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Differentiation of COVID-19 signs and symptoms from allergic rhinitis and common cold: An ARIA-EAACI-GA2 LEN consensus

J. Hagemann, GL. Onorato, M. Jutel, CA. Akdis, I. Agache, T. Zuberbier, W. Czarlewski, J. Mullol, A. Bedbrook, C. Bachert, KS. Bennoor, KC. Bergmann, F. Braido, P. Camargos, L. Caraballo, V. Cardona, T. Casale, L. Cecchi, T. Chivato, DK. Chu, C....

. 2021 ; 76 (8) : 2354-2366. [pub] 20210514

Language English Country Denmark

Document type Journal Article

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.

Allergy and Clinical Immunology Unit Centro Hospitalar e Universitário de Coimbra Coimbra and Institute of Immunology Faculty of Medicine University of Coimbra Coimbra Portugal

Allergy and Respiratory Diseases Ospedale Policlino San Martino University of Genoa Genoa Italy

Allergy Center CUF Descobertas Hospital Lisbon Portugal

Allergy Section Department of Internal Medicine Hospital Vall d'Hebron and ARADyAL Research Network Barcelona Spain

Allergy Unit 'D Kalogeromitros' 2nd Department of Dermatology and Venereology National and Kapodistrian University of Athens 'Attikon' University Hospital Athens Greece

Allergy Unit CUF Porto Porto Portugal

Allergy Unit Instituto CUF Porto and Hospital CUF Porto Porto Portugal

Argentine Association of Allergy and Clinical Immunology Buenos Aires Argentina

bFondazione Mediterranea GB Morgagni Catania Italy

Celal Bayar University Department of Pulmonology Manisa Turkey

Center for Research in Health Technologies and Information Systems CINTESIS University of Porto Porto Portugal

Center for Rhinology and Allergology Wiesbaden Germany

Center of Allergy and Immunology Georgian Association of Allergology and Clinical Immunology Tbilisi Georgia

Center of Allergy Immunology and Respiratory Diseases Santa Fe Argentina

Center of Excellence in Asthma and Allergy Médica Sur Clinical Foundation and Hospital México City Mexico

Children's Hospital Srebrnjak Zagreb School of Medicine University J J Strossmayer Osijek Croatia

CHU Clermont Ferrand Unité d'Allergologie de l'Enfant Pole pédiatrique Hopital Estaing Clermont Ferrand France

CINTESIS Center for Health Technology and Services Research Faculdade de Medicina Universidade do Porto Porto Portugal

Clinic of Children's Diseases Institute of Clinical Medicine Faculty of Medicine Vilnius University Vilnius Lithuania

Clinical and Experimental Respiratory Immunoallergy IDIBAPS CIBERES University of Barcelona Barcelona Spain

Clinical Research Center for Allergy and Rheumatology NHO Sagamihara National Hospital Sagamihara Japan

Comprehensive Allergy Center Department of Dermatology and Allergy Charité Universitätsmedizin Berlin Humboldt Universität zu Berlin and Berlin Institute of Health Berlin Germany

CRI Clinical Research International Ltd Hamburg Germany

Croatian Pulmonary Society Zagreb Croatia

Department of Allergology Medical University of Gdańsk Gdansk Poland

Department of Allergy Immunology and Respiratory Medicine Alfred Hospital and Central Clinical School Monash University Melbourne Vic Australia

Department of Clinical Immunology Wrocław Medical University Wroclaw Poland

Department of Community Medicine Health Information and Decision MEDCIDsS Faculty of Medicina University of Porto Porto Portugal

Department of ENT Diseases Karolinska University Hospital Stockholm Sweden

Department of Family Medicine Medical University of Lodz Lodz Poland

Department of Immunology and Allergology Faculty of Medicine and Faculty Hospital in Pilsen Charles University Prague Pilsen Czech Republic

Department of Immunology Monash University Melbourne Vic Australia

Department of Internal Medicine and IRCCS Ospedale Policlinico San Martino University of Genoa Genoa Italy

