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Differentiation of COVID-19 signs and symptoms from allergic rhinitis and common cold: An ARIA-EAACI-GA2 LEN consensus.
Hagemann, Jan; Onorato, Gabrielle L; Jutel, Marek; Akdis, Cezmi A; Agache, Ioana; Zuberbier, Torsten; Czarlewski, Wienczyslawa; Mullol, Joaquim; Bedbrook, Anna; Bachert, Claus; Bennoor, Kazi S; Bergmann, Karl-Christian; Braido, Fulvio; Camargos, Paulo; Caraballo, Luis; Cardona, Victoria; Casale, Thomas; Cecchi, Lorenzo; Chivato, Tomas; Chu, Derek K; Cingi, Cemal; Correia-de-Sousa, Jaime; Del Giacco, Stefano; Dokic, Dejan; Dykewicz, Mark; Ebisawa, Motohiro; El-Gamal, Yehia; Emuzyte, Regina; Fauquert, Jean-Luc; Fiocchi, Alessandro; Fokkens, Wytske J; Fonseca, Joao A; Gemicioglu, Bilun; Gomez, René-Maximiliano; Gotua, Maia; Haahtela, Tari; Hamelmann, Eckard; Iinuma, Tomohisa; Ivancevich, Juan Carlos; Jassem, Ewa; Kalayci, Omer; Kardas, Przemyslaw; Khaitov, Musa; Kuna, Piotr; Kvedariene, Violeta; Larenas-Linnemann, Desiree E; Lipworth, Brian; Makris, Michael; Maspero, Jorge F; Miculinic, Neven.
  • Hagemann J; Department of Otolaryngology, Head and Neck Surgery, Universitätsmedizin Mainz, Mainz, Germany.
  • Onorato GL; MACVIA-France, Montpellier, France.
  • Jutel M; Department of Clinical Immunology, Wroclaw Medical University, Wroclaw, Poland.
  • Akdis CA; Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland.
  • Agache I; Transylvania University Brasov, Brasov, Romania.
  • Zuberbier T; Comprehensive Allergy Center, Department of Dermatology and Allergy, Charité, Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
  • Czarlewski W; Medical Consulting Czarlewski, Levallois, France.
  • Mullol J; Rhinology Unit & Smell Clinic, ENT Department, Hospital Clínic; Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, CIBERES, University of Barcelona, Barcelona, Spain.
  • Bedbrook A; MACVIA-France, Montpellier, France.
  • Bachert C; MASK-air, Montpellier, France.
  • Bennoor KS; Upper Airways Research Laboratory, ENT Department, Ghent University Hospital, Ghent, Belgium.
  • Bergmann KC; Sun Yat-sen University, International Airway Research Center, First Affiliated Hospital Guangzou, Guangzou, China.
  • Braido F; Division of ENT Diseases, CLINTEC, Karolinska Institutet, Stockholm, Sweden.
  • Camargos P; Department of ENT Diseases, Karolinska University Hospital, Stockholm, Sweden.
  • Caraballo L; Department of Respiratory Medicine, National Institute of Diseases of the Chest and Hospital, Dhaka, Bangladesh.
  • Cardona V; Comprehensive Allergy Center, Department of Dermatology and Allergy, Charité, Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
  • Casale T; Department of Internal Medicine (DiMI) and IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy.
  • Cecchi L; Department of Pediatrics, Federal University of Minas Gerais, Medical School, Belo Horizonte, Brazil.
  • Chivato T; Institute for Immunological Research, University of Cartagena, Campus de Zaragocilla, Edificio Biblioteca Primer piso, Cartagena, Colombia.
  • Chu DK; Foundation for the Development of Medical and Biological Sciences (Fundemeb), Cartagena, Colombia.
  • Cingi C; Allergy Section, Department of Internal Medicine, Hospital Vall d'Hebron & ARADyAL Research Network, Barcelona, Spain.
  • Correia-de-Sousa J; Division of Allergy/immunology, University of South Florida, Tampa, FL, USA.
  • Del Giacco S; SOS Allergology and Clinical Immunology, USL Toscana Centro, Prato, Italy.
  • Dokic D; School of Medicine, University CEU San Pablo, Madrid, Spain.
  • Dykewicz M; Departments of Medicine and Health Research Methods, Evidence & Impact, McMaster University, Hamilton, ON, Canada.
  • Ebisawa M; ENT Department, Medical Faculty, Eskisehir Osmangazi University, Eskisehir, Turkey.
  • El-Gamal Y; Life and Health Sciences Research Institute (ICVS, School of Medicine, University of Minho, Braga, Portugal.
  • Emuzyte R; PT Government Associate Laboratory, Braga/Guimarães, Portugal.
  • Fauquert JL; International Primary Care Respiratory Group IPCRG, London, UK.
  • Fiocchi A; Department of Medical Sciences and Public Health and Unit of Allergy and Clinical Immunology, University Hospital 'Duilio Casula', University of Cagliari, Cagliari, Italy.
  • Fokkens WJ; University Clinic of Pulmology and Allergy, Medical Faculty Skopje, Skopje, Republic of Macedonia.
  • Fonseca JA; Section of Allergy and Immunology, Saint Louis University School of Medicine, Saint Louis, MO, USA.
  • Gemicioglu B; Clinical Research Center for Allergy and Rheumatology, NHO Sagamihara National Hospital, Sagamihara, Japan.
  • Gomez RM; Pediatric Allergy and Immunology Unit, Children's hospital, Ain Shams University, Cairo, Egypt.
  • Gotua M; Clinic of Children's Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
  • Haahtela T; CHU Clermont-Ferrand, Unité d'Allergologie de l'Enfant, Pole pédiatrique, Hopital Estaing, Clermont-Ferrand, France.
  • Hamelmann E; Division of Allergy, Department of Pediatric Medicine, The Bambino Gesù Children's Research Hospital Holy see, IRCCS, Rome, Italy.
  • Iinuma T; Department of Otorhinolaryngology, Academic Medical Centers, AMC, Amsterdam, The Netherlands.
  • Ivancevich JC; EUFOREA, Brussels, Belgium.
  • Jassem E; CINTESIS, Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, Porto, Portugal.
  • Kalayci O; Allergy Unit, CUF Porto, Porto, Portugal.
  • Kardas P; Department of Pulmonary Diseases, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
  • Khaitov M; Fundacion Ayre-Instituto Medico ALAS, Salta, Argentina.
  • Kuna P; Center of Allergy and Immunology, Georgian Association of Allergology and Clinical Immunology, Tbilisi, Georgia.
  • Kvedariene V; Skin and Allergy Hospital, Helsinki University Hospital, Helsinki, Finland.
  • Larenas-Linnemann DE; University Hospital Bielefeld, Children's Center Bethel, EvKB, Bielefeld, Germany.
  • Lipworth B; Department of Otorhinolaryngology, Chiba University Hospital, Chiba, Japan.
  • Makris M; Servicio de Alergia e Immunologia, Clinica Santa Isabel, Buenos Aires, Argentina.
  • Maspero JF; Department of Allergology, Medical University of Gdansk, Gdansk, Poland.
  • Miculinic N; Pediatric Allergy and Asthma Unit, Hacettepe University School of Medicine, Ankara, Turkey.
Allergy ; 76(8): 2354-2366, 2021 08.
Article in English | MEDLINE | ID: covidwho-1315749
ABSTRACT

