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Abstracts - Association for Chemoreception Sciences

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of 7/10, and causing eyes to water <strong>for</strong> several hours. His<br />

symptoms improve with saline irrigation, snorting salt water,<br />

xanax, flonase, distractions, holding breath or nose, clogged nose,<br />

putting head down, sleep, blowing nose, laughing, eating,<br />

humming, or talking. Nasal congestion, coughing, or breathing in<br />

and out worsen it. In an attempt to reduce the phantosmia, the<br />

patient was given odorized pens impregnated with (banana, garlic,<br />

cloves or turpentine) to sniff on onset of phantosmia. Banana and<br />

garlic had no effect, however, cloves and turpentine induced total<br />

replacement and inhibition of the phantosmia. Discussion: The<br />

potential mechanism of odor inhibition of phantosmia is through<br />

peripheral olfactory stimulation acting as a counterstimuli,<br />

causing peripheral inhibition of the phantosmia<br />

#P332 POSTER SESSION VII:<br />

OLFACTORY PSYCHOPHYSICS &<br />

CLINICAL STUDIES; CENTRAL OLFACTION<br />

Filial Catamenial Phantosmia<br />

Jhanvi Menon, Alan R. Hirsch, Jhoette Dumlao<br />

The Smell and Taste Treatment and Research Foundation<br />

Chicago, IL, USA<br />

Objective: To report an unusual case of filial catamenial<br />

phantosmia. Background: Phantosmia describes the phenomenon<br />

of odor perception when no odorant stimulus is present.<br />

Design/methods: Two sisters, aged 39 and 41 presented with<br />

similar recurrent catamenial smoky phantosmias in the absence of<br />

olfactory deficits. Beginning three days prior to and resolving a<br />

week after menses, all odors were perceived as a mixture of their<br />

original essence and the phantom odor. Both their medical<br />

histories were positive <strong>for</strong> migraine headaches and were negative<br />

<strong>for</strong> head trauma, upper respiratory tract illness and rhinitis.<br />

Results: General physical, psychiatric, neurological and head and<br />

neck examinations, nasal endoscopy, MRI and CT of the brain<br />

and sinuses were negative and chemosensory testing including<br />

phenylethyl alcohol(PEA) threshold and University of<br />

Pennsylvania Smell Identification Test were normal in the<br />

proband. The proband’s symptoms resolved on initiation of<br />

L-methylfolate, Methylcobalamin and N-acetylcysteine.<br />

The sister declined treatment. Conclusions: Relative olfactory<br />

hypersensitivity resulting from estrogenic changes in mucosal<br />

consistency may have induced patient awareness of subthreshold<br />

odors, perceived as a phantosmia. Alternatively, relative hyposmia<br />

caused by low estrogen or a progesterone excess could explain the<br />

temporal sequence of both presentations. Estrogenic modulation<br />

of neuronal function, a shared olfactory tropic virus infection, a<br />

mass psychogenic illness, a cyclic variant of olfactory reference<br />

syndrome or an amigrainous variant of catamenial migraine could<br />

explain both the cyclical and the familial pattern of symptom<br />

production. Relevance: Exploration in these realms may prove<br />

beneficial in elucidating a management approach <strong>for</strong> phantosmias.<br />

Funding Sources: none<br />

#P333 POSTER SESSION VII:<br />

OLFACTORY PSYCHOPHYSICS &<br />

CLINICAL STUDIES; CENTRAL OLFACTION<br />

Developmental fine-tuning of olfactory discriminability<br />

Xiaomeng Zhang, Kepu Chen, Wen Zhou<br />

Institute of Psychology, Chinese Academy of <strong>Sciences</strong> Beijing,<br />

China<br />

Olfaction, generally considered well functioning at birth, is<br />

unique among human senses in its neural genesis and myelination<br />

processes. There have been few empirical studies on the<br />

developmental trajectory of human olfactory perception. Here we<br />

assessed olfactory discriminability in children aged 3-6 yrs with<br />

16 pairs of single-compound odorants which differ in various<br />

degrees on structure, functional group, and/or smell. We observed<br />

a significant positive correlation between age and overall<br />

discriminability. Moreover, age interacts with pairs of odorants —<br />

whereas some odorant pairs were discriminated equally well by<br />

children of all ages, some were better discriminated in older<br />

children. Our findings provide insights into the fine-tuning<br />

process of human olfactory system. Acknowledgements:<br />

Knowledge Innovation Program of the Chinese Academy of<br />

<strong>Sciences</strong> Grant No. 09CX192019 & KSCX2-YW-R-250<br />

#P334 POSTER SESSION VII:<br />

OLFACTORY PSYCHOPHYSICS &<br />

CLINICAL STUDIES; CENTRAL OLFACTION<br />

Quantifying Olfactory Function in the Aging U.S. Population:<br />

A Home Test<br />

David W. Kern 1 , L. Philip Schumm 2 , Martha K. McClintock 1<br />

1<br />

Department of Comparative Human Development and Institute<br />

<strong>for</strong> Mind and Biology, University of Chicago Chicago, IL, USA,<br />

2<br />

Department of Health Studies, University of Chicago Chicago,<br />

IL, USA<br />

The aging olfactory system may contribute significantly to<br />

physical and mental health in older adults, as well as their quality<br />

of life. To characterize olfactory aging in the diverse population of<br />

the United States, we selected a representative sample of 3,005<br />

older adults (the National Social Life and Aging Project<br />

(NSHAP)), large enough to accurately determine prevalence of<br />

olfactory dysfunction and its association with key aspects of<br />

medical conditions, mental health, sexuality, cognition, social<br />

networks, geography, and demography (e.g. socioeconomic status,<br />

ethnicity and gender). The Olfactory Function Field Exam<br />

(OFFE) is designed to be conducted in respondents’ homes<br />

throughout the United States and requires a short 6-8 minute<br />

protocol to assess sensitivity to physical and social odors as well<br />

as odor identification. To this end we conducted two validation<br />

studies: 1. Validation of the olfactory sensitivity component of the<br />

OFFE: A <strong>for</strong>ced choice sensitivity test <strong>for</strong> a physical odorant (nbutanol)<br />

and a social odorant (androstadienone) was administered<br />

to 30 older adults along with well-validated staircase threshold<br />

tests (Hummel, et al., 1997). We will report the test characteristics<br />

and validity of the OFFE’s sensitivity component, along with<br />

frequency of dysfunction and basic demographic characteristics.<br />

2. To determine feasibility of administration by field interviewers,<br />

we completed a pretest of both components of the OFFE (odor<br />

sensitivity and identification) embedded in the full NSHAP<br />

interview of people in their homes throughout the U.S. (n = 120).<br />

We found a 100% success rate, and will report on further<br />

refinements of the OFFE, along with frequency of dysfunction<br />

P O S T E R S<br />

<strong>Abstracts</strong> are printed as submitted by the author(s)<br />

<strong>Abstracts</strong> | 137

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