Department of Lung Diseases and Clinical Immunology University of Turku and Terveystalo allergy clinic Turku Finland

Department of Medical Sciences and Public Health and Unit of Allergy and Clinical Immunology University Hospital 'Duilio Casula' University of Cagliari Cagliari Italy

Department of Medicine Surgery and Dentistry 'Scuola Medica Salernitana' University of Salerno Salerno Italy

Department of Otolaryngology Head and Neck Surgery Universitätsmedizin Mainz Mainz Germany

Department of Otolaryngology Nippon Medical School Tokyo Japan

Department of Otolaryngology Yong Loo Lin School of Medicine National University of Singapore Singapore Singapore

Department of Otorhinolaryngology Academic Medical Centers AMC Amsterdam The Netherlands

Department of Otorhinolaryngology Amsterdam University Medical Centres AMC Amsterdam The Netherlands

Department of Otorhinolaryngology Chiba University Hospital Chiba Japan

Department of Otorhinolaryngology Head and Neck Surgery Section of Rhinology and Allergy University Hospital Marburg Philipps Universität Marburg Marburg Germany

Department of Otorhinolaryngology University of Crete School of Medicine Heraklion Greece

Department of Pathology Faculty of Medicine Institute of Biomedical Sciences Vilnius University and Institute of Clinical Medicine Clinic of Chest Diseases and Allergology Faculty of Medicine Vilnius University Vilnius Lithuania

Department of Pediatrics Federal University of Minas Gerais Medical School Belo Horizonte Brazil

Department of Prevention of Environmental Hazards and Allergology Medical University of Warsaw Warsaw Poland

Department of Pulmonary Diseases Istanbul University Cerrahpasa Cerrahpasa Faculty of Medicine Istanbul Turkey

Department of Pulmonology Helsinki University Central Hospital Helsinki Department of Public Health University of Helsinki Helsinki Finland

Department of Respiratory Medicine Copenhagen University Hospital Hvidovre and Institute of Clinical Medicine University of Copenhagen Copenhagen Denmark

Department of Respiratory Medicine National Institute of Diseases of the Chest and Hospital Dhaka Bangladesh

Department of Respiratory Medicine University Hospital Olomouc Olomouc Czech Republic

Departments of Medicine and Health Research Methods Evidence and Impact McMaster University Hamilton ON Canada

Division of Allergy and Clinical Immunology Department of Medicine Agency of Health ASL Salerno 'Santa Maria della Speranza' Hospital Salerno Italy

Division of Allergy Asthma and Clinical Immunology Emek Medical Center Afula Israel

Division of Allergy Clinical Immunology and Rheumatology Department of Pediatrics Federal University of São Paulo São Paulo Brazil

Division of Allergy Department of Pediatric Medicine The Bambino Gesù Children's Research Hospital Holy see IRCCS Rome Italy

Division of Allergy immunology University of South Florida Tampa FL USA

Division of ENT Diseases CLINTEC Karolinska Institutet Stockholm Sweden

Division of Infection Immunity and Respiratory Medicine Royal Manchester Children's Hospital University of Manchester Manchester UK

Division of Internal Medicine Asthma and Allergy Barlicki University Hospital Medical University of Lodz Lodz Poland

ENT Department Medical Faculty Eskisehir Osmangazi University Eskisehir Turkey

EUFOREA Brussels Belgium

European Academy of Paediatrics Brussels Belgium

Filha Finnish Lung Health Association Helsinki Finland

Foundation for the Development of Medical and Biological Sciences Cartagena Colombia

Fundacion Ayre Instituto Medico ALAS Salta Argentina

Fundacion Jimenez Diaz CIBERES Faculty of Medicine Autonoma University of Madrid Madrid Spain

Health Planning Unit Department of Social Medicine Faculty of Medicine University of Crete Greece and International Primary Care Respiratory Group IPCRG Aberdeen Scotland

Hospital de Clinicas University of Parana Curitiba Brazil

Institute for Immunological Research University of Cartagena Campus de Zaragocilla Edificio Biblioteca Primer piso Cartagena Colombia

