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Good article, but unless somebody can come up with a mildly authoritative cite, that clever "ADCHOO" backronym has got to go... Jpatokal 09:20, 21 Jul 2004 (UTC)
"...is a medical condition by which people exposed to bright light involuntarily sneeze" Is it possible to voluntarily sneeze? Benny 17:46, 12 August 2005 (UTC)
ACHOO is legit ... added the reference. sallison 23:00, 8 September 2005 (UTC)
It has been proposed that the photic reflex page be merged into this page. I agree. The information on that page should just be replaced with a redirect to this page. None of the information currently there needs to be carried over. sallison 07:34, 8 October 2005 (UTC)
For the historically curious, I found the Aristotle quote that this article mentions:
Q. Why does the heat of the sun provoke sneezing, and not the heat of the fire? A. Because the heat of the sun doth dissolve, but not consume, and therefore the vapour dissolved is expelled by sneezing; but the heat of the fire doth dissolve and consume, and therefore doth rather hinder sneezing than provoke it.
http://www.gutenberg.org/files/12699/12699-h/12699-h.htm#BOOK_OF_PROBLEMS_Of_the_Nose I will leave it up to others to decide whether or not that is interesting enough to add to the article. Bob the Hamster 18:11, 11 April 2006 (UTC)
What is the source of this fact?
In addition this sneeze reflex can be brought on by a sudden inhailing of cold air or a strong flavor such as a strong mint gum. This implies an overstimulation of any nerve close to the trigeminal nerve can cause the sneeze reflex.
What is the source of this assertion? It has been suggested that the photic sneeze reflex occurs only after someone has been adapted to the dark for at least five minutes, although this is not certain, and is not uniform amongst people with the photic sneeze reflex Also: always and not uniform are contradictory. rewinn 04:18, 19 July 2006 (UTC)
Is there evidence that this reflex is truly a malfunction or could it be a protective reflex? The fact that it's found more with caucasians suggests that it could have a protective purpose which could have something to do with snow (especially in spring time and high UV exposure), ambient lighting and dark winters vs bright summers. What I've noticed is that it's almost always only sunlight that triggers the effect and rarely an artificial light source suggesting that its triggered by something in sun light, like UV rays. - G3, 12:54, 4 May 2006 (UTC)
These articles refer to the same condition and should be merged. -- apers0n 09:42, 13 October 2006 (UTC)
This was merged LeeVJ ( talk) 22:45, 7 April 2008 (UTC)
Well, I happen to have this disease, and I have seen on this talk page various descriptions of what triggers the sneeze. Should we add a section listing possible irritants that bring on a sneeze? Should say something like:
sounds good to me, except for that last item, which seems too detailed to leave unsourced. I happen to sneeze upwards of a half dozen times when it happens to me.
I can vouch for the strong mint causing sneezes. Definitely always happens to me...
I just wondering if its appropriate to merge this article whith the article labled as {{ sneeze }} Richardson j 00:09, 24 February 2007 (UTC)
There was talk of possible protective causes of this effect. Thinking about this, it occured to me that you cannot sneeze with your eyes open. Is it possible the sneeze is a way of making you shut your eyes and therefore shield them from the bright light bringing on the sneeze?? —The preceding unsigned comment was added by 130.194.13.102 ( talk) 07:29, 14 March 2007 (UTC).
hi ummmmm.... yea did you know that Photic Sneeze Reflex is also called the ACHOO syndrome? —Preceding unsigned comment added by 142.227.94.253 ( talk) 18:07, 16 January 2008 (UTC)
All I know is that if I feel a sneeze coming on, I can induce it with any bright light, even a bright TV screen or monitor (or a 40W bulb at close range.) Sure, I sneeze a half a dozen times when going out into sunlight, but that's better than walking around with a sneeze stuck up your nostrils that won't quite come. Got it from my Mom and passed it on to my son. . . I should ask my sisters about it sometime: I think one of them has it as well. 206.45.135.233 ( talk) 21:37, 2 May 2008 (UTC)
I don't really care for the "pathological" tone of the article, with references e.g. to people "suffering" from the reflex. There's not much suffering involved -- you look into the Sun, you sneeze, you look away, you stop sneezing. No big whoop. This isn't a disease, just a variant reflex well within the range of normal human variation. -- Trovatore ( talk) 19:52, 16 June 2008 (UTC)
Agreed, I "suffer" from this reflex and I even find it quite handy when I can't quite manage to sneeze, I just have to gaze directly into the sun for a splitsecond or at night a bright bulb does the same thing.
