Bagheri S H, Asghari A, Farhadi M, Shamshiri A R, Kabir A, Kamrava S K, et al . Coincidence of COVID-19 epidemic and olfactory dysfunction outbreak in Iran. Med J Islam Repub Iran 2020; 34 (1) :446-452
URL:
http://mjiri.iums.ac.ir/article-1-6711-en.html
Seyed Hamidreza Bagheri ,
Alimohamad Asghari ,
Mohammad Farhadi ,
Ahmad Reza Shamshiri ,
Ali Kabir ,
Seyed Kamran Kamrava ,
Maryam Jalessi ,
Alireza Mohebbi ,
Rafieh Alizadeh ,
Ali Asghar Honarmand ,
Babak Ghalehbaghi ,
Alireza Salimi ,
Fatemeh Dehghani Firouzabadi
ENT and Head and Neck Research Center and Department, The Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran , ghalebaghi.b@iums.ac.ir
Abstract: (3343 Views)
Background: The occurrence of anosmia/hyposmia during novel Coronavirus disease 2019 (COVID-19) may indicate a relationship between coincidence of olfactory dysfunction and coronavirus disease 2019 (COVID-19). This study aimed to assess the frequency of self-reported anosmia/hyposmia during COVID-19 epidemic in Iran.
Methods: This population-based cross sectional study was performed through an online questionnaire from March 12 to 17, 2020. Cases from all provinces of Iran voluntarily participated in this study. Patients completed a 33-item patient-reported online questionnaire, including smell and taste dysfunction and their comorbidities, along with their basic characteristics and past medical histories. The inclusion criteria were self-reported anosmia/hyposmia during the past 4 weeks, from the start of COVID-19 epidemic in Iran.
Results: A total of 10 069 participants aged 32.5±8.6 (7-78) years took part in this study, of them 71.13% women and 81.68% nonsmokers completed the online questionnaire. The correlation between the number of olfactory disorders and reported COVID-19 patients in all provinces up to March 17, 2020 was highly significant (Spearman correlation coefficient = 0.87, P< 0.001). A sudden onset of olfactory dysfunction was reported in 76.24% of the participations and persistent anosmia in 60.90% from the start of COVID-19 epidemic. In addition, 80.38% of participants reported concomitant olfactory and gustatory dysfunctions.
Conclusion: An outbreak of olfactory dysfunction occurred in Iran during the COVID-19 epidemic. The exact mechanisms by which anosmia/hyposmia occurred in patients with COVID-19 call for further investigations.
Keywords: Coronavirus,
COVID,
COVID-19,
SARS-CoV-2,
Anosmia,
Smell,
Hyposmia,
Dysgeusia,
Taste loss,
Gustatory,
Olfactory,
Olfaction,
Infection,
ENT