International Primary Care Respiratory Group IPCRG London UK

Johns Hopkins School of Medicine Baltimore MD USA

Life and Health Sciences Research Institute (ICVS School of Medicine University of Minho Braga Portugal

MACVIA France Montpellier France

MASK air Montpellier France

Medical Consulting Czarlewski Levallois France

National Center for Research in Chronic Respiratory Diseases Tishreen University School of Medicine Latakia and Syrian Private University Damascus Damascus Syria

National Hospital Organization Tokyo National Hospital Tokyo Japan

National Institute of Pneumology M Nasta Bucharest Romania

National Research Center Institute of Immunology Federal Medicobiological Agency Laboratory of Molecular Immunology Moscow Russian Federation

Nova Southeastern University Fort Lauderdale FL USA

Oasi Research Institute IRCCS Troina Italy

Pediatric Allergy and Asthma Unit Hacettepe University School of Medicine Ankara Turkey

Pediatric Allergy and Immunology Unit Children's hospital Ain Shams University Cairo Egypt

Personalized Medicine Clinic Asthma and Allergy Humanitas Clinical and Research Center IRCCS Rozzano and Department of Biomedical Sciences Humanitas University Pieve Emanuele Milan Italy

Pneumology and Allergy Department CIBERES and Clinical and Experimental Respiratory Immunoallergy IDIBAPS University of Barcelona Barcelona Spain

PT Government Associate Laboratory Braga Guimarães Portugal

Respiratory Physician Mater Dei Hospital Malta Medicine University of Malta Faculty of Medicine and Surgery University of Medicine La Valette Malta

Rhinology Unit and Smell Clinic ENT Department Hospital Clínic

School of Medicine University CEU San Pablo Madrid Spain

Scottish Centre for Respiratory Research Cardiovascular and Diabetes Medicine Medical Research Institute Ninewells Hospital University of Dundee Dundee UK

Section of Allergy and Immunology Saint Louis University School of Medicine Saint Louis MO USA

Servicio de Alergia e Immunologia Clinica Santa Isabel Buenos Aires Argentina

Skin and Allergy Hospital Helsinki University Hospital Helsinki Finland

SOS Allergology and Clinical Immunology USL Toscana Centro Prato Italy

Sun Yat sen University International Airway Research Center 1st Affiliated Hospital Guangzou Guangzou China

Swiss Institute of Allergy and Asthma Research University of Zurich Davos Switzerland

The Allergy and Asthma Institute Pakistan Pakistan

Transylvania University Brasov Brasov Romania

Universidad Católica de Córdoba Universidad Nacional de Villa Maria Córdoba Argentina

University Clinic of Pulmology and Allergy Medical Faculty Skopje Skopje Republic of Macedonia

University Hospital 'Sv Ivan Rilski' Sofia Bulgaria

University Hospital Bielefeld Children's Center Bethel EvKB Bielefeld Germany

University Hospital Montpellier Montpellier France

University of Bari Medical School Unit of Geriatric Immunoallergology Bari Italy

University of Turku Turku Finland

Upper Airways Research Laboratory ENT Department Ghent University Hospital Ghent Belgium

Usher Institute University of Edinburgh Edinburgh UK

Vilnius University Faculty of Medicine Institute of Clinical Medicine and Institute of Health Sciences Vilnius Lithuania