On a tangent, is there any evidence supporting the notion that people with Blue eyes are more predisposed to this reflex? —Preceding unsigned comment added by 92.232.96.66 ( talk) 22:59, 1 July 2008 (UTC)
It is also listed on List of neurological disorders ... I agree, for me it's a nifty feature. It's not really clear from the article if it causes real problems for some people. JöG ( talk) 09:31, 3 May 2009 (UTC)
How does this "genetic disease" reduce fitness? If it exists at all it's a trait, not a disease. Natural selection would put the kabosh on a harmful disorder before it spread to 18% to 35% of the population. —Preceding unsigned comment added by 98.165.129.154 ( talk) 23:55, 20 July 2010 (UTC)
Thank you! My reaction to the article was "You mean doctors have medicalized this common, neutral human trait and are trying to convince us it is a disorder or disease in need of 'management'?" I know they need to drum up business but this is pretty repulsive.
Some horses have a similar response to glaring light, known as photic head tossing. That might be worth adding to this article. -- Una Smith ( talk) 14:21, 21 July 2008 (UTC)
The last link to the Experience Project is not a "support group" for photic sneezers. EP is a site where people network through shared experiences. Since it is not a support group, the link really serves no purpose in this article. —Preceding unsigned comment added by 129.59.181.232 ( talk) 12:25, 23 September 2008 (UTC)
What's up with the 18-35% incidence? The article is less than 6 months old and while I haven't looked into it but this appears to be a possible hoax. Will PROD it if a subsequent examination confirms the suspicion. Lycurgus ( talk) 21:12, 2 June 2011 (UTC)
Missing from both the article and the discussion is reference to a possible evolutionary basis for photic sneezing. Consider the following:
(1) Sneezing has a purpose, which is "to expel mucus containing foreign particles or irritants and cleanse the nasal cavity" (en.wikipedia.org/wiki/Sneeze). (2) "Some prehistoric humans were cave dwellers, but most were not." (en.wikipedia.org/wiki/Cave_dweller) (3) The article states that "The condition affects 18-35% of the human population." (4) We Homo sapiens have 75 million years of primate evolution, 15 million years of Hominidae evolution and 2.5 million years of genus Homo evolution behind us.
Hypothesis: During the last 75 million years, plus or minus 18% of our evolutionary ancestors spent time (minutes to hours) in caves or other dark, dirty places for whatever reason. Often enough, they got foreign particles or irritants in their nasal passages, some of which may have contained bio-hazardous material (animal feces?). Upon completing their activities in such places, they exited into the sunlight. Our cave dwelling ancestors who then sneezed reduced their exposure to inhaled contaminants, possibly increasing their odds of survival. The other 82% of our ancestors who didn't spend much time in caves, etc. didn't need this reflex, but the caveman population found the reflex useful. TwentyForty ( talk) 04:50, 29 July 2011 (UTC)
Exacerbating photic sneeze reflex can be female hormones from what I've experienced and what my opthalmologist said; this could be added to the article. Also, other posts on here downplay how severe this condition can get. Around my cycle I sometimes am so debilitated by it (needing to spend the day under covers in a dark room to get relief/escape from light) that I can't function. It feels like I have to sneeze every 2 seconds even when I don't sneeze, and my eyes burn, and I feel feverish though my temperature is normal; when I do sneeze it is violent and my nose won't stop running. These are not viral or bacterial symptoms as they reliably happen almost every cycle (I occasionally get a reprieve, when the increase in hormones must be milder and my cycle symptoms are less), and it feels different than a cold or bacterial reaction. I wish this condition were more researched and cures (surgical or not) were found; I have tried antihistamines and they don't work consistently, they lose efficacy over time. I envy those who have this mild enough that they think it's a "blessing." All I can say is, try living with it at this level of severity, with no doctors able to give you answers. Nc1408 ( talk) 05:31, 19 October 2011 (UTC)
Citations 1 and 4 seem to be the same article, and should probably be combined. In the initial section, the percentage of people who experience this issue is given as 1-3.5%, while a later citation of that same article lists 18-35%. Perhaps someone with access to the article can clarify this. — Preceding unsigned comment added by 166.77.103.133 ( talk) 23:52, 18 April 2012 (UTC)
