Serveur d'exploration sur la COVID en France

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Clinical and Radiological Evaluations of COVID-19 Patients With Anosmia: Preliminary Report.

Identifieur interne : 001339 ( Main/Exploration ); précédent : 001338; suivant : 001340

Clinical and Radiological Evaluations of COVID-19 Patients With Anosmia: Preliminary Report.

Auteurs : Jerome R. Lechien [France, Belgique] ; Justin Michel [France] ; Thomas Radulesco [France] ; Carlos M. Chiesa-Estomba [France, Espagne] ; Luigi A. Vaira [Italie] ; Giacomo De Riu [Italie] ; Leigh Sowerby [France, Canada] ; Claire Hopkins [Royaume-Uni] ; Sven Saussez [France, Belgique]

Source :

RBID : pubmed:32678494

Abstract

OBJECTIVES/HYPOTHESIS

To investigate clinical and radiological features of olfactory clefts of patients with mild coronavirus disease 2019 (COVID-19).

STUDY DESIGN

Prospective non controlled study.

METHODS

Sixteen COVID-19 patients were recruited. The epidemiological and clinical data were extracted. Nasal complaints were assessed through the 22-item Sino-Nasal Outcome Test. Patients underwent psychophysical olfactory testing, olfactory cleft examination, and computed tomography (CT) scans.

RESULTS

Sixteen anosmic patients were included. The mean Sniffin' Sticks score was 4.6 ± 1.7. The majority of patients had no endoscopical abnormality, with a mean olfactory cleft endoscopy score of 0.6 ± 0.9. The olfactory clefts were opacified in three patients on the CT scan. The mean radiological olfactory cleft score was 0.7 ± 0.8. There were no significant correlations between clinical, radiological, and psychophysical olfactory testing.

CONCLUSIONS

The olfactory cleft of anosmic COVID-19 patients is free regarding endoscopic examination and imaging. The anosmia etiology is not related to edema of the olfactory cleft.

LEVEL OF EVIDENCE

4 Laryngoscope, 2020.


DOI: 10.1002/lary.28993
PubMed: 32678494
PubMed Central: PMC7404961


Affiliations:


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Le document en format XML

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<title xml:lang="en">Clinical and Radiological Evaluations of COVID-19 Patients With Anosmia: Preliminary Report.</title>
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<name sortKey="Lechien, Jerome R" sort="Lechien, Jerome R" uniqKey="Lechien J" first="Jerome R" last="Lechien">Jerome R. Lechien</name>
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<nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<nlm:affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons</wicri:regionArea>
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<country xml:lang="fr">Belgique</country>
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<name sortKey="Chiesa Estomba, Carlos M" sort="Chiesa Estomba, Carlos M" uniqKey="Chiesa Estomba C" first="Carlos M" last="Chiesa-Estomba">Carlos M. Chiesa-Estomba</name>
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<country xml:lang="fr">Espagne</country>
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<name sortKey="Vaira, Luigi A" sort="Vaira, Luigi A" uniqKey="Vaira L" first="Luigi A" last="Vaira">Luigi A. Vaira</name>
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<nlm:affiliation>Maxillofacial Surgery Unit, University Hospital of Sassari, Sassari, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Maxillofacial Surgery Unit, University Hospital of Sassari, Sassari</wicri:regionArea>
<wicri:noRegion>Sassari</wicri:noRegion>
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<name sortKey="De Riu, Giacomo" sort="De Riu, Giacomo" uniqKey="De Riu G" first="Giacomo" last="De Riu">Giacomo De Riu</name>
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<nlm:affiliation>Maxillofacial Surgery Unit, University Hospital of Sassari, Sassari, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Maxillofacial Surgery Unit, University Hospital of Sassari, Sassari</wicri:regionArea>
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<country xml:lang="fr">France</country>
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<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, Ontario, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hopkins, Claire" sort="Hopkins, Claire" uniqKey="Hopkins C" first="Claire" last="Hopkins">Claire Hopkins</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Otolaryngology, King's College, London, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Otolaryngology, King's College, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Saussez, Sven" sort="Saussez, Sven" uniqKey="Saussez S" first="Sven" last="Saussez">Sven Saussez</name>
<affiliation wicri:level="3">
<nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons</wicri:regionArea>
<orgName type="university">Université de Mons</orgName>
<placeName>
<settlement type="city">Liège</settlement>
<region type="region" nuts="1">Région wallonne</region>
<region type="province" nuts="1">Province de Hainaut</region>
</placeName>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels</wicri:regionArea>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
<orgName type="university">Université libre de Bruxelles</orgName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">The Laryngoscope</title>
<idno type="eISSN">1531-4995</idno>
<imprint>
<date when="2020" type="published">2020</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES/HYPOTHESIS</b>
</p>
<p>To investigate clinical and radiological features of olfactory clefts of patients with mild coronavirus disease 2019 (COVID-19).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>STUDY DESIGN</b>
</p>
<p>Prospective non controlled study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Sixteen COVID-19 patients were recruited. The epidemiological and clinical data were extracted. Nasal complaints were assessed through the 22-item Sino-Nasal Outcome Test. Patients underwent psychophysical olfactory testing, olfactory cleft examination, and computed tomography (CT) scans.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Sixteen anosmic patients were included. The mean Sniffin' Sticks score was 4.6 ± 1.7. The majority of patients had no endoscopical abnormality, with a mean olfactory cleft endoscopy score of 0.6 ± 0.9. The olfactory clefts were opacified in three patients on the CT scan. The mean radiological olfactory cleft score was 0.7 ± 0.8. There were no significant correlations between clinical, radiological, and psychophysical olfactory testing.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The olfactory cleft of anosmic COVID-19 patients is free regarding endoscopic examination and imaging. The anosmia etiology is not related to edema of the olfactory cleft.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>LEVEL OF EVIDENCE</b>
</p>
<p>4 Laryngoscope, 2020.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="Publisher" Owner="NLM">
<PMID Version="1">32678494</PMID>
<DateRevised>
<Year>2020</Year>
<Month>08</Month>
<Day>11</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1531-4995</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2020</Year>
<Month>Jul</Month>
<Day>17</Day>
</PubDate>
</JournalIssue>
<Title>The Laryngoscope</Title>
<ISOAbbreviation>Laryngoscope</ISOAbbreviation>
</Journal>
<ArticleTitle>Clinical and Radiological Evaluations of COVID-19 Patients With Anosmia: Preliminary Report.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/lary.28993</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVES/HYPOTHESIS" NlmCategory="OBJECTIVE">To investigate clinical and radiological features of olfactory clefts of patients with mild coronavirus disease 2019 (COVID-19).</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Prospective non controlled study.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Sixteen COVID-19 patients were recruited. The epidemiological and clinical data were extracted. Nasal complaints were assessed through the 22-item Sino-Nasal Outcome Test. Patients underwent psychophysical olfactory testing, olfactory cleft examination, and computed tomography (CT) scans.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Sixteen anosmic patients were included. The mean Sniffin' Sticks score was 4.6 ± 1.7. The majority of patients had no endoscopical abnormality, with a mean olfactory cleft endoscopy score of 0.6 ± 0.9. The olfactory clefts were opacified in three patients on the CT scan. The mean radiological olfactory cleft score was 0.7 ± 0.8. There were no significant correlations between clinical, radiological, and psychophysical olfactory testing.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The olfactory cleft of anosmic COVID-19 patients is free regarding endoscopic examination and imaging. The anosmia etiology is not related to edema of the olfactory cleft.</AbstractText>