References provided by Crossref.org

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$a Differentiation of COVID-19 signs and symptoms from allergic rhinitis and common cold: An ARIA-EAACI-GA2 LEN consensus / $c J. Hagemann, GL. Onorato, M. Jutel, CA. Akdis, I. Agache, T. Zuberbier, W. Czarlewski, J. Mullol, A. Bedbrook, C. Bachert, KS. Bennoor, KC. Bergmann, F. Braido, P. Camargos, L. Caraballo, V. Cardona, T. Casale, L. Cecchi, T. Chivato, DK. Chu, C. Cingi, J. Correia-de-Sousa, S. Del Giacco, D. Dokic, M. Dykewicz, M. Ebisawa, Y. El-Gamal, R. Emuzyte, JL. Fauquert, A. Fiocchi, WJ. Fokkens, JA. Fonseca, B. Gemicioglu, RM. Gomez, M. Gotua, T. Haahtela, E. Hamelmann, T. Iinuma, JC. Ivancevich, E. Jassem, O. Kalayci, P. Kardas, M. Khaitov, P. Kuna, V. Kvedariene, DE. Larenas-Linnemann, B. Lipworth, M. Makris, JF. Maspero, N. Miculinic, F. Mihaltan, Y. Mohammad, S. Montefort, M. Morais-Almeida, R. Mösges, R. Naclerio, H. Neffen, M. Niedoszytko, RE. O'Hehir, K. Ohta, Y. Okamoto, K. Okubo, P. Panzner, NG. Papadopoulos, G. Passalacqua, V. Patella, A. Pereira, O. Pfaar, D. Plavec, TA. Popov, EP. Prokopakis, F. Puggioni, F. Raciborski, J. Reijula, FS. Regateiro, S. Reitsma, A. Romano, N. Rosario, M. Rottem, D. Ryan, B. Samolinski, J. Sastre, D. Solé, M. Sova, C. Stellato, C. Suppli-Ulrik, I. Tsiligianni, A. Valero, A. Valiulis, E. Valovirta, T. Vasankari, MT. Ventura, D. Wallace, Y. Wang, S. Williams, A. Yorgancioglu, OM. Yusuf, M. Zernotti, J. Bousquet, L. Klimek
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$a 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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$a Bedbrook, Anna $u MACVIA-France, Montpellier, France $u MASK-air, Montpellier, France
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$a Bennoor, Kazi S $u Department of Respiratory Medicine, National Institute of Diseases of the Chest and Hospital, Dhaka, Bangladesh
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$a Braido, Fulvio $u Department of Internal Medicine (DiMI) and IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
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$a Camargos, Paulo $u Department of Pediatrics, Federal University of Minas Gerais, Medical School, Belo Horizonte, Brazil
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$a Caraballo, Luis $u Institute for Immunological Research, University of Cartagena, Campus de Zaragocilla, Edificio Biblioteca Primer piso, Cartagena, Colombia $u Foundation for the Development of Medical and Biological Sciences (Fundemeb), Cartagena, Colombia
700    1_
$a Cardona, Victoria $u Allergy Section, Department of Internal Medicine, Hospital Vall d'Hebron & ARADyAL Research Network, Barcelona, Spain
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$a Casale, Thomas $u Division of Allergy/immunology, University of South Florida, Tampa, FL, USA
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$a Cecchi, Lorenzo $u SOS Allergology and Clinical Immunology, USL Toscana Centro, Prato, Italy
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$a Chivato, Tomas $u School of Medicine, University CEU San Pablo, Madrid, Spain
700    1_
$a Chu, Derek K $u Departments of Medicine and Health Research Methods, Evidence & Impact, McMaster University, Hamilton, ON, Canada
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$a Cingi, Cemal $u ENT Department, Medical Faculty, Eskisehir Osmangazi University, Eskisehir, Turkey
700    1_
$a Correia-de-Sousa, Jaime $u Life and Health Sciences Research Institute (ICVS, School of Medicine, University of Minho, Braga, Portugal $u PT Government Associate Laboratory, Braga/Guimarães, Portugal $u International Primary Care Respiratory Group IPCRG, London, UK
700    1_
