Differentiation of COVID‐19 signs and symptoms from allergic rhinitis and common cold: An ARIA‐EAACI‐GA 2 LEN consensus

Jan Hagemann; Gabrielle Onorato; Marek Jutel; Cezmi Akdis; Ioana Agache; Torsten Zuberbier; Wienczyslawa Czarlewski; Joaquim Mullol; Anna Bedbrook; Claus Bachert; Kazi Bennoor; Karl-Christian Bergmann; Fulvio Braido; Paulo Camargos; Luis Caraballo; Victoria Cardona; Thomas Casale; Lorenzo Cecchi; Tomas Chivato; Derek Chu; Cemal Cingi; Jaime Correia-De-Sousa; Stefano del Giacco; Dejan Dokic; Mark Dykewicz; Motohiro Ebisawa; Yehia El-Gamal; Regina Emuzyte; Jean-Luc Fauquert; Alessandro Fiocchi; Wytske Fokkens; Joao Fonseca; Bilun Gemicioglu; René-Maximiliano Gomez; Maia Gotua; Tari Haahtela; Eckard Hamelmann; Tomohisa Iinuma; Juan Carlos Ivancevich; Ewa Jassem; Omer Kalayci; Przemyslaw Kardas; Musa Khaitov; Piotr Kuna; Violeta Kvedariene; Desiree Larenas-Linnemann; Brian Lipworth; Michael Makris; Jorge Maspero; Neven Miculinic; Florin Mihaltan; Yousser Mohammad; Stephen Montefort; Mario Morais-Almeida; Ralph Mösges; Robert Naclerio; Hugo Neffen; Marek Niedoszytko; Robyn O'Hehir; Ken Ohta; Yoshitaka Okamoto; Kimi Okubo; Petr Panzner; Nikolaos Papadopoulos; Giovanni Passalacqua; Vincenzo Patella; Ana Pereira; Oliver Pfaar; Davor Plavec; Todor Popov; Emmanuel Prokopakis; Francesca Puggioni; Filip Raciborski; Jere Reijula; Frederico Regateiro; Sietze Reitsma; Antonino Romano; Nelson Rosario; Menachem Rottem; Dermot Ryan; Boleslaw Samolinski; Joaquin Sastre; Dirceu Solé; Milan Sova; Cristiana Stellato; Charlotte Suppli-Ulrik; Ioanna Tsiligianni; Antonio Valero; Arunas Valiulis; Erkka Valovirta; Tuula Vasankari; Maria Teresa Ventura; Dana Wallace; de Yun Wang; Siân Williams; Arzu Yorgancioglu; Osman Yusuf; Mario Zernotti; Jean Bousquet; Ludger Klimek

doi:10.1111/all.14815

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Differentiation of COVID‐19 signs and symptoms from allergic rhinitis and common cold: An ARIA‐EAACI‐GA 2 LEN consensus

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Differentiation of COVID‐19 signs and symptoms from allergic rhinitis and common cold: An ARIA‐EAACI‐GA 2 LEN consensus

Jan Hagemann, Gabrielle Onorato, Marek Jutel, Cezmi Akdis, Ioana Agache, Torsten Zuberbier, Wienczyslawa Czarlewski, Joaquim Mullol, Anna Bedbrook, Claus Bachert, …

