Dr. William Reisacher, Professor and Director of allergy services at Weill Cornell Medicine, explains how to identify the warning signs of COVID early.
With a viral illness like COVID-19, there is typically a fever, which is not present with allergies. Allergies to pollen cause sneezing and itchiness in the eyes, nose and throat. This is less common of COVID-19. Cough is a common symptom of COVID-19, but could also be present in some patients with allergies. Sudden loss of smell or taste, without significant nasal symptoms, also point to COVID-19.
Here’s another difference between COVID-19 and allergies: With allergies, the symptoms tend to wax and wane and get worse when you are outside. With a viral infection, there’s typically a steady worsening.
Kids with allergies tend to be restless, while adults who have allergies are more fatigued. If a child is lethargic and feverish and has a persistent cough, with or without itchy eyes and a runny nose, then the pediatrician should be notified.
At this point, there is no evidence that people with allergies are more susceptible to COVID-19. While people with compromised immune systems are at higher risk of severe COVID-19, people with allergies don’t have a compromised immune system; their allergies are actually an overreaction of the immune system.
That said, among people with some degree of asthma, those with worse disease tend to be in a higher-risk group for viral infections, particularly if the asthma is not well managed. So this is a good time to review the way you are managing your allergies – and your asthma, if you have it. You and your doctor can go over the ways you are managing your condition and make any modifications if needed.
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