Assessment of Olfactory Functions in Patients with Acne vulgaris Under Systemic Treatment: A Prospective Study
Year 2024,
Volume: 57 Issue: 3, 124 - 128, 22.01.2025
Nermin Karaosmanoğlu
,
Özge Mine Örenay
,
Pınar Özdemir Çetinkaya
,
Arcan Kıvanç Çapçı
,
Berkay Temel
,
Özlem Akkoca
,
Gökçe Özel
,
Rahmi Kılıç
Abstract
Aim: The loss of smell is a common disease and can affect a patient’s quality of life. Olfactory disturbance leads to problems such as safety and eating. Acne vulgaris is a prevalent disease in the daily clinical practice of a dermatologist. Doxycycline and isotretinoin are the most preferred systemic drugs for severe acne. This study aimed to investigate the possible effects on olfactory function in patients with acne vulgaris receiving isotretinoin and doxycycline therapy by using the Brief Smell Identification Test.
Material and Method: A total of 60 patients with acne vulgaris were included in the study. The patients were divided into two groups, each consisting of 30 patients. One group received oral doxycycline, while the other received oral isotretinoin. The olfactory function of each patient in both groups was assessed at the beginning and third month of treatment by using the Brief Smell Identification Test.
Results: There was no statistically significant difference between the total scores of the Brief Smell Identification Test at 0. and 3. months in both the isotretinoin group and the doxycycline group.
Conclusion: The results of the present study showed that both drugs are safe and have no undesirable effect on olfactory function. However, the certain effects of both drugs on olfactory functions still remain unknown. New studies are needed to shed light on this issue.
References
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Depression Symptoms and Olfactory-related Quality of Life.
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Epub 2022 Mar 30.
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and Acne: A Systematic Review for Dermatologists. J Drugs
Dermatol. 20201, 19:6-13.
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isotretinoin on the olfactory function in patients with acne.
An Bras Dermatol. 2017, 92:191-195. 10.1590/abd1806-
4841.20175483.
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treatment for acne with isotretinoin, a 13-cis-isomer of
retinoic acid. Eur Arch Otorhinolaryngol. 1990, 247:382-
3. 10.1007/BF00179013.
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olfactory recovery after olfactory nerve transection. Brain
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3806(00)00108-5.
- 10. Yee KK, Rawson NE. Immunolocalization of retinoic acid
receptors in the mammalian olfactory system and the effects
of olfactory denervation on receptor distribution.
Neuroscience. 2005, 131:733-43. 10.1016/j.neuroscience.
2004.11.011.
- 11. Paçacı Çetin G, Arslan B, Yılmaz İ. Doxycycline may be
more clinically effective in type 2 chronic rhinosinusitis
nasal polyp comorbid with asthma. J Asthma. 2023, 20:1-
7. 10.1080/02770903.2023.2236696. Epub 2023 Jul 20.
- 12. Nabavi M, Arshi S, Bemanian MH, Fallahpour M, Shokri S,
Sabouri S, et al. Doxycycline Improves Quality of Life and
Anosmia in Chronic Rhinosinusitis With Nasal Polyposis:
A Randomized Controlled Trial. Am J Rhinol Allergy. 2023,
37:384-390. 10.1177/19458924231154066. Epub 2023
Feb 5.
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GE. Effects of oral administration of metronidazole and
doxycycline on olfactory capabilities of explosives detection
dogs. Am J Vet Res. 2016, 77:906-12. 10.2460/
ajvr.77.8.906.
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SE. Normative performance on the Brief Smell Identifica128
tion Test (BSIT) in a multi-ethnic bilingual cohort: a Project
FRONTIER study. Clin Neuropsychol. 2013, 27:946-
61. 10.1080/13854046.2013.796406. Epub 2013 May 1.
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of Septorhinoplasty on Olfactory Function: Assessment
Using the Brief Smell Identification Test. Turk Arch
Otorhinolaryngol. 2015, 53:4-9. 10.5152/tao.2015.694
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AAD. Am Fam Physician. 2017, 1:740-741.
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A: Adverse Events in Isotretinoin Therapy: A Single-
Arm Meta-Analysis. Int J Environ Res Public Health.
2022, 26:6463. 10.3390/ijerph19116463.
- 18. Gorpelioglu C., Özol D., Sarifakioglu E. Influence of isotretinoin
on nasal mucociliary clearance and lung function in
patients with acne vulgaris. Int. J. Dermatol. 2010, 49:87-
90. 10.1111/j.1365-4632.2009.04232.x
- 19. Kuş MM, Öztürk P, Bulut T, Kuş C, Güner ME, Nazik H, et
al. How are Acne Vulgaris Patients Using Oral Isotretinoin
Affected by Covid-19?. Dermatol Pract Concept. 20221,
12:2022146. 10.5826/dpc.1203a146. eCollection 2022
Jul.
