Abstract
Background
We evaluated taste functions of patients with perennial allergic rhinitis (AR) before and after allergen-specific immunotherapy (AIT).
Methods
The study was designed as a prospective clinical study in our tertiary care hospital. Patients (n = 21) who were diagnosed with perennial AR on the basis of physical examination, skin prick test of at least 3* for HDM allergen and treated with AIT were enrolled in this study. A control group (n = 21) was selected from patients who were given intranasal steroids (INS) for perennial AR. Both groups had self-reported hyposmia and subjective loss of the sense of taste before treatment. Taste strips (Burghart, Wedel, Germany) were used for the taste identification scores before and after 6 months treatment.
Results
A total of 42 subjects were included, with a mean age of 24.1 ± 7.9 years (range 15–43 years). Overall, the AIT group showed more of an improvement of taste function, observed in the total average test scores, compared to the INS group (p < 0.05), but no change was detected between the groups before treatment. No difference was found for the bitter taste scores between the study groups (p = 0.053).
Conclusion
Subcutaneous allergen immunotherapy resulted in more of an improvement in taste function than intranasal steroids. Further studies are needed.
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Abbreviations
- AR:
-
Allergic rhinitis
- QOL:
-
Quality of life
- OFC:
-
Orbitofrontal cortex
- SCIT:
-
Subcutaneous immunotherapy
- AIT:
-
Allergen-specific immunotherapy
- INS:
-
Intranasal steroid
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Acknowledgements
We would like to thank Dr Aytuğ Altundağ for helpful advice concerning the use of the taste strips.
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Concept—GB, HAE, ES, BUC; design—GB, HAE, PS, BUC; supervision—HAE, ES; resource—MGG, PS, ZNE; materials—MGG, PS, ZNE; data collection and/or processing—MGG, PS, ZNE; analysis and/or interpretation—GB, HAE, ES; literature search—GB, PS, ZNE, MGG; writing—GB, HAE, ES, BUC; critical reviews—GB, HAE, ES, PS, BUC.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Bozkurt, G., Elhassan, H.A., Sözen, E. et al. Assessment of taste functions in allergic rhinitis patients undergoing allergen-specific immunotherapy. Eur Arch Otorhinolaryngol 276, 439–445 (2019). https://doi.org/10.1007/s00405-018-5236-5
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DOI: https://doi.org/10.1007/s00405-018-5236-5