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COVID-19 associated anosmia in pediatric patients: subject publications review
Olena V Lobova1, Iryna V Avramenko2, Iryna I Shpak1
1KYIV MEDICAL UNIVERSITY, KYIV, UKRAINE.
Insights
COVID-19 associated anosmia in children is rare but can be the sole indicator of infection. Early detection and diagnosis are vital for pediatric patients, as this symptom may be the only sign of illness.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Pediatrics
Background:
- Pediatric COVID-19 cases are less common and typically milder than in adults.
- Anosmia (loss of smell) can be a unique or primary symptom in children infected with SARS-CoV-2.
- Recognizing anosmia is critical for timely diagnosis and management in pediatric populations.
Purpose of the Study:
- To comprehensively review current literature on COVID-19-associated anosmia in pediatric patients.
- To explore the incidence, pathogenesis, diagnostic approaches, treatment, and recovery of anosmia in children.
- To highlight the significance of anosmia as a potential sole indicator of COVID-19 in pediatric cases.
Main Methods:
- A systematic review and meta-analysis of existing publications.
- Statistical processing and generalization of data from multiple sources.
- Synthesis of findings to understand pediatric COVID-19 anosmia.
Main Results:
- Literature on pediatric COVID-19 anosmia is less extensive compared to adult studies.
- Anosmia, often accompanied by ageusia (loss of taste), can be the sole presenting symptom in children.
- This olfactory dysfunction serves as an early identifier and strong predictor of COVID-19 in pediatric patients.
Conclusions:
- Further research is needed to differentiate COVID-19-related olfactory dysfunction from other infections like influenza.
- Investigating anosmia diagnostics in children with autism spectrum and mental disorders is a potential research avenue.
- Emphasizes the importance of considering anosmia as a key symptom in pediatric COVID-19 diagnostics.
Objective:
Aim: To review the publications subject to the problem of COVID-19 associated anosmia incidence in pediatric patients as well as its pathogenesis, diagnostics, treatment and recovery. The peculiarity of pediatric COVID-19 anosmia is due to children accounting for very low percentage of COVID-19 patients (comparing to one in adults), mostly with milder course of the disease. Awareness of anosmia and its proper diagnostics is crucial in children and adolescents, considering it can be the only manifestation in COVID-19 positive pediatric patients.
Patients And Methods:
Materials and Methods: In order to achieve this goal a meta-analysis of information from databases followed by statistical processing and generalisation of the obtained data was carried out.
Conclusion:
Conclusions: Publications on COVID-19 anosmia in children and adolescents are less numerous than those concerning adult patients, so it is important to use every single trustworthy one. Anosmia/ageusia may be the only symptom, early identifier and the strongest predictor of COVID-19 infection in pediatric patients. Prospects for further scientific researches. Further researches regarding differential diagnostics of COVID-19 and other infections, including seasonal influenza, manifesting with both olfactory and taste dysfunction as well as anosmia diagnostics in children and adolescents with autistic spectrum and different types of mental disorders are possible.
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