Early in the article: "is a hereditary trait" appears, but then later a study shows it's "more likely to be acquired than inherited". Is this a contradiction? There doesn't seem to be any attempt to reconcile these opposing statements. Wilcfry ( talk) 13:47, 29 October 2013 (UTC)
Looks like "hereditary" has now been removed from first paragraph. This issue is moot, I guess. Wilcfry ( talk) 12:33, 30 October 2013 (UTC)
PS is clearly autosomal dominant in many families including mine. A neurologist has previously documented the autosomal dominant inheritance is his family. I can trace it through four generations in my family. I have investigated this for over 20 years. I have never seen it occur without a family history. In all cases of family history it appears without skipping generations and is equally likely in males and females. The study by 23andme suggests this gene is on chromosome 2. -EtherDoc — Preceding
unsigned comment added by
50.232.3.102 (
talk)
14:36, 28 February 2015 (UTC)
A sneeze is a physiological phenomenon characterized by positive feedback, as are other functions such as ejaculation, micturition, defecation, parturition and more. Self-excitation by the afferent nerve endings serving the process is known in some cases, but not yet in the case of the trigeminal endings of the nasal mucosa. What is necessary to provoke a sneeze is a crescendo of impulses in fibers travelling from the nasal mucosa via the ophthalmic division of the trigeminal nerve. Most commonly, some factor that causes irritation of the mucosa triggers the cascade of increasing excitability until a sensation of profound irritation and subsequent sneeze occurs. In the case of the photic sneeze, an interaction of the pupillary light reflex and the sneeze reflex occurs.
This interaction comes about due to a proximity of nerve fibers serving each reflex. Cranial nerves characteristically combine with one another in their peripheral courses as they approach common anatomical destinations. In the human, there is a short peripheral nerve called the nasociliary nerve in which both the trigeminal sneeze afferents and the parasympathetic oculomotor efferents are bundled together.
Nerve fibers rarely interact (cross-talk) with each other because of the insulation provided by the connective tissue investment of the neurovascular bundle that makes up the whole nerve. But in the case of the photic sneeze reflex, it is quite clear that provoking a discharge in the oculomotor parasympathetic preganglionic fibers travelling in the nasociliary nerve exacerbates the excitablity of the fellow nasal mucosal afferents.
The microstructure of the nasociliary nerve in the human has not been adquately studied to detect a difference between the populations that do and do not express the photic sneeze reflex. The photic sneeze is not a health problem that might ever warrant invasive electrophysiological studies on live human subjects, but a basic understanding of the phenomenon could well be achieved by taking tissue at autopsy from consenting donors and looking at microstructural details of the nasociliary nerve.
Patrick James Reynolds ( talk) 00:36, 12 November 2014 (UTC)
This is a proposal derived from introspective thinking about the nasociliary nerve by a photic sneezer. I am retired and without institutional affiliation. I do not have access to the literature for current references nor an avenue through which to publish. But the proposal here is certainly testable and represents a clear link between light exposure and the sneeze reflex. I'd be glad to team up with anyone interested in researching and publishing on this topic. Patrick James Reynolds ( talk) 01:25, 26 November 2014 (UTC)
How is propofol-induced sneezing related or relevant for this article? The two sections about it does not seem to be connected at all to the rest of the text. Sivizius ( talk) 19:05, 9 June 2021 (UTC)
No scholarly work uses that acronym. It seems to have been started and pushed hard by one person. "Also Known As" should have a higher standard than just one person thinking of something silly and funny and trying to force that onto the public. None of the cited journal articles use this.
If it is included, it should be noted as "One writer humorously coined the acronym ACHOO which may have entered popular media as an attention grabbing name, but that is only a recent pop cultural addition and most researchers do not use it."