$a Del Giacco, Stefano $u Department of Medical Sciences and Public Health and Unit of Allergy and Clinical Immunology, University Hospital 'Duilio Casula', University of Cagliari, Cagliari, Italy
700    1_
$a Dokic, Dejan $u University Clinic of Pulmology and Allergy, Medical Faculty Skopje, Skopje, Republic of Macedonia
700    1_
$a Dykewicz, Mark $u Section of Allergy and Immunology, Saint Louis University School of Medicine, Saint Louis, MO, USA
700    1_
$a Ebisawa, Motohiro $u Clinical Research Center for Allergy and Rheumatology, NHO Sagamihara National Hospital, Sagamihara, Japan
700    1_
$a El-Gamal, Yehia $u Pediatric Allergy and Immunology Unit, Children's hospital, Ain Shams University, Cairo, Egypt
700    1_
$a Emuzyte, Regina $u Clinic of Children's Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
700    1_
$a Fauquert, Jean-Luc $u CHU Clermont-Ferrand, Unité d'Allergologie de l'Enfant, Pole pédiatrique, Hopital Estaing, Clermont-Ferrand, France
700    1_
$a Fiocchi, Alessandro $u Division of Allergy, Department of Pediatric Medicine, The Bambino Gesù Children's Research Hospital Holy see, IRCCS, Rome, Italy
700    1_
$a Fokkens, Wytske J $u Department of Otorhinolaryngology, Academic Medical Centers, AMC, Amsterdam, The Netherlands $u EUFOREA, Brussels, Belgium
700    1_
$a Fonseca, Joao A $u CINTESIS, Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, Porto, Portugal $u Allergy Unit, CUF Porto, Porto, Portugal
700    1_
$a Gemicioglu, Bilun $u Department of Pulmonary Diseases, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey
700    1_
$a Gomez, René-Maximiliano $u Fundacion Ayre-Instituto Medico ALAS, Salta, Argentina
700    1_
$a Gotua, Maia $u Center of Allergy and Immunology, Georgian Association of Allergology and Clinical Immunology, Tbilisi, Georgia
700    1_
$a Haahtela, Tari $u Skin and Allergy Hospital, Helsinki University Hospital, Helsinki, Finland
700    1_
$a Hamelmann, Eckard $u University Hospital Bielefeld, Children's Center Bethel, EvKB, Bielefeld, Germany
700    1_
$a Iinuma, Tomohisa $u Department of Otorhinolaryngology, Chiba University Hospital, Chiba, Japan
700    1_
$a Ivancevich, Juan Carlos $u Servicio de Alergia e Immunologia, Clinica Santa Isabel, Buenos Aires, Argentina
700    1_
$a Jassem, Ewa $u Department of Allergology, Medical University of Gdańsk, Gdansk, Poland
700    1_
$a Kalayci, Omer $u Pediatric Allergy and Asthma Unit, Hacettepe University School of Medicine, Ankara, Turkey
700    1_
$a Kardas, Przemyslaw $u Department of Family Medicine, Medical University of Lodz, Lodz, Poland
700    1_
$a Khaitov, Musa $u National Research Center, Institute of Immunology, Federal Medicobiological Agency, Laboratory of Molecular Immunology, Moscow, Russian Federation
700    1_
$a Kuna, Piotr $u Division of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland
700    1_
$a Kvedariene, Violeta $u Department of Pathology, Faculty of Medicine, Institute of Biomedical Sciences, Vilnius University and Institute of Clinical Medicine, Clinic of Chest Diseases and Allergology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
700    1_
$a Larenas-Linnemann, Desiree E $u Center of Excellence in Asthma and Allergy, Médica Sur Clinical Foundation and Hospital, México City, Mexico
700    1_
$a Lipworth, Brian $u Scottish Centre for Respiratory Research, Cardiovascular & Diabetes Medicine, Medical Research Institute, Ninewells Hospital, University of Dundee, Dundee, UK
700    1_
$a Makris, Michael $u Allergy Unit 'D Kalogeromitros', 2nd Department of Dermatology and Venereology, National & Kapodistrian University of Athens, 'Attikon' University Hospital, Athens, Greece
700    1_
$a Maspero, Jorge F $u Argentine Association of Allergy and Clinical Immunology, Buenos Aires, Argentina
700    1_
$a Miculinic, Neven $u Croatian Pulmonary Society, Zagreb, Croatia
700    1_
