Disturbances of Taste and Smell Induced by Drugs

Disturbances of Taste and Smell Induced by Drugs
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药物引起的味觉和嗅觉障碍

DOI:
--
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发表时间:
1997
期刊:
影响因子:
4.1
通讯作者:
N. Kasbekar
N. Kasbekar
中科院分区:
医学2区
文献类型:
--
作者:
B. Ackerman;N. Kasbekar

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我们回顾了当前有关与嗅觉丧失、嗅觉减退、味觉障碍、味觉异常和味觉障碍相关的药物的文献(1980-1990、1991-1996),以及这些不良反应的影响。其中包括其中一种疾病突然和延迟发作的患者的病例报告,并有药物影响的证据。老年人和慢性病患者(包括热损伤患者)的味觉和嗅觉障碍会降低进食兴趣,进而损害伤口愈合。与这些感觉障碍相关的机制包括使用含银局部制剂后硫酸银在神经中沉积、钙和其他离子流入的改变、组织结合锌的螯合或消耗、缓激肽分解代谢和第二信使合成、分解代谢和前列腺素系统改变。其他机制,特别是早期停药后的长期化学感觉障碍,仍然未知。
We reviewed the current literature (1980–1990, 1991–1996) concerning drugs associated with anosmia, hyposmia, dysgeusia, parageusia, and ageusia, and the impact of these adverse effects. Case reports of patients with sudden and delayed onset of one of these disorders with evidence for implication of a drug were included. Disturbances of taste and smell among the elderly and chronically ill, including those with thermal injury, decreases interest in eating and secondarily impairs healing of wounds. Mechanisms involved with these sensory disturbances include deposition of silver sulfate in nerves after use of topical agents containing silver, altered influx of calcium and other ions, chelation or depletion of tissue‐bound zinc, disturbed bradykinin catabolism and second messenger synthesis, catabolism, and altered prostaglandin systems. Other mechanisms, particularly prolonged chemosensory disorders after early drug discontinuation, remain unknown.
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DOI: 10.1093/geronj/43.1.m26
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