Journal of Clinical Medicine (Aug 2022)

COVID-19, Anosmia, and Allergies: Is There a Relationship? A Pediatric Perspective

  • Giulia Brindisi,
  • Alberto Spalice,
  • Caterina Anania,
  • Flaminia Bonci,
  • Alessandra Gori,
  • Martina Capponi,
  • Bianca Cinicola,
  • Giovanna De Castro,
  • Ivana Martinelli,
  • Federica Pulvirenti,
  • Luigi Matera,
  • Enrica Mancino,
  • Cristiana Alessia Guido,
  • Anna Maria Zicari

DOI
https://doi.org/10.3390/jcm11175019
Journal volume & issue
Vol. 11, no. 17
p. 5019

Abstract

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Background: Between June and July 2020, we evaluated children and adolescents concerning post-infection surveillance after a COVID-19 positivity during the lockdown. We aimed to assess whether the anamnestic presence of allergies could correlate with the presence of SARS-CoV-2 symptoms, and in particular with anosmia. Material and methods: For each patient, we collected anamnestic data, the presence of allergies documented by performing skin prick tests, and COVID-19 symptoms. Then, if over six years of age, each patient underwent an active anterior rhinomanometry. Results: A total of 296 patients were enrolled, of whom 105 (35.4%) reported allergies. Considering COVID-19 symptoms, 74 subjects (25%) presented an asymptomatic form, 222 (75%) reported symptoms, and anosmia recurred in 60 subjects (27.03%). A statistically significant relationship was found between allergies and symptomatic COVID-19 (p = 0.042), allergies, and anosmia (p = 0.05), and allergies and anosmia in males (p = 0.007). Moreover, anosmic patients presented a higher body mass index, older age, and a longer COVID-19 duration with statistical significance (p = 0.001, 0.001, 0.006, respectively). Conclusions: Allergic subjects seem to develop symptomatic COVID-19 more frequently and allergies appear to be a protective factor from anosmia’s onset in males.

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