Sato Tomoko, Konuma Takaaki, Miwa Yoriko, Sugihara Nozomi, Tsuru Yukari, Narita Hatsuko, Kiriyama Satomi, Kato Seiko, Oiwa-Monna Maki, Kobayashi Koji, Takahashi Satoshi, Tojo Arinobu
Department of Nursing, Research Hospital, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
Department of Hematology/Oncology, The Institute of Medical Science, The University of Tokyo, 4-6-1, Shirokanedai, Minato-ku, Tokyo, 108-8639, Japan.
Ann Hematol. 2017 Nov;96(11):1841-1847. doi: 10.1007/s00277-017-3087-6. Epub 2017 Aug 16.
Taste disorders are one of the most common complications in patients undergoing allogeneic hematopoietic cell transplantation (HCT). They persist in some patients as a late complication 3 months or more after HCT. Therefore, we conducted a cross-sectional study to evaluate the prevalence and predictive factors of late taste disorders, with the help of a self-reporting and closed-ended questionnaire, which was distributed among 91 patients in our institute. The median age at this study was 50 (range, 25-69) years. The median follow-up period was 54 (range, 3-234) months after HCT. Taste disorders were observed in 43 patients (47%). The most frequent form of late taste disorders was reduced appetite in 18 patients (20%). The most frequent form of decline of basic taste was umami, which was observed in 12 patients (13%). Almost all taste disorders were mild in their severity. Multivariate logistic regression analyses showed that the duration of less than 1 year post HCT and the presence of oral chronic graft-versus-host disease are important risk factors for late taste disorders in survivors of HCT. These data suggested that taste disorders usually return to normal levels more than a year after HCT in most recipients.
味觉障碍是同种异体造血细胞移植(HCT)患者最常见的并发症之一。在一些患者中,味觉障碍会作为HCT后3个月或更长时间出现的晚期并发症持续存在。因此,我们进行了一项横断面研究,借助一份自填式封闭式问卷,对晚期味觉障碍的患病率和预测因素进行评估,该问卷在我们研究所的91名患者中进行了发放。本研究的中位年龄为50岁(范围25 - 69岁)。HCT后的中位随访期为54个月(范围3 - 234个月)。43名患者(47%)出现味觉障碍。晚期味觉障碍最常见的形式是18名患者(20%)食欲减退。基本味觉下降最常见的形式是鲜味,12名患者(13%)出现这种情况。几乎所有味觉障碍的严重程度都较轻。多因素逻辑回归分析显示,HCT后不到1年的时间以及口腔慢性移植物抗宿主病的存在是HCT幸存者晚期味觉障碍的重要危险因素。这些数据表明,大多数接受者的味觉障碍在HCT后一年多通常会恢复到正常水平。