References 8 and 12 appear to be the same citation. Some of the places in the article referencing it don’t actually appear to be related. Did someone overwrite something somewhere? 2605:59C8:177D:A410:74AE:E2A:36EE:9417 ( talk) 00:43, 23 December 2023 (UTC)
Find sources: Google ( books · news · scholar · free images · WP refs) · FENS · JSTOR · TWL |
This is the
talk page for discussing improvements to the
Photic sneeze reflex article. This is not a forum for general discussion of the article's subject. |
Article policies
|
Find medical sources: Source guidelines · PubMed · Cochrane · DOAJ · Gale · OpenMD · ScienceDirect · Springer · Trip · Wiley · TWL |
This article is rated C-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | |||||||||||||||||
|
Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Photic sneeze reflex.
|
Good article, but unless somebody can come up with a mildly authoritative cite, that clever "ADCHOO" backronym has got to go... Jpatokal 09:20, 21 Jul 2004 (UTC)
"...is a medical condition by which people exposed to bright light involuntarily sneeze" Is it possible to voluntarily sneeze? Benny 17:46, 12 August 2005 (UTC)
ACHOO is legit ... added the reference. sallison 23:00, 8 September 2005 (UTC)
It has been proposed that the photic reflex page be merged into this page. I agree. The information on that page should just be replaced with a redirect to this page. None of the information currently there needs to be carried over. sallison 07:34, 8 October 2005 (UTC)
For the historically curious, I found the Aristotle quote that this article mentions:
Q. Why does the heat of the sun provoke sneezing, and not the heat of the fire? A. Because the heat of the sun doth dissolve, but not consume, and therefore the vapour dissolved is expelled by sneezing; but the heat of the fire doth dissolve and consume, and therefore doth rather hinder sneezing than provoke it.
http://www.gutenberg.org/files/12699/12699-h/12699-h.htm#BOOK_OF_PROBLEMS_Of_the_Nose I will leave it up to others to decide whether or not that is interesting enough to add to the article. Bob the Hamster 18:11, 11 April 2006 (UTC)
What is the source of this fact?
In addition this sneeze reflex can be brought on by a sudden inhailing of cold air or a strong flavor such as a strong mint gum. This implies an overstimulation of any nerve close to the trigeminal nerve can cause the sneeze reflex.
What is the source of this assertion? It has been suggested that the photic sneeze reflex occurs only after someone has been adapted to the dark for at least five minutes, although this is not certain, and is not uniform amongst people with the photic sneeze reflex Also: always and not uniform are contradictory. rewinn 04:18, 19 July 2006 (UTC)
Is there evidence that this reflex is truly a malfunction or could it be a protective reflex? The fact that it's found more with caucasians suggests that it could have a protective purpose which could have something to do with snow (especially in spring time and high UV exposure), ambient lighting and dark winters vs bright summers. What I've noticed is that it's almost always only sunlight that triggers the effect and rarely an artificial light source suggesting that its triggered by something in sun light, like UV rays. - G3, 12:54, 4 May 2006 (UTC)
These articles refer to the same condition and should be merged. -- apers0n 09:42, 13 October 2006 (UTC)
This was merged LeeVJ ( talk) 22:45, 7 April 2008 (UTC)
Well, I happen to have this disease, and I have seen on this talk page various descriptions of what triggers the sneeze. Should we add a section listing possible irritants that bring on a sneeze? Should say something like:
sounds good to me, except for that last item, which seems too detailed to leave unsourced. I happen to sneeze upwards of a half dozen times when it happens to me.
I can vouch for the strong mint causing sneezes. Definitely always happens to me...
I just wondering if its appropriate to merge this article whith the article labled as {{ sneeze }} Richardson j 00:09, 24 February 2007 (UTC)
There was talk of possible protective causes of this effect. Thinking about this, it occured to me that you cannot sneeze with your eyes open. Is it possible the sneeze is a way of making you shut your eyes and therefore shield them from the bright light bringing on the sneeze?? —The preceding unsigned comment was added by 130.194.13.102 ( talk) 07:29, 14 March 2007 (UTC).
hi ummmmm.... yea did you know that Photic Sneeze Reflex is also called the ACHOO syndrome? —Preceding unsigned comment added by 142.227.94.253 ( talk) 18:07, 16 January 2008 (UTC)
All I know is that if I feel a sneeze coming on, I can induce it with any bright light, even a bright TV screen or monitor (or a 40W bulb at close range.) Sure, I sneeze a half a dozen times when going out into sunlight, but that's better than walking around with a sneeze stuck up your nostrils that won't quite come. Got it from my Mom and passed it on to my son. . . I should ask my sisters about it sometime: I think one of them has it as well. 206.45.135.233 ( talk) 21:37, 2 May 2008 (UTC)
I don't really care for the "pathological" tone of the article, with references e.g. to people "suffering" from the reflex. There's not much suffering involved -- you look into the Sun, you sneeze, you look away, you stop sneezing. No big whoop. This isn't a disease, just a variant reflex well within the range of normal human variation. -- Trovatore ( talk) 19:52, 16 June 2008 (UTC)
Agreed, I "suffer" from this reflex and I even find it quite handy when I can't quite manage to sneeze, I just have to gaze directly into the sun for a splitsecond or at night a bright bulb does the same thing.
