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KMID : 1197720240170010064
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2024 Volume.17 No. 1 p.64 ~ p.70
Comparative Olfactory Profiles in Parkinson¡¯s Disease and Drug-Induced Parkinsonism
Kwak In-Hee

Kim Young-Eun
Kang Suk-Yun
Lee Joong-Seob
Kim Min-Seung
Yea Dong-A
Ma Hyeo-Il
Abstract
Objective Drug-induced parkinsonism (DIP) is a frequently encountered diagnostic possibility when considering Parkinson¡¯s disease (PD). While olfactory dysfunction is a common clinical feature in PD, the comparison of olfactory function between the two conditions remains insufficient. This study aimed to compare olfactory function, including threshold, discrimination, and identification (TDI) profiles, between PD and DIP.

Methods Consecutive patients with drug-naive PD (n = 78) or DIP (n = 31) confirmed through dopamine transporter imaging were enrolled in this study. The YSK olfactory function (YOF) test, composed of TDI domains culturally familiar odorants to Koreans, was administered to all patients.

Results In the study population, patients with DIP were significantly older than patients with PD. Over 70% of patients in each group had hyposmia or anosmia, and there was no significant difference in the occurrence of olfactory dysfunction between the two groups. In addition, there were no differences in the total YOF score and threshold score between the two groups. Meanwhile, the PD group had a significantly lower discrimination and identification score than the DIP group after adjusting for age, sex, the existence of diabetes, disease duration, and cognitive function.

Conclusion This study demonstrated that detailed olfactory profiles are different in PD and DIP, even though olfactory dysfunction can be observed in both conditions.
KEYWORD
Parkinson¡¯s disease, Drug-induced parkinsonism, Anosmia, Olfactory dysfunction, Olfactory function test
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