$a Mihaltan, Florin $u National Institute of Pneumology M Nasta, Bucharest, Romania
700    1_
$a Mohammad, Yousser $u National Center for Research in Chronic Respiratory Diseases, Tishreen University School of Medicine, Latakia and Syrian Private University-Damascus, Damascus, Syria
700    1_
$a Montefort, Stephen $u Respiratory Physician Mater Dei Hospital Malta, Medicine University of Malta, Faculty of Medicine and Surgery University of Medicine, La Valette, Malta
700    1_
$a Morais-Almeida, Mario $u Allergy Center, CUF Descobertas Hospital, Lisbon, Portugal
700    1_
$a Mösges, Ralph $u CRI-Clinical Research International-Ltd, Hamburg, Germany
700    1_
$a Naclerio, Robert $u Johns Hopkins School of Medicine, Baltimore, MD, USA
700    1_
$a Neffen, Hugo $u Center of Allergy, Immunology and Respiratory Diseases, Santa Fe, Argentina
700    1_
$a Niedoszytko, Marek $u Department of Allergology, Medical University of Gdańsk, Gdansk, Poland
700    1_
$a O'Hehir, Robyn E $u Department of Allergy, Immunology and Respiratory Medicine, Alfred Hospital and Central Clinical School, Monash University, Melbourne, Vic., Australia $u Department of Immunology, Monash University, Melbourne, Vic., Australia
700    1_
$a Ohta, Ken $u National Hospital Organization, Tokyo National Hospital, Tokyo, Japan
700    1_
$a Okamoto, Yoshitaka $u Department of Otorhinolaryngology, Chiba University Hospital, Chiba, Japan
700    1_
$a Okubo, Kimi $u Department of Otolaryngology, Nippon Medical School, Tokyo, Japan
700    1_
$a Panzner, Petr $u Department of Immunology and Allergology, Faculty of Medicine and Faculty Hospital in Pilsen, Charles University in Prague, Pilsen, Czech Republic
700    1_
$a Papadopoulos, Nikolaos G $u Division of Infection, Immunity & Respiratory Medicine, Royal Manchester Children's Hospital, University of Manchester, Manchester, UK
700    1_
$a Passalacqua, Giovanni $u Allergy and Respiratory Diseases, Ospedale Policlino San Martino -University of Genoa, Genoa, Italy
700    1_
$a Patella, Vincenzo $u Division of Allergy and Clinical Immunology, Department of Medicine, Agency of Health ASL Salerno, 'Santa Maria della Speranza' Hospital, Salerno, Italy
700    1_
$a Pereira, Ana $u Center for Research in Health Technologies and Information Systems- CINTESIS, University of Porto, Porto, Portugal $u Allergy Unit, Instituto CUF Porto and Hospital CUF Porto, Porto, Portugal $u Department of Community Medicine, Health Information and Decision - MEDCIDsS, Faculty of Medicina, University of Porto, Porto, Portugal
700    1_
$a Pfaar, Oliver $u Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany
700    1_
$a Plavec, Davor $u Children's Hospital Srebrnjak, Zagreb, School of Medicine, University J.J. Strossmayer, Osijek, Croatia
700    1_
$a Popov, Todor A $u University Hospital 'Sv Ivan Rilski'", Sofia, Bulgaria
700    1_
$a Prokopakis, Emmanuel P $u Department of Otorhinolaryngology, University of Crete School of Medicine, Heraklion, Greece
700    1_
$a Puggioni, Francesca $u Personalized Medicine Clinic Asthma & Allergy, Humanitas Clinical and Research Center IRCCS, Rozzano, and Department of Biomedical Sciences, Humanitas University Pieve Emanuele, Milan, Italy
700    1_
$a Raciborski, Filip $u Department of Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, Warsaw, Poland
700    1_
$a Reijula, Jere $u Department of Pulmonology, Helsinki University Central Hospital, Helsinki, Department of Public Health, University of Helsinki, Helsinki, Finland
700    1_
$a Regateiro, Frederico S $u Allergy and Clinical Immunology Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra and Institute of Immunology, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
700    1_
$a Reitsma, Sietze $u Department of Otorhinolaryngology, Amsterdam University Medical Centres, AMC, Amsterdam, The Netherlands
700    1_