Allergy, Vol.76(8), pp.2354-2366

08/2021

DOI: https://doi.org/10.1111/all.14815

PMCID: PMC8250633

PMID: 33730365

Abstract

COVID-19

Allergic rhinitis

Common cold

Cough

Smell

Asthma

Common Cold

Consensus

Humans

Rhinitis, Allergic

SARS-CoV-2

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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Title: Differentiation of COVID‐19 signs and symptoms from allergic rhinitis and common cold: An ARIA‐EAACI‐GA 2 LEN consensus
Creators - without role: Jan Hagemann - Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie
Gabrielle Onorato - Gefluc Languedoc Roussillon
Marek Jutel - Wroclaw Medical University
Cezmi Akdis - University of Zurich
Ioana Agache - Transylvania University
Torsten Zuberbier - Charité - Universitätsmedizin Berlin
Wienczyslawa Czarlewski - Medical Consulting Czarlewski
Joaquim Mullol - Hospital Clínic de Barcelona
Anna Bedbrook - Gefluc Languedoc Roussillon
Claus Bachert - Ghent University Hospital
Kazi Bennoor - National Institute of Cardiovascular Diseases
Karl-Christian Bergmann - Charité - Universitätsmedizin Berlin
Fulvio Braido - Ospedale Policlinico San Martino
Paulo Camargos - Universidade Federal de Minas Gerais
Luis Caraballo - University of Cartagena
Victoria Cardona - Hebron University
Thomas Casale - University of South Florida
Lorenzo Cecchi - Azienda Usl Toscana Centro
Tomas Chivato - Universidad San Pablo CEU
Derek Chu - Impact
Cemal Cingi - Eskişehir Osmangazi University
Jaime Correia-De-Sousa - University of Minho
Stefano del Giacco - University of Cagliari
Dejan Dokic - Sts. Cyril and Methodius University
Mark Dykewicz - Saint Louis University
Motohiro Ebisawa - National Sagamihara Hospital
Yehia El-Gamal - Ain Shams University Hospital
Regina Emuzyte - Vilnius University
Jean-Luc Fauquert - Service de Pédiatrie Générale [CHU Clermont-Ferrand]
Alessandro Fiocchi - Bambino Gesù Children's Hospital
Wytske Fokkens - Academic Medical Center
Joao Fonseca - Centre for Health Technology and Services Research
Bilun Gemicioglu - Istanbul University-Cerrahpaşa
René-Maximiliano Gomez - ALAS Medical Institute
Maia Gotua - AIDS and Clinical Immunology Research Center
Tari Haahtela - University of Helsinki
Eckard Hamelmann - Evangelisches Krankenhaus Bielefeld
Tomohisa Iinuma - Chiba University Hospital
Juan Carlos Ivancevich - Clinica Santa Maria
Ewa Jassem - Gdańsk Medical University
Omer Kalayci - Faculty
Przemyslaw Kardas - University of Łódź
Musa Khaitov - Federal Medical-Biological Agency
Piotr Kuna - Medical University of Lodz
Violeta Kvedariene - Vilnius University
Desiree Larenas-Linnemann - Hospital Médica Sur
Brian Lipworth - Ninewells Hospital
Michael Makris - National and Kapodistrian University of Athens
Jorge Maspero - Argentine Association of Allergy and Immunology
Neven Miculinic - Croatian Science Foundation
Florin Mihaltan - Marius Nasta Institute of Pneumology
Yousser Mohammad - Tishreen University
Stephen Montefort - University of Malta
Mario Morais-Almeida - CUF Porto Hospital
Ralph Mösges - Clinical Research International Ltd [Hamburg, Germany]
Robert Naclerio - Johns Hopkins University
Hugo Neffen
Marek Niedoszytko - Gdańsk Medical University
Robyn O'Hehir - Monash University
Ken Ohta - Tokyo Medical Center
Yoshitaka Okamoto - Chiba University Hospital
Kimi Okubo - Nippon Medical School
Petr Panzner - Charles University
Nikolaos Papadopoulos - Royal Manchester Children's Hospital
Giovanni Passalacqua - Ospedale Policlinico San Martino
Vincenzo Patella - Santa Maria della Speranza Hospital
Ana Pereira - Centre for Health Technology and Services Research
Oliver Pfaar - Philipps University of Marburg
Davor Plavec - Children's Hospital Srebrnjak
Todor Popov - University Hospital St. Ivan Rilski
Emmanuel Prokopakis - University of Crete
Francesca Puggioni - Humanitas University
Filip Raciborski - Medical University of Warsaw
Jere Reijula - Helsinki University Hospital
Frederico Regateiro - Hospitais da Universidade de Coimbra
Sietze Reitsma - Amsterdam University Medical Centers
Antonino Romano - Oasi Maria SS
Nelson Rosario - Pontifícia Universidade Católica de São Paulo
Menachem Rottem - Emek Medical Center
Dermot Ryan - University of Edinburgh
Boleslaw Samolinski - Medical University of Warsaw
Joaquin Sastre - Hospital Universitario Fundación Jiménez Díaz
Dirceu Solé - Universidade Federal de São Paulo
Milan Sova - University Hospital Olomouc
Cristiana Stellato - University of Salerno
Charlotte Suppli-Ulrik - Copenhagen University Hospital
Ioanna Tsiligianni - University of Crete
Antonio Valero - Universitat de Barcelona
Arunas Valiulis - European Academy of Technology and Innovation Assessment
Erkka Valovirta - University of Turku
Tuula Vasankari - Finnish Lung Health Association
Maria Teresa Ventura - University of Bari Aldo Moro
Dana Wallace - Nova Southeastern University
de Yun Wang - Yong Loo Lin School of Medicine [Singapore]
Siân Williams - The International Primary Care Respiratory Group
Arzu Yorgancioglu - Manisa Celal Bayar University
Osman Yusuf - The Allergy & Asthma Institute, Pakistan
Mario Zernotti - National University of Villa María
Jean Bousquet - Gefluc Languedoc Roussillon
Ludger Klimek - Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie
Publication Details: Allergy, Vol.76(8), pp.2354-2366
Identifiers: 9934782809311
Academic Unit: Université de Montpellier
Language: English
Resource Type: Journal article
Local Fields: hal-03671743