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Article
October 25, 1971

Cacosmia

JAMA. 1971;218(4):596. doi:10.1001/jama.1971.03190170074029

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Abstract

To the Editor.—  Ten years ago, I experienced this extremely annoying syndrome described by Henkin et al (217:434, 1971). It began as a minor upper respiratory tract illness. Looking for relief, I found a nasal spray (the Spanish brand, Otorinbicina) which contained a decongestant and an antibiotic. I suffered from no nasal congestion when I sprayed this solution into both nostrils, but thought that although it might perhaps not help my cold, it could definitely do no harm.The first assumption was right, but immediately after application of the spray I developed all the symptoms so elaborately described in Henkin's article.Dysosmia is a very mild descriptive term for what it really is—cacosmia.Nobody can imagine my joy, when, after five months as "The Cacosmic," I entered a fruit market and suddenly perceived a faint smell of fresh oranges through the usual horrible odor. It was then only a

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