Differentiation of COVID‐19 signs and symptoms from allergic rhinitis and common cold: An ARIA‐EAACI‐GA 2 LEN consensus - Université de Montpellier
Article Dans Une Revue Allergy Année : 2021

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

Jan Hagemann (1) , Gabrielle Onorato (2) , Marek Jutel (3) , Cezmi Akdis (4) , Ioana Agache (5) , Torsten Zuberbier (6) , Wienczyslawa Czarlewski (7) , Joaquim Mullol (8, 9) , Anna Bedbrook (2, 10) , Claus Bachert (11, 12, 13) , Kazi Bennoor (14) , Karl-Christian Bergmann (15) , Fulvio Braido (16) , Paulo Camargos (17) , Luis Caraballo (18, 19) , Victoria Cardona (20, 21) , Thomas Casale (22) , Lorenzo Cecchi (23) , Tomas Chivato (24) , Derek Chu (25) , Cemal Cingi (26) , Jaime Correia-De-Sousa (27, 28, 29) , Stefano del Giacco (30) , Dejan Dokic (31) , Mark Dykewicz (32) , Motohiro Ebisawa (33) , Yehia El-Gamal (34) , Regina Emuzyte (35) , Jean-Luc Fauquert (36) , Alessandro Fiocchi (37) , Wytske Fokkens (38, 39) , Joao Fonseca (40, 41) , Bilun Gemicioglu (42) , René-Maximiliano Gomez (43) , Maia Gotua (44) , Tari Haahtela (45) , Eckard Hamelmann (46) , Tomohisa Iinuma (47) , Juan Carlos Ivancevich (48) , Ewa Jassem (49) , Omer Kalayci (50) , Przemyslaw Kardas (51) , Musa Khaitov (52) , Piotr Kuna (51) , Violeta Kvedariene (35) , Desiree Larenas-Linnemann (53) , Brian Lipworth (54) , Michael Makris (55) , Jorge Maspero (56) , Neven Miculinic , Florin Mihaltan (57) , Yousser Mohammad (58, 59) , Stephen Montefort (60) , Mario Morais-Almeida (61) , Ralph Mösges (62) , Robert Naclerio (63) , Hugo Neffen , Marek Niedoszytko (49) , Robyn O'Hehir (64, 65) , Ken Ohta (66) , Yoshitaka Okamoto (47) , Kimi Okubo (67) , Petr Panzner (68) , Nikolaos Papadopoulos (69) , Giovanni Passalacqua (70) , Vincenzo Patella (71) , Ana Pereira (40, 41, 72) , Oliver Pfaar (73) , Davor Plavec (74, 75) , Todor Popov (76) , Emmanuel Prokopakis (77) , Francesca Puggioni (78) , Filip Raciborski (79) , Jere Reijula (45) , Frederico Regateiro (80) , Sietze Reitsma (81) , Antonino Romano (82, 83) , Nelson Rosario (84) , Menachem Rottem (85) , Dermot Ryan (86) , Boleslaw Samolinski (79) , Joaquin Sastre (9) , Dirceu Solé (87) , Milan Sova (88) , Cristiana Stellato (89) , Charlotte Suppli-Ulrik (90) , Ioanna Tsiligianni (77) , Antonio Valero (9, 91) , Arunas Valiulis (35, 92) , Erkka Valovirta (93, 94) , Tuula Vasankari (93, 95) , Maria Teresa Ventura (96) , Dana Wallace (97) , de Yun Wang (98) , Siân Williams (99) , Arzu Yorgancioglu (100) , Osman Yusuf (101) , Mario Zernotti (102) , Jean Bousquet (103, 2, 6) , Ludger Klimek (1, 104)
1 University Medical Center of the Johannes Gutenberg-University Mainz
2 MACVIA-LR - Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon
3 UWr - University of Wrocław [Poland]
4 SIAF - Swiss Institute of Allergy and Asthma Research
5 Transilvania University of Brasov
6 HU Berlin - Humboldt-Universität zu Berlin = Humboldt University of Berlin = Université Humboldt de Berlin
7 Medical Consulting Czarlewski
8 Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS)
9 CIBERES - Centro de Investigación Biomédica en Red Enfermedades Respiratorias
10 MASK-air
11 Ghent University Hospital
12 SYSU - Sun Yat-sen University [Guangzhou]
13 Karolinska Institutet [Stockholm]
14 National Institute of Diseases of the Chest and Hospital (NIDCH)
15 Charité - UniversitätsMedizin = Berlin University Medicine
