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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
https://doi.org/10.20492/aeahtd.1552508

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

  • 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.

Sistemik Tedavi Alan Akne Vulgaris Hastalarında Koku Fonksiyonlarının Değerlendirilmesi: Prospektif Bir Çalışma

Year 2024, Volume: 57 Issue: 3, 124 - 128, 22.01.2025
https://doi.org/10.20492/aeahtd.1552508

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.
There are 23 citations in total.

Details

Primary Language English
Subjects Dermatology
Journal Section Original research article
Authors

Nermin Karaosmanoğlu 0000-0002-3462-1628

Özge Mine Örenay 0000-0001-5848-7323

Pınar Özdemir Çetinkaya 0000-0001-5286-3260

Arcan Kıvanç Çapçı 0000-0002-6523-2174

Berkay Temel 0000-0001-5528-9006

Özlem Akkoca 0000-0002-1030-3692

Gökçe Özel 0000-0001-5281-0986

Rahmi Kılıç 0000-0001-7946-9706

Publication Date January 22, 2025
Submission Date September 18, 2024
Acceptance Date December 9, 2024
Published in Issue Year 2024 Volume: 57 Issue: 3

Cite

AMA Karaosmanoğlu N, Örenay ÖM, Özdemir Çetinkaya P, Çapçı AK, Temel B, Akkoca Ö, Özel G, Kılıç R. Assessment of Olfactory Functions in Patients with Acne vulgaris Under Systemic Treatment: A Prospective Study. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. January 2025;57(3):124-128. doi:10.20492/aeahtd.1552508