Chronic kidney disease and the olfactory system

Nefrologia (Engl Ed). 2020 Mar-Apr;40(2):120-125. doi: 10.1016/j.nefro.2019.04.009. Epub 2019 Jul 29.
[Article in English, Spanish]

Abstract

Alterations in the sense of smell (dysosmia, anosmia, hyposmia) are frequently experienced by patients with chronic kidney disease. However, currently, the aetiology and consequences are poorly understood, with no effective treatments available to address such impairment. In general, the capacity of olfactory perception is affected in patients with chronic kidney disease (even in those who have not undergone dialysis therapy), and whether these alterations improve after dialysis is disputed. Patients in peritoneal dialysis and haemodialysis have the same olfactory perception defects. Kidney transplantation improves olfactory perception, and one important consequence of such impairment is the potential impact on the patient's nutritional status.

Keywords: Chronic kidney disease; Desnutrición; Disosmia; Dysosmia; Enfermedad renal crónica; Haemodialysis; Hemodiálisis; Malnutrition; Olfactory receptors; Olfactory system; Receptores olfativos; Sistema olfatorio.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Kidney / chemistry
  • Kidney Transplantation*
  • Male
  • Nutrition Disorders / etiology
  • Olfaction Disorders / etiology*
  • Olfaction Disorders / therapy
  • Receptors, Odorant / physiology
  • Renal Dialysis* / adverse effects
  • Renal Insufficiency, Chronic / complications*
  • Renal Insufficiency, Chronic / therapy
  • Smell* / physiology

Substances

  • Receptors, Odorant