<AbstractText Label="LEVEL OF EVIDENCE" NlmCategory="METHODS">4 Laryngoscope, 2020.</AbstractText>
<CopyrightInformation>© 2020 American Laryngological, Rhinological and Otological Society Inc, "The Triological Society" and American Laryngological Association (ALA).</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y" EqualContrib="Y">
<LastName>Lechien</LastName>
<ForeName>Jerome R</ForeName>
<Initials>JR</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0002-0845-0845</Identifier>
<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y" EqualContrib="Y">
<LastName>Michel</LastName>
<ForeName>Justin</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Oto-Rhino-Laryngology-Head and Neck Surgery, Aix Marseille University, APHM, IUSTI, La Conception University Hospital, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Radulesco</LastName>
<ForeName>Thomas</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Oto-Rhino-Laryngology-Head and Neck Surgery, Aix Marseille University, APHM, IUSTI, La Conception University Hospital, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Chiesa-Estomba</LastName>
<ForeName>Carlos M</ForeName>
<Initials>CM</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0001-9454-9464</Identifier>
<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Vaira</LastName>
<ForeName>Luigi A</ForeName>
<Initials>LA</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0002-7789-145X</Identifier>
<AffiliationInfo>
<Affiliation>Maxillofacial Surgery Unit, University Hospital of Sassari, Sassari, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>De Riu</LastName>
<ForeName>Giacomo</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Maxillofacial Surgery Unit, University Hospital of Sassari, Sassari, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Sowerby</LastName>
<ForeName>Leigh</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y" EqualContrib="Y">
<LastName>Hopkins</LastName>
<ForeName>Claire</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology, King's College, London, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y" EqualContrib="Y">
<LastName>Saussez</LastName>
<ForeName>Sven</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Marseille, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>07</Month>
<Day>17</Day>
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<Country>United States</Country>
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<NlmUniqueID>8607378</NlmUniqueID>
<ISSNLinking>0023-852X</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">anosmia</Keyword>
<Keyword MajorTopicYN="N">computed tomography scan</Keyword>
<Keyword MajorTopicYN="N">coronavirus</Keyword>
<Keyword MajorTopicYN="N">evaluation</Keyword>
<Keyword MajorTopicYN="N">imaging</Keyword>
<Keyword MajorTopicYN="N">olfaction</Keyword>
<Keyword MajorTopicYN="N">olfactory</Keyword>
<Keyword MajorTopicYN="N">smell</Keyword>
<Keyword MajorTopicYN="N">taste</Keyword>
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<Year>2020</Year>
<Month>05</Month>
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<Year>2020</Year>
<Month>06</Month>
<Day>26</Day>
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<ReferenceList>
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</PubmedData>
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<li>Belgique</li>
<li>Canada</li>
<li>Espagne</li>
<li>France</li>
<li>Italie</li>
<li>Royaume-Uni</li>
</country>
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<li>Angleterre</li>
<li>Grand Londres</li>
<li>Provence-Alpes-Côte d'Azur</li>
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<li>Île-de-France</li>
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<name sortKey="Lechien, Jerome R" sort="Lechien, Jerome R" uniqKey="Lechien J" first="Jerome R" last="Lechien">Jerome R. Lechien</name>
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<name sortKey="Michel, Justin" sort="Michel, Justin" uniqKey="Michel J" first="Justin" last="Michel">Justin Michel</name>
<name sortKey="Radulesco, Thomas" sort="Radulesco, Thomas" uniqKey="Radulesco T" first="Thomas" last="Radulesco">Thomas Radulesco</name>
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<name sortKey="Sowerby, Leigh" sort="Sowerby, Leigh" uniqKey="Sowerby L" first="Leigh" last="Sowerby">Leigh Sowerby</name>
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<name sortKey="Lechien, Jerome R" sort="Lechien, Jerome R" uniqKey="Lechien J" first="Jerome R" last="Lechien">Jerome R. Lechien</name>
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<name sortKey="Saussez, Sven" sort="Saussez, Sven" uniqKey="Saussez S" first="Sven" last="Saussez">Sven Saussez</name>
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<country name="Espagne">
<noRegion>
<name sortKey="Chiesa Estomba, Carlos M" sort="Chiesa Estomba, Carlos M" uniqKey="Chiesa Estomba C" first="Carlos M" last="Chiesa-Estomba">Carlos M. Chiesa-Estomba</name>
</noRegion>
</country>
<country name="Italie">
<noRegion>
<name sortKey="Vaira, Luigi A" sort="Vaira, Luigi A" uniqKey="Vaira L" first="Luigi A" last="Vaira">Luigi A. Vaira</name>
</noRegion>
<name sortKey="De Riu, Giacomo" sort="De Riu, Giacomo" uniqKey="De Riu G" first="Giacomo" last="De Riu">Giacomo De Riu</name>
</country>
<country name="Canada">
<noRegion>
<name sortKey="Sowerby, Leigh" sort="Sowerby, Leigh" uniqKey="Sowerby L" first="Leigh" last="Sowerby">Leigh Sowerby</name>
</noRegion>
</country>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Hopkins, Claire" sort="Hopkins, Claire" uniqKey="Hopkins C" first="Claire" last="Hopkins">Claire Hopkins</name>
</region>
</country>
</tree>
</affiliations>
</record>

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HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001339 | SxmlIndent | more

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   |texte=   Clinical and Radiological Evaluations of COVID-19 Patients With Anosmia: Preliminary Report.
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Data generation: Tue Oct 6 23:31:36 2020. Site generation: Fri Feb 12 22:48:37 2021