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Anosmia and loss of smell in the era of covid-19

BMJ 2020; 370 doi: https://doi.org/10.1136/bmj.m2808 (Published 21 July 2020) Cite this as: BMJ 2020;370:m2808

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Re: Anosmia and loss of smell in the era of covid-19

Dear Editor
I have no competing interest because I developed total anosmia a few years ago, - before Covid- 19 appeared on the horizon.
My anosmia followed a very severe “common cold”. It seemed to be permanent,
My hearing had also been affected and the treatment by the NHS failed to improve the hearing.
No offence to my NHS doctors.
At the expense of my son, a private doctor examined my ear, prescribed a strong “ nasule”, containing a steroid.

My hearing improved sufficiently for social purposes. No hearing aid needed.
An unexpected benefit was partial recovery of my smell.
What joy.
Conclusions.
1. Anosmia is merely a manifestation of infection of the posterior nasopharyngeal passages leading to the end-organs of olfactory nerves. Any virus may be guilty.
2. If my experience is a guide,, the loss of smell is reversible.
3. But repeated courses of the steroid may be needed.

Competing interests: No competing interests

05 August 2020
JK Anand
Retired doctor
Free spirit
Peterborough, England