On a tangent, is there any evidence supporting the notion that people with Blue eyes are more predisposed to this reflex? —Preceding unsigned comment added by 92.232.96.66 ( talk) 22:59, 1 July 2008 (UTC)
It is also listed on List of neurological disorders ... I agree, for me it's a nifty feature. It's not really clear from the article if it causes real problems for some people. JöG ( talk) 09:31, 3 May 2009 (UTC)
How does this "genetic disease" reduce fitness? If it exists at all it's a trait, not a disease. Natural selection would put the kabosh on a harmful disorder before it spread to 18% to 35% of the population. —Preceding unsigned comment added by 98.165.129.154 ( talk) 23:55, 20 July 2010 (UTC)
Thank you! My reaction to the article was "You mean doctors have medicalized this common, neutral human trait and are trying to convince us it is a disorder or disease in need of 'management'?" I know they need to drum up business but this is pretty repulsive.
Some horses have a similar response to glaring light, known as photic head tossing. That might be worth adding to this article. -- Una Smith ( talk) 14:21, 21 July 2008 (UTC)
The last link to the Experience Project is not a "support group" for photic sneezers. EP is a site where people network through shared experiences. Since it is not a support group, the link really serves no purpose in this article. —Preceding unsigned comment added by 129.59.181.232 ( talk) 12:25, 23 September 2008 (UTC)
What's up with the 18-35% incidence? The article is less than 6 months old and while I haven't looked into it but this appears to be a possible hoax. Will PROD it if a subsequent examination confirms the suspicion. Lycurgus ( talk) 21:12, 2 June 2011 (UTC)
Missing from both the article and the discussion is reference to a possible evolutionary basis for photic sneezing. Consider the following:
(1) Sneezing has a purpose, which is "to expel mucus containing foreign particles or irritants and cleanse the nasal cavity" (en.wikipedia.org/wiki/Sneeze). (2) "Some prehistoric humans were cave dwellers, but most were not." (en.wikipedia.org/wiki/Cave_dweller) (3) The article states that "The condition affects 18-35% of the human population." (4) We Homo sapiens have 75 million years of primate evolution, 15 million years of Hominidae evolution and 2.5 million years of genus Homo evolution behind us.
Hypothesis: During the last 75 million years, plus or minus 18% of our evolutionary ancestors spent time (minutes to hours) in caves or other dark, dirty places for whatever reason. Often enough, they got foreign particles or irritants in their nasal passages, some of which may have contained bio-hazardous material (animal feces?). Upon completing their activities in such places, they exited into the sunlight. Our cave dwelling ancestors who then sneezed reduced their exposure to inhaled contaminants, possibly increasing their odds of survival. The other 82% of our ancestors who didn't spend much time in caves, etc. didn't need this reflex, but the caveman population found the reflex useful. TwentyForty ( talk) 04:50, 29 July 2011 (UTC)
Exacerbating photic sneeze reflex can be female hormones from what I've experienced and what my opthalmologist said; this could be added to the article. Also, other posts on here downplay how severe this condition can get. Around my cycle I sometimes am so debilitated by it (needing to spend the day under covers in a dark room to get relief/escape from light) that I can't function. It feels like I have to sneeze every 2 seconds even when I don't sneeze, and my eyes burn, and I feel feverish though my temperature is normal; when I do sneeze it is violent and my nose won't stop running. These are not viral or bacterial symptoms as they reliably happen almost every cycle (I occasionally get a reprieve, when the increase in hormones must be milder and my cycle symptoms are less), and it feels different than a cold or bacterial reaction. I wish this condition were more researched and cures (surgical or not) were found; I have tried antihistamines and they don't work consistently, they lose efficacy over time. I envy those who have this mild enough that they think it's a "blessing." All I can say is, try living with it at this level of severity, with no doctors able to give you answers. Nc1408 ( talk) 05:31, 19 October 2011 (UTC)
Citations 1 and 4 seem to be the same article, and should probably be combined. In the initial section, the percentage of people who experience this issue is given as 1-3.5%, while a later citation of that same article lists 18-35%. Perhaps someone with access to the article can clarify this. — Preceding unsigned comment added by 166.77.103.133 ( talk) 23:52, 18 April 2012 (UTC)