BACKGROUND:

Although there are many asymptomatic patients, one of the problems of COVID-19 is early recognition of the disease. COVID-19 symptoms are polymorphic and may include upper respiratory symptoms. However, COVID-19 symptoms may be mistaken with the common cold or allergic rhinitis. An ARIA-EAACI study group attempted to differentiate upper respiratory symptoms between the three diseases.

METHODS:

A modified Delphi process was used. The ARIA members who were seeing COVID-19 patients were asked to fill in a questionnaire on the upper airway symptoms of COVID-19, common cold and allergic rhinitis.

RESULTS:

Among the 192 ARIA members who were invited to respond to the questionnaire, 89 responded and 87 questionnaires were analysed. The consensus was then reported. A two-way ANOVA revealed significant differences in the symptom intensity between the three diseases (p < .001).

CONCLUSIONS:

This modified Delphi approach enabled the differentiation of upper respiratory symptoms between COVID-19, the common cold and allergic rhinitis. An electronic algorithm will be devised using the questionnaire.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Asthma / Common Cold / Rhinitis, Allergic / COVID-19 Type of study: Diagnostic study / Observational study Limits: Humans Language: English Journal: Allergy Year: 2021 Document Type: Article Affiliation country: All.14815

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Asthma / Common Cold / Rhinitis, Allergic / COVID-19 Type of study: Diagnostic study / Observational study Limits: Humans Language: English Journal: Allergy Year: 2021 Document Type: Article Affiliation country: All.14815