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May 1987

Steroid-Dependent Anosmia

Arch Otolaryngol Head Neck Surg. 1987;113(5):547-549. doi:10.1001/archotol.1987.01860050093023

• In steroid-dependent anosmia (nasal polyps, inhalant allergy, anosmia), high doses of steroids will temporarily restore the sense of smell, a diagnostic test. Appropriate surgery can then be carried out, followed by low-dose, long-term steroid therapy to maintain the sense of smell. Olfactory biopsy specimens taken during the course of evaluation and treatment show electron-optically normal olfactory receptors, meaning that the probable pathogenesis of the sensory deficit is an obstruction, mechanical and possibly biochemical. Two cases of steroid-dependent anosmia are presented to detail a fully reversible anosmia using state-of-the-art techniques.

(Arch Otolaryngol Head Neck Surg 1987;113:547-549)