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Coincidence of COVID-19 epidemic and olfactory dysfunction outbreak
Open accessAbstract
Background: Recent surge of olfactory dysfunction in patients who were referred to ENT clinics and concurrent COVID-19epidemic in Iran motivated us to evaluate anosmic/hyposmic patients to find any relation between these two events. Methods: This is a cross-sectional study with an online checklist on voluntary cases in all provinces of Iran between the 12th and 17th March, 2020. Cases was defined as self-reported anosmia/hyposmia in responders fewer than 4 weeks later (from start the of COVID-19 epidemic in Iran). Variables consist of clinical presentations, related past medical history, family history of recent respiratory tract infection and hospitalization. Results: In this study 10069 participants aged 32.5±8.6 (7-78) years, 71.13% female and 81.68% non-smoker completed online checklist. They reported 10.55% a history of a trip out of home town and 1.1% hospitalization due to respiratory problems recently. From family members 12.17% had a history of severe respiratory disease in recent days and 48.23% had anosmia/hyposmia. Correlation between the number of olfactory disorder and reported COVID-19 patients in all 31 provinces till 16th March 2020 was highly significant (Spearman correlation coefficient=0.87, p-Value<0.001). The onset of anosmia was sudden in 76.24% and till the time of filling the questionnaire in 60.90% of patients decreased sense of smell was constant. Also 83.38 of this patients had decreased taste sensation in association with anosmia. Conclusions: It seems that we have a surge in outbreak of olfactory dysfunction happened in Iran during the COVID-19 epidemic. The exact mechanism of anosmia/hyposmia in COVID-19 patients’ needs further investigations.
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“Clinical reports suggest that infection with CoV-2 is associated with high rates of disturbances in smell and taste perception, including anosmia (8-13).”
From Non-neuronal expression of SARS-CoV-2 entry genes in the olfactory system suggests mechanisms underlying COVID-19-associated anosmia (2020) · cites this paper as [8]
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Zhao, Y., Liu, Y., Yi, F., Zhang, J., Xu, Z., Liu, Y., & Tao, Y. (2021) · International Immunopharmacology · doi:10.1016/j.intimp.2021.107406 · Cited by 26
Olfactory Dysfunction in Patients With Coronavirus Disease 2019: A Review
Wei, G., Gu, J., Gu, Z., Du, C., Huang, X., Xing, H., Li, L., Zhang, A., Hu, X., & Huo, J.-G. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2021.783249 · Cited by 21
Gastrointestinal Manifestations in COVID-19 Infection and Its Practical Applications
Mandal, A., Konala, V. M., Adapa, S., Naramala, S., & Gayam, V. B. R. (2020) · Cureus · doi:10.7759/cureus.8750 · Cited by 21
Neurological manifestations and complications in patients with covid-19
Ternovykh, I. К., Topuzova, M. P., Chaykovskaya, A. D., Isabekova, P. S., & Alekseeva, T. M. (2020) · Translational Medicine · doi:10.18705/2311-4495-2020-7-3-21-29 · Cited by 23
Bagnasco, D., Passalacqua, G., Braido, F., Tagliabue, E., Cosini, F. F., Filauro, M., Ioppi, A., Carobbio, A. L. C., Mocellin, D., Riccio, A., et al. (2021) · World Allergy Organization Journal · doi:10.1016/j.waojou.2020.100497 · Cited by 21
The Prevalence and Pathophysiology of Chemical Sense Disorder Caused by the Novel Coronavirus
Narayanan, S. N., Shivappa, P., Padiyath, S., Bhaskar, A., Li, Y. W., & Merghani, T. H. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.839182 · Cited by 16
Alshammary, A. F., Alsughayyir, J., Alharbi, K. K., Alsulaiman, A. M., Alshammary, H. F., & Alshammary, H. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.852749 · Cited by 16
Olfactory Dysfunction in Frontline Health Care Professionals During COVID-19 Pandemic in Brazil
Sbrana, M. F., Fornazieri, M. A., Bruni‐Cardoso, A., Avelino‐Silva, V. I., Schechtman, D., Voegels, R. L., Malnic, B., Glezer, I., & Pinna, F. D. R. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.622987 · Cited by 16
Neurological Manifestation of COVID-19: A Literature Review
