13-15 November, Glasgow
P-300 | Elevated thyroid stimulating hormone (TS.. | Chia Soon Ooi .. | .. | Thyroid.. | - - |
P-301 | Thyroid eye disease manifestation follow.. | Vi Truong .. | Deborah Slater Shaishav DhageS.. | Thyroid.. | - - |
P-303 | The Hidden Duo: Phaeochromocytoma and Pr.. | Shahzad Akbar .. | .. | Adrenal and Cardiovascular.. | - - |
P-304 | Assessment of Adrenal Incidentalomas: Be.. | Robert Smith .. | Louise Marsden, Leanne Delbene.. | Adrenal and Cardiovascular.. | - - |
P-306 | The heterogeneous spectrum of adrenal ga.. | Georgia Ntali .. | .. | Adrenal and Cardiovascular.. | - - |
P-307 | Unique case of Pembrolizumab Induced Adr.. | Wajiha Amjad .. | Maya Venu .. | Adrenal and Cardiovascular.. | - - |
P-308 | Exploring the impact of unilateral adren.. | Amol Karkhanis .. | Athul Dinesh, Ahmed Yousseif, .. | Adrenal and Cardiovascular.. | - - |
P-309 | The diagnostic dilemma of discordance be.. | Megan Grundy .. | Grundy, M., Pasieka, J., Chan,.. | Adrenal and Cardiovascular.. | - - |
P-310 | Unilateral Nonhemorrhagic Adrenal Infarc.. | Hafiz Muhammad Zubair Ullah .. | Stephen Fisher, Gail Littlewoo.. | Adrenal and Cardiovascular.. | - - |
P-311 | Autoimmune adrenal cortex insuffiency in.. | Hiba Abdelrahman .. | C,Jones Consultant.. | Adrenal and Cardiovascular.. | - - |
P-312 | The Investigation and Management of Adre.. | Nirali Desai .. | Alexander Hodson, Shravan Gowr.. | Adrenal and Cardiovascular.. | - - |
P-313 | An unusual cause of secondary HTN.. | Veronica Chirila-Berbentea .. | dr.Beas Bhattacharya.. | Adrenal and Cardiovascular.. | - - |
P-314 | Case of insulinoma non surgical therapy.. | TAREK ABDELLATIF .. | Dr Yogesh Kalaiah .. | Adrenal and Cardiovascular.. | - - |
P-315 | New Onset Adrenal Insufficiency post-Ast.. | Hla Myat Mon .. | Praveena Vankayalapati, Shehar.. | Adrenal and Cardiovascular.. | - - |
P-320 | An Audit of the Use of Plasma Renin Meas.. | ANU JACOB .. | Dr.Xilin WuDr William Drake.. | Adrenal and Cardiovascular.. | - - |
P-321 | The dexamethasone assay as a useful tool.. | Huma Humayun Khan .. | .. | Adrenal and Cardiovascular.. | - - |
P-322 | Osteoporosis in a young man: The need fo.. | Jovanna Tsoutsouki .. | Preeshila Behary, Jeremy Cox, .. | Bone and Calcium.. | - - |
P-323 | ANALYSIS OF THE VARIABLES RELATED TO OST.. | Maria Ciliberti .. | .. | Bone and Calcium.. | - - |
P-326 | Two cases of familial hypocalciuric hype.. | Rachel Livingstone .. | Dr Maria TallaMaria.Talla@ggc... | Bone and Calcium.. | - - |
P-327 | Hypercalcaemia due to hypervitaminosis D.. | Hafiz Muhammad Zubair Ullah .. | Kevin Deans, Jamie Smith, Alex.. | Bone and Calcium.. | - - |
Thunderstorm-related asthma in patients sensitised to olea europaea pollen: twenty emergency department visits for asthmatic symptoms in one single day Losappio, Laura1; Heffler, Enrico2; Falco, Antonio1; Contento, Francesco1; Cannito, Cosimo1; Rolla, Giovanni2 1"Dimiccoli" Hospital, Emergency Department, Barletta, Italy; 2University of Torino - AO Mauriziano "Umberto I", Allergy and Clinical Immunology, Torino, Italy
Background: Associations between thunderstorm and asthma morbidity have been reported in several countries. Common to all epidemics of thunderstorm-related asthma is a significant increase in atmospheric allergen load during and immediately after a thunderstorm. Sensitization to Alternaria species or to grass and parietaria pollens has been suggested to play a key role in thunderstorm-related asthma. The only reported event of thunderstorm-related asthma in Mediterranean area was attributed to sensitization to parietaria pollen.
Method: here we describe a series of 20 patients who presented to Emergency Department in Barletta (94,000 inhabitants), Puglia (Italy) for sudden and severe asthmatic symptoms between May 27th and 28th 2010 (from15:36 to 5:02), immediately after a violent thunderstorm which occurred following a very hot morning (mean temperature: 29°C). All the patients have been subsequently visited by an allergist and underwent allergological work-up which included skin prick tests and a careful clinical history. Local pollen counts were available.
Result: Between May 10th and June 10th 2010, 86 Emergency Department asthma visits were recorded, 20 of them during the study day. Patients' mean age was 44.25 +/- 18.5 years (range: 9-81), 8/20 females, 2 smokers, 16 with a previous history of known respiratory allergy. Only two patients regularly took anti-asthma drugs. All 20 patients were sensitized to Olea europaea pollen, 7 of whom were monosensitized. Ten patients were sensitized to grass, 7 to parietaria, 5 to compositae, 5 to cypress, 5 to house dust mites, 3 to dog and 1 to cat danders. No patient was sensitized to Alternaria. Mean pollen count was 17 granules/m3 for Olea europaea, 6 granules/m3 for grass pollen.
Conclusion: This is, in our knowledge, the second epidemic of thunderstorm related asthma described in Mediterranean area and the first one in which sensitization to Olea europaea played a key-role. In conclusion, our report indicates that thunderstorm asthma may involve different allergens (not only fungal spores and grass or parietaria pollen) in different geographic areas, depending on the seasonality of thunderstorms and allergenic pollen.