- 20. Kobal G, Hummel T, Sekinger B, Barz S, Roscher S, Wolf
S. “Sniffin’sticks”: screening of olfactory performance.
Rhinology. 1996, 34:222-226.
- 21. Håglin S, Berghard A, Bohm S. Increased Retinoic Acid Catabolism
in Olfactory Sensory Neurons Activates Dormant
Tissue-Specific Stem Cells and Accelerates Age-Related
Metaplasia. J Neurosci. 202020, 40:4116-4129. 10.1523/
JNEUROSCI.2468-19.2020. Epub 2020 May 8.
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GK, et al. A Pilot Study of Short-Course Oral Vitamin A
and Aerosolised Diffuser Olfactory Training for the Treatment
of Smell Loss in Long COVID. Brain Sci. 2023,
30:1014. 10.3390/brainsci13071014.
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J Clin Aesthet Dermatol. 2020, 13:26-32.
Sistemik Tedavi Alan Akne Vulgaris Hastalarında Koku Fonksiyonlarının Değerlendirilmesi: Prospektif Bir Çalışma
Year 2024,
Volume: 57 Issue: 3, 124 - 128, 22.01.2025
Nermin Karaosmanoğlu
,
Özge Mine Örenay
,
Pınar Özdemir Çetinkaya
,
Arcan Kıvanç Çapçı
,
Berkay Temel
,
Özlem Akkoca
,
Gökçe Özel
,
Rahmi Kılıç
Abstract
Amaç: Koku kaybı sık görülen bir hastalıktır ve hastanın yaşam kalitesini etkileyebilir. Koku alma bozukluğu hastaların günlük hayatında güvenlik ve yeme gibi sorunlara yol açar. Akne vulgaris, bir dermatoloğun günlük klinik pratiğinde sık görülen bir hastalıktır. Doksisiklin ve isotretinoin, şiddetli akne için en çok tercih edilen sistemik ilaçlardır. Bu çalışmada, ‘Brief Smell Identification Test’ kullanılarak isotretinoin ve doksisiklin tedavisi alan akne vulgarisli hastalarda koku alma fonksiyonu üzerindeki olası etkiler araştırılmıştır.
Gereç ve Yöntem: Çalışmaya toplam 60 akne vulgaris hastası dahil edildi. Hastalar her biri 30 hastadan oluşan iki gruba ayrıldı. Bir grup oral doksisiklin alırken, diğer grup oral isotretinoin aldı. Her iki gruptaki her hastanın koku alma fonksiyonu, tedavi başlangıcında ve üçüncü ayda ‘Brief Smell Identification Test’ kullanılarak değerlendirildi.
Bulgular: Hem isotretinoin grubunda hem de doksisiklin grubunda 0. ve 3. aylardaki ‘Brief Smell Identification Test’toplam skorları arasında istatistiksel olarak anlamlı bir fark yoktu.
Sonuç: Mevcut çalışmanın sonuçları her iki ilacın da güvenli olduğunu ve koku alma fonksiyonu üzerinde istenmeyen bir etkisinin olmadığını göstermiştir. Ancak her iki ilacın da koku alma fonksiyonları üzerindeki kesin etkileri hala bilinmemektedir. Bu konunun aydınlatılabilmesi için yeni çalışmalara ihtiyaç vardır.
References
- 1. Liu DT, Prem B, Sharma G, Kaiser J, Besser G, Mueller CA.
Depression Symptoms and Olfactory-related Quality of Life.
Laryngoscope. 2022, 132:1829-1834. 10.1002/lary.30122.
Epub 2022 Mar 30.
- 2. Hummel T, Whitcroft KL, Andrews P, Altundag A, Cinghi C,
Costanzo RM, et al. Position paper on olfactory dysfunction.
Rhinol Suppl. 2017, 54:1-30. 10.4193/Rhino16.248.
- 3. Guéguen N. The sweet smell of.. helping: effects
of pleasant ambient fragrance on prosocial behaviour
shopping malls. J Soc Psychol. 2012, 152:397-
400. 10.1080/00224545.2011.630434.
- 4. Frasnelli J, Hummel T. Olfactory dysfunction and daily
life. Eur Arch Otorhinolaryngol. 2005, 262:231-5. 10.1007/
s00405-004-0796-y. Epub 2004 May 5.
- 5. Katsambas A, Papakonstantinou A. Acne: systemic treatment.
Clin Dermatol. 2004, 22:412-8. 10.1016/j.clindermatol.
2004.03.014.
- 6. Armstrong AW, Hekmatjah J, Kircik LH. Oral Tetracyclines
and Acne: A Systematic Review for Dermatologists. J Drugs
Dermatol. 20201, 19:6-13.
- 7. Kartal D, Yaşar M, Kartal L, Özcan I, Borlu M. Effects of
isotretinoin on the olfactory function in patients with acne.
