alizadeh, Rafieh (author)
Pellegrino, Robert (author)
Meyer, Pablo (author)
Huart, Caroline (author)
Chen, Ben (author)
Soler, Graciela M. (author)
Alwashahi, Mohammed K. (author)
Welge-Lüssen, Antje (author)
Freiherr, Jessica (author)
de Groot, Jasper H. B. (author)
Klein, Hadar (author)
Okamoto, Masako (author)
Singh, Preet Bano (author)
Hsieh, Julien W. (author)
Reed, Danielle R. (author)
Hummel, Thomas (author)
Munger, Steven D. (author)
Hayes, John E. (author)
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 (creator_code:org_t)
2020-06-20
2020
English.
In: Chemical Senses. - : Oxford University Press (OUP). - 0379-864X .- 1464-3553. ; 45:7, s. 609-622
  • Journal article (peer-reviewed)
Abstract Subject headings
Close  
  • Recent anecdotal and scientific reports have provided evidence of a link between COVID-19 and chemosensory impairments, such as anosmia. However, these reports have downplayed or failed to distinguish potential effects on taste, ignored chemesthesis, and generally lacked quantitative measurements. Here, we report the development, implementation, and initial results of a multilingual, international questionnaire to assess self-reported quantity and quality of perception in 3 distinct chemosensory modalities (smell, taste, and chemesthesis) before and during COVID-19. In the first 11 days after questionnaire launch, 4039 participants (2913 women, 1118 men, and 8 others, aged 19–79) reported a COVID-19 diagnosis either via laboratory tests or clinical assessment. Importantly, smell, taste, and chemesthetic function were each significantly reduced compared to their status before the disease. Difference scores (maximum possible change ±100) revealed a mean reduction of smell (−79.7 ± 28.7, mean ± standard deviation), taste (−69.0 ± 32.6), and chemesthetic (−37.3 ± 36.2) function during COVID-19. Qualitative changes in olfactory ability (parosmia and phantosmia) were relatively rare and correlated with smell loss. Importantly, perceived nasal obstruction did not account for smell loss. Furthermore, chemosensory impairments were similar between participants in the laboratory test and clinical assessment groups. These results show that COVID-19-associated chemosensory impairment is not limited to smell but also affects taste and chemesthesis. The multimodal impact of COVID-19 and the lack of perceived nasal obstruction suggest that severe acute respiratory syndrome coronavirus strain 2 (SARS-CoV-2) infection may disrupt sensory-neural mechanisms.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)

Keyword

head and neck surgery
olfaction
somatosensation

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor
Parma, Valentina
Ohla, Kathrin
Veldhuizen, Mari ...
Niv, Masha Y.
Kelly, Christine ...
Bakke, Alyssa J.
show more...
Cooper, Keiland ...
Bouysset, Cédric
Pirastu, Nicola
Dibattista, Mich ...
Kaur, Rishemjit
Liuzza, Marco Tu ...
Pepino, Marta Y.
Schöpf, Veronika
Pereda-Loth, Ver ...
Olsson, Shannon ...
Gerkin, Richard ...
Dominguez, Palom ...
Albayay, Javier
Farruggia, Micha ...
Bhutani, Surabhi
Fjaeldstad, Alex ...
Kumar, Ritesh
Menini, Anna
Bensafi, Moustaf ...
Sandell, Mari
Konstantinidis, ...
Di Pizio, Antone ...
Genovese, Federi ...
Öztürk, Lina
Thomas-Danguin, ...
Frasnelli, Johan ...
Boesveldt, Sanne
Saatci, Özlem
Saraiva, Luis R.
Lin, Cailu
Golebiowski, Jér ...
Hwang, Liang-Dar
Ozdener, Mehmet ...
Guàrdia, Maria D ...
Laudamiel, Chris ...
Ritchie, Marina
Havlícek, Jan
Pierron, Denis
Roura, Eugeni
Navarro, Marta
Nolden, Alissa A ...
Lim, Juyun
Whitcroft, Kathe ...
Colquitt, Lauren ...
Ferdenzi, Camill ...
Brindha, Evelyn
Altundag, Aytug
Macchi, Alberto
Nunez-Parra, Ale ...
Patel, Zara M.
Fiorucci, Sébast ...
Philpott, Carl M ...
Smith, Barry C.
Lundström, Johan ...
Mucignat, Carla
Parker, Jane K.
van den Brink, M ...
Schmuker, Michae ...
Fischmeister, Fl ...
Heinbockel, Thom ...
Shields, Vonnie ...
Faraji, Farhoud
Santamaria, Enri ...
Fredborg, Willia ...
Morini, Gabriell ...
Olofsson, Jonas ...
Jalessi, Maryam
Karni, Noam
D'Errico, Anna
Alizadeh, Rafieh
Pellegrino, Robe ...
Meyer, Pablo
Huart, Caroline
Chen, Ben
Soler, Graciela ...
Alwashahi, Moham ...
Welge-Lüssen, An ...
Freiherr, Jessic ...
de Groot, Jasper ...
Klein, Hadar
Okamoto, Masako
Singh, Preet Ban ...
Hsieh, Julien W.
Reed, Danielle R ...
Hummel, Thomas
Munger, Steven D ...
Hayes, John E.
show less...
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Otorhinolaryngol ...
Articles in the publication
Chemical Senses
By the university
Stockholm University
Karolinska Institutet

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