Objective: Abnormalities of olfactory identification ability have been
proposed as a marker of cerebral dysfunction in schizophrenia. The au
thors studied the potential role of genetic factors in olfactory dysfu
nction by assessing monozygotic twins discordant for schizophrenia and
marched comparison subjects. Method: The subjects were 12 Pairs of mo
nozygotic twins discordant for schizophrenia and 12 healthy subjects m
atched for sex and age. Each subject completed the University of Penns
ylvania Smell Identification Test. Results: The combined twin group sc
ored significantly lower on smell identification than did the comparis
on group. The affected and unaffected twin groups did not differ from
each other. Conclusions: Genetic factors may contribute to cerebral dy
sfunction as assessed by olfactory identification ability.