Early in the article: "is a hereditary trait" appears, but then later a study shows it's "more likely to be acquired than inherited". Is this a contradiction? There doesn't seem to be any attempt to reconcile these opposing statements. Wilcfry ( talk) 13:47, 29 October 2013 (UTC)
Looks like "hereditary" has now been removed from first paragraph. This issue is moot, I guess. Wilcfry ( talk) 12:33, 30 October 2013 (UTC)
PS is clearly autosomal dominant in many families including mine. A neurologist has previously documented the autosomal dominant inheritance is his family. I can trace it through four generations in my family. I have investigated this for over 20 years. I have never seen it occur without a family history. In all cases of family history it appears without skipping generations and is equally likely in males and females. The study by 23andme suggests this gene is on chromosome 2. -EtherDoc — Preceding
unsigned comment added by
50.232.3.102 (
talk)
14:36, 28 February 2015 (UTC)
A sneeze is a physiological phenomenon characterized by positive feedback, as are other functions such as ejaculation, micturition, defecation, parturition and more. Self-excitation by the afferent nerve endings serving the process is known in some cases, but not yet in the case of the trigeminal endings of the nasal mucosa. What is necessary to provoke a sneeze is a crescendo of impulses in fibers travelling from the nasal mucosa via the ophthalmic division of the trigeminal nerve. Most commonly, some factor that causes irritation of the mucosa triggers the cascade of increasing excitability until a sensation of profound irritation and subsequent sneeze occurs. In the case of the photic sneeze, an interaction of the pupillary light reflex and the sneeze reflex occurs.
This interaction comes about due to a proximity of nerve fibers serving each reflex. Cranial nerves characteristically combine with one another in their peripheral courses as they approach common anatomical destinations. In the human, there is a short peripheral nerve called the nasociliary nerve in which both the trigeminal sneeze afferents and the parasympathetic oculomotor efferents are bundled together.
Nerve fibers rarely interact (cross-talk) with each other because of the insulation provided by the connective tissue investment of the neurovascular bundle that makes up the whole nerve. But in the case of the photic sneeze reflex, it is quite clear that provoking a discharge in the oculomotor parasympathetic preganglionic fibers travelling in the nasociliary nerve exacerbates the excitablity of the fellow nasal mucosal afferents.
The microstructure of the nasociliary nerve in the human has not been adquately studied to detect a difference between the populations that do and do not express the photic sneeze reflex. The photic sneeze is not a health problem that might ever warrant invasive electrophysiological studies on live human subjects, but a basic understanding of the phenomenon could well be achieved by taking tissue at autopsy from consenting donors and looking at microstructural details of the nasociliary nerve.
Patrick James Reynolds ( talk) 00:36, 12 November 2014 (UTC)
This is a proposal derived from introspective thinking about the nasociliary nerve by a photic sneezer. I am retired and without institutional affiliation. I do not have access to the literature for current references nor an avenue through which to publish. But the proposal here is certainly testable and represents a clear link between light exposure and the sneeze reflex. I'd be glad to team up with anyone interested in researching and publishing on this topic. Patrick James Reynolds ( talk) 01:25, 26 November 2014 (UTC)
How is propofol-induced sneezing related or relevant for this article? The two sections about it does not seem to be connected at all to the rest of the text. Sivizius ( talk) 19:05, 9 June 2021 (UTC)
No scholarly work uses that acronym. It seems to have been started and pushed hard by one person. "Also Known As" should have a higher standard than just one person thinking of something silly and funny and trying to force that onto the public. None of the cited journal articles use this.
If it is included, it should be noted as "One writer humorously coined the acronym ACHOO which may have entered popular media as an attention grabbing name, but that is only a recent pop cultural addition and most researchers do not use it."
References 8 and 12 appear to be the same citation. Some of the places in the article referencing it don’t actually appear to be related. Did someone overwrite something somewhere? 2605:59C8:177D:A410:74AE:E2A:36EE:9417 ( talk) 00:43, 23 December 2023 (UTC)