16 Ospedale Policlinico San Martino [Genoa]
17 UFMG - Universidade Federal de Minas Gerais = Federal University of Minas Gerais [Belo Horizonte, Brazil]
18 University of Cartagena
19 FUNDEMEB - Foundation for the Development of Medical and Biological Sciences
20 Vall d'Hebron University Hospital [Barcelona]
21 National Network ARADyAL - Allergy Unit [Malaga, Spain]
22 USF - University of South Florida [Tampa]
23 Azienda Usl Toscana centro [Firenze]
24 CEU-San Pablo University and HM-Hospitals School of Medicine
25 McMaster University [Hamilton, Ontario]
26 Eskisehir Osmangazi University
27 Universidade do Minho = University of Minho [Braga]
28 ICVS - Life and Health Sciences Research Institute [Braga]
29 IPCRG - The International Primary Care Respiratory Group
30 UniCa - Università degli Studi di Cagliari = University of Cagliari = Université de Cagliari
31 Sts. Cyril and Methodius University
32 Saint Louis University School of Medicine [St Louis]
33 Sagamihara National Hospital [Kanagawa, Japan]
34 ASU - Ain Shams University
35 Vilnius University [Vilnius]
36 Service de Pédiatrie Générale [CHU Clermont-Ferrand]
37 IRCCS Ospedale Pediatrico Bambino Gesù = Bambino Gesù Children’s Hospital
38 AMC - Academic Medical Center - Academisch Medisch Centrum [Amsterdam]
39 EUFOREA - European Forum for Research and Education in Allergy and Airway Diseases
40 CINTESIS - Center of Research in Health Technologies and Information Systems
41 CUF Porto Hospital
42 Cerrahpasa Faculty of Medicine
43 ALAS Medical Institute
44 Center for Allergy and Immunology Research [Tbilisi]
45 Helsingin yliopisto = Helsingfors universitet = University of Helsinki
46 Universität Bielefeld = Bielefeld University
47 Chiba University Hospital
48 Clinica Santa Isabel - Servicio de Alergia e ImmunologiaBuenos Aires
49 Medical University of Gdańsk
50 Faculty of Medicine [Hacettepe University]
51 MUL - Medical University of Łódź
52 Federal Medicobiological Agency [Moscow, Russian Federation]
53 Hospital Medica Sur [Mexico City, Mexico]
54 Ninewells Hospital and Medical School [Dundee]
55 “Attikon” University Hospital
56 Argentine Association of Allergy and Immunology
57 Marius Nasta Institute of Pneumology
58 Tishreen University
59 Université de Damas = Damascus University
60 University of Malta [Malta]
61 Hospital CUF Descobertas
62 CRI - Clinical Research International Ltd [Hamburg, Germany]
63 Johns Hopkins University School of Medicine [Baltimore]
64 Nemours/Alfred I. du Pont Hospital for Children
65 Monash University [Melbourne]
66 Tokyo National Hospital
67 Nippon Medical School [Tokyo, Japon]
68 First Faculty of Medicine Charles University
69 Royal Manchester Children's Hospital
70 UniGe - Università degli studi di Genova = University of Genoa
71 ASL - Santa Maria della Speranza Hospital
72 Universidade do Porto = University of Porto
73 Philipps Universität Marburg = Philipps University of Marburg
74 J.J. Strossmayer University of Osijek
75 Children’s Hospital Srebrnjak [Zagreb, Croatia]
76 St. Ivan Rilski University Hospital = University Hospital St. Ivan Rilski
77 UOC - University of Crete [Heraklion]
78 IRCCS Humanitas [Rozzano, Italy]
79 Medical University of Warsaw - Poland
80 Centro Hospitalar e Universitário [Coimbra]
81 Amsterdam UMC - Amsterdam University Medical Centers
82 IRCCS - Istituto di Ricovero e Cura a Carattere Scientifico [Troina, Italy]