Azhideh, A., Oskouie, I. M., & Yousefiasl, M. (2020) · International Clinical Neuroscience Journal · doi:10.34172/icnj.2020.20 · Cited by 14
Trachootham, D., Thongyen, S., Lam‐ubol, A., Chotechuang, N., Pongpirul, W. A., & Prasithsirikul, W. (2021) · International Journal of Infectious Diseases · doi:10.1016/j.ijid.2021.03.083 · Cited by 13
Neurological complications in patient with COVID-19
Mishchenko, T. S., & Mishchenko, V. M. (2021) · Psychiatry Neurology and Medical Psychology · doi:10.26565/2312-5675-2021-16-03 · Cited by 17
Olfactory dysfunction during COVID-19 pandemic
Izquierdo-Domínguez, A., Rojas‐Lechuga, M. J., Mullol, J., & Alobid, I. (2020) · Medicina Clínica (English Edition) · doi:10.1016/j.medcle.2020.06.023 · Cited by 12
Olfactory Dysfunction is Associated with More Severe Clinical Course in COVID-19
Tabari, A., Golpayegani, G., Tabari, A., Saedi, B., Mahdkhah, A., Amali, A., Jazinizadeh, S., Sahebi, L., Saffarzadeh, N., & Sadrehosseini, S. M. (2021) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-021-02507-x · Cited by 10
Ho, B. E., Ho, A. P., Ho, M. A., & Ho, E. C. (2020) · IDCases · doi:10.1016/j.idcr.2020.e00975 · Cited by 12
Swain, S. K. (2020) · International Journal of Otorhinolaryngology and Head and Neck Surgery · doi:10.18203/issn.2454-5929.ijohns20205650 · Cited by 11
Koul, D., Begh, R. A., & Kalsotra, P. (2021) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-021-02397-z · Cited by 11
Pérdida del sentido del olfato durante la pandemia COVID-19
Izquierdo-Domínguez, A., Rojas‐Lechuga, M. J., Mullol, J., & Alobid, I. (2020) · Medicina Clínica · doi:10.1016/j.medcli.2020.06.006 · Cited by 13
Proposed mechanism for anosmia during COVID-19: The role of local zinc distribution
Equils, O., Lekaj, K., Fattani, S., Wu, A., & Liu, G. C. (2021) · Journal of Translational Science · doi:10.15761/jts.1000397 · Cited by 11
Definitive pathognomonic signs and symptoms of paediatric neurological COVID‐19 are still emerging
Verrottı, A., Mazzocchetti, C., & Iannetti, P. (2021) · Acta Paediatrica · doi:10.1111/apa.15827 · Cited by 11
Olfactory dysfunction incidence and resolution amongst 608 patients with COVID-19 infection
Wu, S. S., Cabrera, C. I., Quereshy, H. A., Kocharyan, A. H., D’Anza, B., & Otteson, T. D. (2023) · American Journal of Otolaryngology · doi:10.1016/j.amjoto.2023.103962 · Cited by 10
Acute necrotic hemorrhagic leukoencephalitis related to COVID-19: a report of 2 cases
Alqahtani, A. A., Alaklabi, A., Kristjansson, S., Alharthi, H. A., Aldhilan, S., & Alam, H. (2021) · Radiology Case Reports · doi:10.1016/j.radcr.2021.05.072 · Cited by 10
Anosmia y enfermedad por Coronavirus 2019 (COVID-19): ¿Qué debemos saber?
Sepúlveda, V., Sofía Waissbluth, A., & Claudia González, G. (2020) · Revista de otorrinolaringología y cirugía de cabeza y cuello · doi:10.4067/s0718-48162020000200247 · Cited by 11
Clinical manifestation, laboratory and radiology finding, treatment and outcomes of COVID-19
Nayeri, N. D., Nadali, J., Divani, A., Basirinezhad, M. H., & Meidani, M. (2021) · Journal of Research in Medical Sciences · doi:10.4103/jrms.jrms_900_20 · Cited by 9
Metadata
- Authors
- Bagheri, S. H., Asghari, A., Farhadi, M., Shamshiri, A. R., Kabir, A., Kamrava, S. K., Jalessi, M., Mohebbi, A., Alizadeh, R., Honarmand, A. A., Ghalehbaghi, B., & Salimi, A.
- Affiliations
- Iran University of Medical Sciences (IR)
- Tehran University of Medical Sciences (IR)
- Iran Medical Council (IR)
- Shahid Beheshti University of Medical Sciences (IR)
- Corresponding author
- Ghalehbaghi, Babak
- ORCID
- Venue
- medRxiv
- Publisher
- openRxiv
- Published
- 2020-03-27
- OpenAlex
- W3013558447
- Cited by
- 179
- References
- 13
- Citations by year
- 2023: 7 · 2022: 11 · 2021: 47 · 2020: 114
- Type
- posted content
- Language
- en
- Open access
- green
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- medRxiv (acceptedVersion, cc-by-nc-nd)
- Topics
- Life Sciences › Neuroscience › Sensory Systems › Olfactory and Sensory Function Studies
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Dermatology › Dermatological and COVID-19 studies
- Keywords
- COVID-19 pandemic, olfactory dysfunction, anosmia, hyposmia, ageusia, SARS-CoV-2, Iran, self-reported symptoms
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