Document Detail


Anosmia after intranasal zinc gluconate use.
MedLine Citation:
PMID:  15283486     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Zinc is an essential mineral. Beneficial zinc absorption takes place via enteral, parenteral, or cutaneous routes. However, direct application to the olfactory epithelium has been reported to cause loss of smell. Recently, intranasal zinc gluconate has been recommended as a treatment for the common cold. Severe posttreatment hyposmia and anosmia have been observed. METHODS: The case report of a typical patient is presented and analyzed in detail, followed by a series of patients with severe hyposmia or anosmia after the use of intranasal zinc gluconate. RESULTS: Although interindividual variation in drug response and drug effect is apparent, the severe hyposmia or anosmia appears to be long lasting or permanent in some cases. The mechanism of olfactory loss is thought to be the direct action of the divalent zinc ion on the olfactory receptor cell. CONCLUSIONS: Zinc ions are toxic to olfactory epithelium. Reports of severe hyposmia with parosmia or anosmia have occurred after intranasal use of zinc gluconate.
Authors:
Bruce W Jafek; Miriam R Linschoten; Bruce W Murrow
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of rhinology     Volume:  18     ISSN:  1050-6586     ISO Abbreviation:  Am J Rhinol     Publication Date:    2004 May-Jun
Date Detail:
Created Date:  2004-07-30     Completed Date:  2004-09-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8807268     Medline TA:  Am J Rhinol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  137-41     Citation Subset:  IM    
Affiliation:
Departmtent of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Denver, Colorado 80262, USA.
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MeSH Terms
Descriptor/Qualifier:
Administration, Intranasal
Common Cold / drug therapy
Gluconates / administration & dosage
Humans
Male
Middle Aged
Olfaction Disorders / chemically induced*
Zinc / administration & dosage*
Chemical
Reg. No./Substance:
0/Gluconates; 7440-66-6/Zinc

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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