83 Fondazione Mediterranea - Clinica G.B. Morgagni
84 PUCPR - Pontifical Catholic University of Paraná
85 Ha’Emek Medical Center [Afula, Israel]
86 Usher Institute of Population Health Sciences and Informatics [Edinburgh, U.K.]
87 Unifesp - Federal University of Sao Paulo
88 University Hospital Olomouc [Czech Republic]
89 UNISA - Università degli Studi di Salerno = University of Salerno
90 Copenhagen University Hospital
91 IDIBAPS - Institut d'Investigacions Biomèdiques August Pi i Sunyer
92 EAP/UEMS-SP - European Academy of Paediatrics
93 University of Turku
94 Suomen Terveystalo Allergy Clinic
95 Finnish Lung Health Association
96 UNIBA - Università degli studi di Bari Aldo Moro = University of Bari Aldo Moro
97 NSU - Nova Southeastern University
98 Yong Loo Lin School of Medicine [Singapore]
99 IPCRG - The International Primary Care Respiratory Group
100 Department of Biology, Faculty of Sciences & Liberal Arts, Celal Bayar University
101 IPCRG - The Allergy & Asthma Institute, Pakistan
102 Universidad Nacional de Villa María
103 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
104 Allergiezentrum Wiesbaden
Jan Hagemann
University Medical Center of the Johannes Gutenberg-University Mainz
Gabrielle Onorato
  • Fonction : Auteur
Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon
Marek Jutel
University of Wrocław [Poland]
Cezmi Akdis
Swiss Institute of Allergy and Asthma Research
Ioana Agache
Transilvania University of Brasov
Torsten Zuberbier
Humboldt-Universität zu Berlin = Humboldt University of Berlin = Université Humboldt de Berlin
Wienczyslawa Czarlewski
Medical Consulting Czarlewski
Joaquim Mullol
Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS)
Centro de Investigación Biomédica en Red Enfermedades Respiratorias
Anna Bedbrook
Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon
MASK-air
Claus Bachert
Ghent University Hospital
Sun Yat-sen University [Guangzhou]
Karolinska Institutet [Stockholm]
Kazi Bennoor
  • Fonction : Auteur
National Institute of Diseases of the Chest and Hospital (NIDCH)
Karl-Christian Bergmann
  • Fonction : Auteur
Charité - UniversitätsMedizin = Berlin University Medicine
Fulvio Braido
  • Fonction : Auteur
Ospedale Policlinico San Martino [Genoa]
Paulo Camargos
  • Fonction : Auteur
Universidade Federal de Minas Gerais = Federal University of Minas Gerais [Belo Horizonte, Brazil]
Luis Caraballo
  • Fonction : Auteur
University of Cartagena
Foundation for the Development of Medical and Biological Sciences
Victoria Cardona
Vall d'Hebron University Hospital [Barcelona]
Allergy Unit [Malaga, Spain]
Thomas Casale
University of South Florida [Tampa]
Lorenzo Cecchi
Azienda Usl Toscana centro [Firenze]
Tomas Chivato
CEU-San Pablo University and HM-Hospitals School of Medicine
Derek Chu
  • Fonction : Auteur
McMaster University [Hamilton, Ontario]
Cemal Cingi
Eskisehir Osmangazi University
Jaime Correia-De-Sousa
  • Fonction : Auteur
Universidade do Minho = University of Minho [Braga]
Life and Health Sciences Research Institute [Braga]
The International Primary Care Respiratory Group
Stefano del Giacco
Università degli Studi di Cagliari = University of Cagliari = Université de Cagliari
Dejan Dokic
  • Fonction : Auteur
Sts. Cyril and Methodius University
Mark Dykewicz
  • Fonction : Auteur
Saint Louis University School of Medicine [St Louis]
Motohiro Ebisawa
Sagamihara National Hospital [Kanagawa, Japan]
