13-15 November, Glasgow
P-146 | Unmasking the hidden link: Primary Hypot.. | Zin Htut .. | Ashutosh Kapoor, Chukwuma Uduk.. | Thyroid.. | - - |
P-147 | A Challenge to treat Graves Disease.. | Fatima Bahowairath .. | Sara Hag, Karim Meeran.. | Thyroid.. | - - |
P-149 | GD induced Thyroid storm-AF, CHF, PE, pr.. | Sathia Narayanan Mannath .. | Aditya Sudarshanan, Cornelius .. | Thyroid.. | - - |
P-150 | A service evaluation of the nurse-led ad.. | Andrew Lansdown .. | Benjamin Yi Hoong Lee, Janet L.. | Nursing practice.. | - - |
P-151 | Growth hormone treatment in adults: A li.. | Sherwin Criseno .. | Helena GleesonAndrew ToogoodNe.. | Nursing practice.. | - - |
P-152 | Outcomes of Nursing Staff Self-reported .. | Katherine White .. | Emily Falconer, Anita Kaucha R.. | Nursing practice.. | - - |
P-153 | National steroid emergency card and deli.. | Alison Milne .. | Dr P Abraham Dr Pui San Yap .. | Nursing practice.. | - - |
P-156 | Glucocorticoid Receptor and PARP-1 Genom.. | Samuel Heaselgrave .. | Craig Doig, Gareth Lavery.. | Adrenal and Cardiovascular.. | - - |
P-157 | Identification of a novel constitutively.. | Aqfan Jamaluddin .. | Rachael Wyatt, Andreea Pasaliu.. | Adrenal and Cardiovascular.. | - - |
P-158 | Development of PP-UHPLC-MS/MS workflow f.. | Tatana Gazarkova .. | Katerina Plachka, Hana Kocova .. | Adrenal and Cardiovascular.. | - - |
P-159 | A pragmatic approach to monitoring for a.. | Anes Harid .. | .. | Adrenal and Cardiovascular.. | - - |
P-160 | Defining the basal serum cortisol cut-of.. | Muhammad Fahad Arshad .. | .. | Adrenal and Cardiovascular.. | - - |
P-161 | An International Study Of The Associatio.. | Xanthippi Tseretopoulou .. | .. | Adrenal and Cardiovascular.. | - - |
P-162 | Hormonal Secretion Pattern in Patients w.. | Sumedha Mandal .. | Pratyusha Saha, Onnicha Suntor.. | Adrenal and Cardiovascular.. | - - |
P-163 | Mild autonomous cortisol secretion in pa.. | Pui San Yap .. | .. | Adrenal and Cardiovascular.. | - - |
P-164 | MHRA steroid card for patients prescribe.. | Simran Virdee .. | Manpreet Kohli.. | Adrenal and Cardiovascular.. | - - |
P-166 | Malignant pheochromocytoma and paragangl.. | Remya Rajan .. | .. | Adrenal and Cardiovascular.. | - - |
P-167 | Improving Steroid prescribing in patient.. | Elin Crockett .. | C. James, S. Roy Chowdhury, L... | Adrenal and Cardiovascular.. | - - |
P-168 | Developing a methodology to measure post.. | Mia Ball .. | Caroline Ovadia Luiza Manna.. | Adrenal and Cardiovascular.. | - - |
P-169 | A comparison of hydrocortisone and predn.. | Madelaine Miller .. | Katharine Lazarus,Sirazum Chou.. | Adrenal and Cardiovascular.. | - - |
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.