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[48] Intranasal drug use Aspirin-exacerbated respiratory disease, also known as Samter's triad Foster Kennedy syndrome Cadmium poisoning Smoking Neurotropic virus [49] Schizophrenia [50] Pernicious anemia Zinc deficiency Bell's Palsy or nerve paralysis and damage Idiopathic intracranial hypertension Suprasellar meningioma Refsum's disease Adrenergic agonists or withdrawal from alpha blockers (vasoconstriction) Sarcoidosis [51] Zinc-based intranasal cold products, including remedies labelled as "homeopathic" [52] Chronic atrophic rhinitis Paget's disease of bone [53] Cerebral aneurysm [54] Granulomatosis with polyangiitis Primary amoebic meningoencephalitis Myasthenia gravis [55] Snakebite [56] Idiopathic anosmia (cause cannot be determined) [3] Diagnosis [edit] Diagnosis begins with a detailed history, including possible related injuries, such as upper respiratory infections or head injury