Yehia El-Gamal
  • Fonction : Auteur
Ain Shams University
Regina Emuzyte
  • Fonction : Auteur
Vilnius University [Vilnius]
Jean-Luc Fauquert
  • Fonction : Auteur
Service de Pédiatrie Générale [CHU Clermont-Ferrand]
Alessandro Fiocchi
IRCCS Ospedale Pediatrico Bambino Gesù = Bambino Gesù Children’s Hospital
Wytske Fokkens
Academic Medical Center - Academisch Medisch Centrum [Amsterdam]
European Forum for Research and Education in Allergy and Airway Diseases
Joao Fonseca
Center of Research in Health Technologies and Information Systems
CUF Porto Hospital
Bilun Gemicioglu
  • Fonction : Auteur
Cerrahpasa Faculty of Medicine
René-Maximiliano Gomez
  • Fonction : Auteur
ALAS Medical Institute
Maia Gotua
Center for Allergy and Immunology Research [Tbilisi]
Tari Haahtela
Helsingin yliopisto = Helsingfors universitet = University of Helsinki
Eckard Hamelmann
Universität Bielefeld = Bielefeld University
Tomohisa Iinuma
Chiba University Hospital
Juan Carlos Ivancevich
Servicio de Alergia e ImmunologiaBuenos Aires
Ewa Jassem
  • Fonction : Auteur
Medical University of Gdańsk
Omer Kalayci
  • Fonction : Auteur
Faculty of Medicine [Hacettepe University]
Przemyslaw Kardas
  • Fonction : Auteur
Medical University of Łódź
Musa Khaitov
Federal Medicobiological Agency [Moscow, Russian Federation]
Piotr Kuna
Medical University of Łódź
Violeta Kvedariene
  • Fonction : Auteur
Vilnius University [Vilnius]
Desiree Larenas-Linnemann
  • Fonction : Auteur
Hospital Medica Sur [Mexico City, Mexico]
Brian Lipworth
  • Fonction : Auteur
Ninewells Hospital and Medical School [Dundee]
Michael Makris
  • Fonction : Auteur
“Attikon” University Hospital
Jorge Maspero
Argentine Association of Allergy and Immunology
Neven Miculinic
  • Fonction : Auteur
Florin Mihaltan
  • Fonction : Auteur
Marius Nasta Institute of Pneumology
Yousser Mohammad
  • Fonction : Auteur
Tishreen University
Université de Damas = Damascus University
Stephen Montefort
  • Fonction : Auteur
University of Malta [Malta]
Mario Morais-Almeida
  • Fonction : Auteur
Hospital CUF Descobertas
Ralph Mösges
Clinical Research International Ltd [Hamburg, Germany]
Robert Naclerio
  • Fonction : Auteur
Johns Hopkins University School of Medicine [Baltimore]
Hugo Neffen
  • Fonction : Auteur
Marek Niedoszytko
Medical University of Gdańsk
Robyn O'Hehir
  • Fonction : Auteur
Nemours/Alfred I. du Pont Hospital for Children
Monash University [Melbourne]
Ken Ohta
Tokyo National Hospital
Yoshitaka Okamoto
  • Fonction : Auteur
Chiba University Hospital
Kimi Okubo
  • Fonction : Auteur
Nippon Medical School [Tokyo, Japon]
Petr Panzner
First Faculty of Medicine Charles University
Nikolaos Papadopoulos
Royal Manchester Children's Hospital
Giovanni Passalacqua
Università degli studi di Genova = University of Genoa
Vincenzo Patella
Santa Maria della Speranza Hospital
Ana Pereira
  • Fonction : Auteur
Center of Research in Health Technologies and Information Systems
CUF Porto Hospital
Universidade do Porto = University of Porto
Oliver Pfaar
Philipps Universität Marburg = Philipps University of Marburg
Davor Plavec
  • Fonction : Auteur
J.J. Strossmayer University of Osijek
Children’s Hospital Srebrnjak [Zagreb, Croatia]
Todor Popov
St. Ivan Rilski University Hospital = University Hospital St. Ivan Rilski
Emmanuel Prokopakis
  • Fonction : Auteur
University of Crete [Heraklion]
Francesca Puggioni