An Bras Dermatol. 2017, 92:191-195. 10.1590/abd1806-
4841.20175483.
- 8. Heise E, Schnuch A. Taste and olfactory disturbances after
treatment for acne with isotretinoin, a 13-cis-isomer of
retinoic acid. Eur Arch Otorhinolaryngol. 1990, 247:382-
3. 10.1007/BF00179013.
- 9. Yee KK. Rawson N.E. Retinoic acid enhances the rate of
olfactory recovery after olfactory nerve transection. Brain
Res Dev Brain Res. 2000, 124:129-32. 10.1016/s0165-
3806(00)00108-5.
- 10. Yee KK, Rawson NE. Immunolocalization of retinoic acid
receptors in the mammalian olfactory system and the effects
of olfactory denervation on receptor distribution.
Neuroscience. 2005, 131:733-43. 10.1016/j.neuroscience.
2004.11.011.
- 11. Paçacı Çetin G, Arslan B, Yılmaz İ. Doxycycline may be
more clinically effective in type 2 chronic rhinosinusitis
nasal polyp comorbid with asthma. J Asthma. 2023, 20:1-
7. 10.1080/02770903.2023.2236696. Epub 2023 Jul 20.
- 12. Nabavi M, Arshi S, Bemanian MH, Fallahpour M, Shokri S,
Sabouri S, et al. Doxycycline Improves Quality of Life and
Anosmia in Chronic Rhinosinusitis With Nasal Polyposis:
A Randomized Controlled Trial. Am J Rhinol Allergy. 2023,
37:384-390. 10.1177/19458924231154066. Epub 2023
Feb 5.
- 13. Jenkins EK, Lee-Fowler TM, Angle TC, Behrend EN, Moore
GE. Effects of oral administration of metronidazole and
doxycycline on olfactory capabilities of explosives detection
dogs. Am J Vet Res. 2016, 77:906-12. 10.2460/
ajvr.77.8.906.
- 14. Menon C, Westervelt HJ, Jahn DR, Dressel JA, O’Bryant
SE. Normative performance on the Brief Smell Identifica128
tion Test (BSIT) in a multi-ethnic bilingual cohort: a Project
FRONTIER study. Clin Neuropsychol. 2013, 27:946-
61. 10.1080/13854046.2013.796406. Epub 2013 May 1.
- 15. Dengiz R, Haytoğlu S, Görgülü O, Doğru M, Arıkan OK. Effect
of Septorhinoplasty on Olfactory Function: Assessment
Using the Brief Smell Identification Test. Turk Arch
Otorhinolaryngol. 2015, 53:4-9. 10.5152/tao.2015.694
- 16. Hauk L. Acne Vulgaris: Treatment Guidelines from the
AAD. Am Fam Physician. 2017, 1:740-741.
- 17. Kapała J, Lewandowska J, Placek W, Owczarczyk-Saczonek
A: Adverse Events in Isotretinoin Therapy: A Single-
Arm Meta-Analysis. Int J Environ Res Public Health.
2022, 26:6463. 10.3390/ijerph19116463.
- 18. Gorpelioglu C., Özol D., Sarifakioglu E. Influence of isotretinoin
on nasal mucociliary clearance and lung function in
patients with acne vulgaris. Int. J. Dermatol. 2010, 49:87-
90. 10.1111/j.1365-4632.2009.04232.x
- 19. Kuş MM, Öztürk P, Bulut T, Kuş C, Güner ME, Nazik H, et
al. How are Acne Vulgaris Patients Using Oral Isotretinoin
Affected by Covid-19?. Dermatol Pract Concept. 20221,
12:2022146. 10.5826/dpc.1203a146. eCollection 2022
Jul.
- 20. Kobal G, Hummel T, Sekinger B, Barz S, Roscher S, Wolf
S. “Sniffin’sticks”: screening of olfactory performance.
Rhinology. 1996, 34:222-226.
- 21. Håglin S, Berghard A, Bohm S. Increased Retinoic Acid Catabolism
in Olfactory Sensory Neurons Activates Dormant
Tissue-Specific Stem Cells and Accelerates Age-Related
Metaplasia. J Neurosci. 202020, 40:4116-4129. 10.1523/
JNEUROSCI.2468-19.2020. Epub 2020 May 8.
- 22. Chung TW, Zhang H, Wong FK, Sridhar S, Lee TM, Leung
GK, et al. A Pilot Study of Short-Course Oral Vitamin A
and Aerosolised Diffuser Olfactory Training for the Treatment
of Smell Loss in Long COVID. Brain Sci. 2023,
30:1014. 10.3390/brainsci13071014.
- 23. Baldwin H. Oral Antibiotic Treatment Options for Acne Vulgaris.
J Clin Aesthet Dermatol. 2020, 13:26-32.