PMID- 37012135 OWN - NLM STAT- MEDLINE DCOM- 20230911 LR - 20230911 IS - 1879-1476 (Electronic) IS - 0385-8146 (Linking) VI - 50 IP - 6 DP - 2023 Dec TI - Olfactory dysfunction in Japanese children with moderate-to-severe allergic rhinitis. PG - 904-910 LID - S0385-8146(23)00061-5 [pii] LID - 10.1016/j.anl.2023.03.004 [doi] AB - OBJECTIVE: Detailed quantitative studies on olfaction remain inadequate in patients with paediatric allergic rhinitis (AR). This study examined olfactory dysfunction in children with AR. METHODS: From July 2016 to November 2018, children aged 6-9 years were recruited and grouped as AR (n = 30) or without AR (control group, n = 10). Odour identification was evaluated by the Universal Sniff (U-Sniff) test and the Open Essence (OE). The results were compared between the AR and control groups. Intranasal mucosa findings, nasal smear eosinophil counts, blood eosinophil counts, total immunoglobulin E (IgE) levels, Japanese cedar-specific IgE and Dermatophagoides pteronyssinus-specific IgE were evaluated in all participants. Additionally, the presence of sinusitis and adenoid hypertrophy in patients with AR was also evaluated by sinus X-ray examinations. RESULTS: The median U-Sniff test scores were not significantly different between the AR and control groups (9.0 vs. 10.0, respectively; p = 0.107). The OE score was significantly lower in the AR group than in the control group (4.0 vs. 8.0; p = 0.007, respectively), especially in the moderate-to-severe AR group versus the control group (4.0 vs. 8.0; p = 0.004). Furthermore, in the OE, the correct answer rates for 'wood', 'cooking gas' and 'sweaty socks' were significantly lower in the AR group than in the control group. CONCLUSIONS: Paediatric AR patients can reduce olfactory identification ability, and the degree may be associated with the severity of AR in nasal mucosal findings. Furthermore, olfactory dysfunction may slow down the response to 'emergency situations', such as gas leak. CI - Copyright (c) 2023. Published by Elsevier B.V. FAU - Suzuki, Ryohei AU - Suzuki R AD - Department of Pediatrics, Daisan Hospital, The Jikei University School of Medicine, Tokyo, Japan; Department of Pediatrics, The Jikei University School of Medicine, Tokyo, Japan; Department of Pediatrics, Fuji City General Hospital, Fuji, Japan. Electronic address: ryohei7@jikei.ac.jp. FAU - Mori, Eri AU - Mori E AD - Department of Otorhinolaryngology, Daisan Hospital, The Jikei University School of Medicine, Tokyo, Japan; Department of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan. FAU - Iwasaki, Hijiriko AU - Iwasaki H AD - Department of Otorhinolaryngology, Daisan Hospital, The Jikei University School of Medicine, Tokyo, Japan; Department of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan. FAU - Shimamura, Yosuke AU - Shimamura Y AD - Department of Otorhinolaryngology, Daisan Hospital, The Jikei University School of Medicine, Tokyo, Japan; Department of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan. FAU - Shigeta, Yasushi AU - Shigeta Y AD - Department of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan; Department of Otorhinolaryngology, Fuji City General Hospital, Fuji, Japan. FAU - Sagara, Nagatoshi AU - Sagara N AD - Department of Pediatrics, Daisan Hospital, The Jikei University School of Medicine, Tokyo, Japan; Department of Pediatrics, The Jikei University School of Medicine, Tokyo, Japan. FAU - Aota, Akiko AU - Aota A AD - Department of Pediatrics, Daisan Hospital, The Jikei University School of Medicine, Tokyo, Japan; Department of Pediatrics, The Jikei University School of Medicine, Tokyo, Japan. FAU - Akashi, Kenichi AU - Akashi K AD - Department of Pediatrics, Daisan Hospital, The Jikei University School of Medicine, Tokyo, Japan; Department of Pediatrics, The Jikei University School of Medicine, Tokyo, Japan. FAU - Toyoda, Keiko AU - Toyoda K AD - Department of Radiology, Daisan Hospital, The Jikei University School of Medicine, Tokyo, Japan; Department of Radiology, The Jikei University School of Medicine, Tokyo, Japan. FAU - Katsunuma, Toshio AU - Katsunuma T AD - Department of Pediatrics, Daisan Hospital, The Jikei University School of Medicine, Tokyo, Japan; Department of Pediatrics, The Jikei University School of Medicine, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20230401 PL - Netherlands TA - Auris Nasus Larynx JT - Auris, nasus, larynx JID - 7708170 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Humans MH - Child MH - Smell MH - *Rhinitis, Allergic/complications MH - *Paranasal Sinuses MH - Immunoglobulin E MH - *Olfaction Disorders OTO - NOTNLM OT - Olfaction disorders OT - Olfactory test OT - Paediatric rhinology OT - Quality of life OT - Rhinitis OT - Smell COIS- Declaration of Competing Interest The authors declare no conflict of interest. EDAT- 2023/04/04 06:00 MHDA- 2023/09/11 06:43 CRDT- 2023/04/03 22:02 PHST- 2022/10/27 00:00 [received] PHST- 2023/03/06 00:00 [revised] PHST- 2023/03/10 00:00 [accepted] PHST- 2023/09/11 06:43 [medline] PHST- 2023/04/04 06:00 [pubmed] PHST- 2023/04/03 22:02 [entrez] AID - S0385-8146(23)00061-5 [pii] AID - 10.1016/j.anl.2023.03.004 [doi] PST - ppublish SO - Auris Nasus Larynx. 2023 Dec;50(6):904-910. doi: 10.1016/j.anl.2023.03.004. Epub 2023 Apr 1.