  • Fonction : Auteur
IRCCS Humanitas [Rozzano, Italy]
Filip Raciborski
  • Fonction : Auteur
Medical University of Warsaw - Poland
Jere Reijula
  • Fonction : Auteur
Helsingin yliopisto = Helsingfors universitet = University of Helsinki
Frederico Regateiro
Centro Hospitalar e Universitário [Coimbra]
Sietze Reitsma
  • Fonction : Auteur
Amsterdam University Medical Centers
Antonino Romano
Istituto di Ricovero e Cura a Carattere Scientifico [Troina, Italy]
Clinica G.B. Morgagni
Nelson Rosario
  • Fonction : Auteur
Pontifical Catholic University of Paraná
Menachem Rottem
  • Fonction : Auteur
Ha’Emek Medical Center [Afula, Israel]
Dermot Ryan
Usher Institute of Population Health Sciences and Informatics [Edinburgh, U.K.]
Boleslaw Samolinski
  • Fonction : Auteur
Medical University of Warsaw - Poland
Joaquin Sastre
Centro de Investigación Biomédica en Red Enfermedades Respiratorias
Dirceu Solé
  • Fonction : Auteur
Federal University of Sao Paulo
Milan Sova
  • Fonction : Auteur
University Hospital Olomouc [Czech Republic]
Cristiana Stellato
Università degli Studi di Salerno = University of Salerno
Charlotte Suppli-Ulrik
  • Fonction : Auteur
Copenhagen University Hospital
Ioanna Tsiligianni
University of Crete [Heraklion]
Antonio Valero
  • Fonction : Auteur
Centro de Investigación Biomédica en Red Enfermedades Respiratorias
Institut d'Investigacions Biomèdiques August Pi i Sunyer
Arunas Valiulis
Vilnius University [Vilnius]
European Academy of Paediatrics
Erkka Valovirta
  • Fonction : Auteur
University of Turku
Suomen Terveystalo Allergy Clinic
Tuula Vasankari
  • Fonction : Auteur
University of Turku
Finnish Lung Health Association
Maria Teresa Ventura
  • Fonction : Auteur
Università degli studi di Bari Aldo Moro = University of Bari Aldo Moro
Dana Wallace
  • Fonction : Auteur
Nova Southeastern University
de Yun Wang
Yong Loo Lin School of Medicine [Singapore]
Siân Williams
  • Fonction : Auteur
The International Primary Care Respiratory Group
Arzu Yorgancioglu
Department of Biology, Faculty of Sciences & Liberal Arts, Celal Bayar University
Osman Yusuf
  • Fonction : Auteur
The Allergy & Asthma Institute, Pakistan
Mario Zernotti
  • Fonction : Auteur
Universidad Nacional de Villa María
Jean Bousquet
Centre Hospitalier Régional Universitaire [Montpellier]
Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon
Humboldt-Universität zu Berlin = Humboldt University of Berlin = Université Humboldt de Berlin
Ludger Klimek
University Medical Center of the Johannes Gutenberg-University Mainz
Allergiezentrum Wiesbaden

Résumé

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.

Domaines

Maladies infectieuses Maladies émergentes Santé publique et épidémiologie

Nathalie Salvy-Córdoba  : Connectez-vous pour contacter le contributeur

https://hal.umontpellier.fr/hal-03671743

Soumis le : mercredi 18 mai 2022-16:56:33

Dernière modification le : lundi 6 janvier 2025-12:20:02

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Dates et versions

hal-03671743 , version 1 (18-05-2022)

Identifiants

Citer

Jan Hagemann, Gabrielle Onorato, Marek Jutel, Cezmi Akdis, Ioana Agache, et al.. Differentiation of COVID‐19 signs and symptoms from allergic rhinitis and common cold: An ARIA‐EAACI‐GA 2 LEN consensus. Allergy, 2021, 76 (8), pp.2354-2366. ⟨10.1111/all.14815⟩. ⟨hal-03671743⟩

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