$a Romano, Antonino $u Oasi Research Institute-IRCCS, Troina, Italy $u bFondazione Mediterranea GB Morgagni, Catania, Italy
700    1_
$a Rosario, Nelson $u Hospital de Clinicas, University of Parana, Curitiba, Brazil
700    1_
$a Rottem, Menachem $u Division of Allergy Asthma and Clinical Immunology, Emek Medical Center, Afula, Israel
700    1_
$a Ryan, Dermot $u Usher Institute, University of Edinburgh, Edinburgh, UK
700    1_
$a Samolinski, Boleslaw $u Department of Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, Warsaw, Poland
700    1_
$a Sastre, Joaquin $u Fundacion Jimenez Diaz, CIBERES, Faculty of Medicine, Autonoma University of Madrid, Madrid, Spain
700    1_
$a Solé, Dirceu $u Division of Allergy, Clinical Immunology and Rheumatology, Department of Pediatrics, Federal University of São Paulo, São Paulo, Brazil
700    1_
$a Sova, Milan $u Department of Respiratory Medicine, University Hospital Olomouc, Olomouc, Czech Republic
700    1_
$a Stellato, Cristiana $u Department of Medicine, Surgery and Dentistry 'Scuola Medica Salernitana', University of Salerno, Salerno, Italy
700    1_
$a Suppli-Ulrik, Charlotte $u Department of Respiratory Medicine, Copenhagen University Hospital-Hvidovre, and Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
700    1_
$a Tsiligianni, Ioanna $u Health Planning Unit, Department of Social Medicine, Faculty of Medicine, University of Crete, Greece and International Primary Care Respiratory Group IPCRG, Aberdeen, Scotland
700    1_
$a Valero, Antonio $u Pneumology and Allergy Department CIBERES and Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, University of Barcelona, Barcelona, Spain
700    1_
$a Valiulis, Arunas $u Vilnius University Faculty of Medicine, Institute of Clinical Medicine & Institute of Health Sciences, Vilnius, Lithuania $u European Academy of Paediatrics (EAP/UEMS-SP), Brussels, Belgium
700    1_
$a Valovirta, Erkka $u Department of Lung Diseases and Clinical Immunology, University of Turku and Terveystalo allergy clinic, Turku, Finland
700    1_
$a Vasankari, Tuula $u Filha, Finnish Lung Health Association, Helsinki, Finland $u University of Turku, Turku, Finland
700    1_
$a Ventura, Maria Teresa $u University of Bari Medical School, Unit of Geriatric Immunoallergology, Bari, Italy
700    1_
$a Wallace, Dana $u Nova Southeastern University, Fort Lauderdale, FL, USA
700    1_
$a Wang, De Yun $u Department of Otolaryngology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
700    1_
$a Williams, Siân $u International Primary Care Respiratory Group IPCRG, London, UK
700    1_
$a Yorgancioglu, Arzu $u Celal Bayar University Department of Pulmonology, Manisa, Turkey
700    1_
$a Yusuf, Osman M $u The Allergy and Asthma Institute, Pakistan, Pakistan
700    1_
$a Zernotti, Mario $u Universidad Católica de Córdoba, Universidad Nacional de Villa Maria, Córdoba, Argentina
700    1_
$a Bousquet, Jean $u MACVIA-France, Montpellier, France $u Comprehensive Allergy Center, Department of Dermatology and Allergy, Charité, Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany $u University Hospital Montpellier, Montpellier, France
700    1_
$a Klimek, Ludger $u Department of Otolaryngology, Head and Neck Surgery, Universitätsmedizin Mainz, Mainz, Germany $u Center for Rhinology and Allergology, Wiesbaden, Germany
773    0_
$w MED00009088 $t Allergy $x 1398-9995 $g Roč. 76, č. 8 (2021), s. 2354-2366
856    41
$u https://pubmed.ncbi.nlm.nih.gov/33730365 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20211013 $b ABA008
991    __
$a 20211026134052 $b ABA008
999    __
$a ok $b bmc $g 1714289 $s 1145678
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 76 $c 8 $d 2354-2366 $e 20210514 $i 1398-9995 $m Allergy $n Allergy $x MED00009088
LZP    __
$a Pubmed-20211013

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