Terminology for Difficulty with Smell
The term for difficulty with smell is "dysosmia," which serves as the umbrella term for all olfactory disturbances, just as photophobia describes light sensitivity. 1
Specific Categories of Smell Dysfunction
The classification of smell disorders follows a systematic framework based on the type of disturbance 2, 3:
Quantitative Disturbances
These involve changes in the intensity of smell perception 1:
- Anosmia: Complete inability to smell 1, 4
- Hyposmia: Diminished sense of smell 1, 2
- Hyperosmia: Enhanced or heightened sense of smell 1, 2
Qualitative Disturbances
These involve distortions in smell perception 1:
- Parosmia: Distorted perception of odors that are actually present 1, 3
- Phantosmia (also called olfactory hallucination): Perception of smells that are not present 1, 5, 2
- Dysosmia: The general term encompassing all qualitative smell distortions 1, 2
Discrimination Disturbances
Clinical Context
The most commonly used terms in clinical practice are anosmia (complete loss), hyposmia (partial loss), and parosmia (distortion), as these represent the majority of patient presentations. 1, 3 The term "dysosmia" functions as the overarching category that includes all these specific subtypes, making it the direct parallel to "photophobia" when discussing sensory difficulties 1, 2.
Taste disturbances follow parallel terminology: ageusia (complete loss), hypogeusia (diminished taste), hypergeusia (enhanced taste), and parageusia (distorted taste) 2.