TY - JOUR TI - Differentiation of COVID-19 signs and symptoms from allergic rhinitis and common cold: An ARIA-EAACI-GA2LEN consensus AU - Hagemann, J. AU - Onorato, G.L. AU - Jutel, M. AU - Akdis, C.A. AU - Agache, I. AU - Zuberbier, T. AU - Czarlewski, W. AU - Mullol, J. AU - Bedbrook, A. AU - Bachert, C. AU - Bennoor, K.S. AU - Bergmann, K.-C. AU - Braido, F. AU - Camargos, P. AU - Caraballo, L. AU - Cardona, V. AU - Casale, T. AU - Cecchi, L. AU - Chivato, T. AU - Chu, D.K. AU - Cingi, C. AU - Correia-de-Sousa, J. AU - del Giacco, S. AU - Dokic, D. AU - Dykewicz, M. AU - Ebisawa, M. AU - El-Gamal, Y. AU - Emuzyte, R. AU - Fauquert, J.-L. AU - Fiocchi, A. AU - Fokkens, W.J. AU - Fonseca, J.A. AU - Gemicioglu, B. AU - Gomez, R.-M. AU - Gotua, M. AU - Haahtela, T. AU - Hamelmann, E. AU - Iinuma, T. AU - Ivancevich, J.C. AU - Jassem, E. AU - Kalayci, O. AU - Kardas, P. AU - Khaitov, M. AU - Kuna, P. AU - Kvedariene, V. AU - Larenas-Linnemann, D.E. AU - Lipworth, B. AU - Makris, M. AU - Maspero, J.F. AU - Miculinic, N. AU - Mihaltan, F. AU - Mohammad, Y. AU - Montefort, S. AU - Morais-Almeida, M. AU - Mösges, R. AU - Naclerio, R. AU - Neffen, H. AU - Niedoszytko, M. AU - O’Hehir, R.E. AU - Ohta, K. AU - Okamoto, Y. AU - Okubo, K. AU - Panzner, P. AU - Papadopoulos, N.G. AU - Passalacqua, G. AU - Patella, V. AU - Pereira, A. AU - Pfaar, O. AU - Plavec, D. AU - Popov, T.A. AU - Prokopakis, E.P. AU - Puggioni, F. AU - Raciborski, F. AU - Reijula, J. AU - Regateiro, F.S. AU - Reitsma, S. AU - Romano, A. AU - Rosario, N. AU - Rottem, M. AU - Ryan, D. AU - Samolinski, B. AU - Sastre, J. AU - Solé, D. AU - Sova, M. AU - Stellato, C. AU - Suppli-Ulrik, C. AU - Tsiligianni, I. AU - Valero, A. AU - Valiulis, A. AU - Valovirta, E. AU - Vasankari, T. AU - Ventura, M.T. AU - Wallace, D. AU - Wang, D.Y. AU - Williams, S. AU - Yorgancioglu, A. AU - Yusuf, O.M. AU - Zernotti, M. AU - Bousquet, J. AU - Klimek, L. JO - Allergy: European Journal of Allergy and Clinical Immunology PY - 2021 VL - 76 TODO - 8 SP - 2354-2366 PB - John Wiley and Sons Inc SN - null TODO - 10.1111/all.14815 TODO - adult; allergic rhinitis; Article; clinical feature; common cold; consensus development; controlled study; coronavirus disease 2019; coughing; Delphi study; dyspnea; eye pain; eye redness; human; major clinical study; nasal pruritus; odor; questionnaire; rhinorrhea; sneezing; sore throat; taste; upper respiratory tract; wheezing; allergic rhinitis; asthma; consensus, Asthma; Common Cold; Consensus; COVID-19; Humans; Rhinitis, Allergic; SARS-CoV-2 TODO - 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. © 2021 European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd. ER -