2-4 November Abu Dhabi
P-201 | SUBCUTANEOUS ADMINISTRATION OF BENZATHIN.. | Joseph Kado .. | S. Salman, R. Henderson, R. Ha.. | Clinical presentation, contemporary mana.. | - - |
P-202 | ECHOCARDIOGRAPHY TRAINING AMONG HEALTHCA.. | Leslie Kaze .. | Cecilia Patton-Bolman MSN| cee.. | Clinical presentation, contemporary mana.. | - - |
P-203 | SUBCUTANEOUS INFUSIONS OF HIGH-DOSE BENZ.. | Joseph Kado .. | S. Salman, T. Hla, S. Enkel, R.. | Clinical presentation, contemporary mana.. | - - |
P-204 | COMMUNITY AWARENESS ON RHEUMATIC HEART D.. | Clement Kabakama .. | Jessica Abrahams , Pilly Chill.. | Clinical presentation, contemporary mana.. | - - |
P-207 | RISKS FACTORS ASSOCIATED WITH MECHANICAL.. | Nicoletta Erba .. | .. | Tertiary care and surgery.. | - - |
P-212 | REACHING THE UNREACHED: HOW THE MATER HO.. | Agnes Chitira .. | .. | Clinical presentation, contemporary mana.. | - - |
P-214 | RHEUMATIC HEART DISEASE IN MOZAMBIQUE: R.. | Carol Nhavoto .. | .. | Clinical presentation, contemporary mana.. | - - |
P-218 | CLINICAL PROFILE AND INTRA-HOSPITAL OUTC.. | James Ayodele Ogunmodede .. | S Ahmodu, O Adeoye, M Jimoh, P.. | Clinical presentation, contemporary mana.. | - - |
P-221 | Health care provider-led education to pr.. | Laylah Ryklief .. | Prof Mark E EngelMr Ameer Hohl.. | Clinical presentation, contemporary mana.. | - - |
P-222 | TECHNICAL DESIGN CONSIDERATIONS FOR A WE.. | Riley Morrison .. | Nick Felicelli, Kristen Tillma.. | Clinical presentation, contemporary mana.. | - - |
P-223 | CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES .. | Franco Masini .. | .. | Tertiary care and surgery.. | - - |
P-224 | Humoral immune responses to Streptococcu.. | Alexander Keeley .. | .. | Pathogenesis and other biological insigh.. | - - |
P-225 | MITRAL VALVE SURGICAL STRATEGIES FOR PAT.. | Owen Robinson .. | Dr. Gene Kwan, Dr. Daphnee Alc.. | Tertiary care and surgery.. | - - |
P-229 | MITRACLIP/TRICLIP VERSUS PASCAL IMPLANTA.. | Mohamed Gbreel .. | Mahmoud Balata (M.D.), Marwa H.. | Tertiary care and surgery.. | - - |
P-230 | Pacific communities co-designing and lea.. | Siobhan Tuakoi .. | Malakai Ofanoa, Samuela Ofanoa.. | Clinical presentation, contemporary mana.. | - - |
P-231 | PREVALENCE AND PREDICTORS OF OUTCOME IN .. | Sahadeb Prasad Dhungana .. | SB. KhanalR. Nepal.. | Clinical presentation, contemporary mana.. | - - |
P-232 | Predictors of blood transfusion among pa.. | Fekede Agwar .. | Belete Zekarias2, Jemil M. Ali.. | Tertiary care and surgery.. | - - |
P-235 | Targeted profiling of the oropharyngeal .. | Evelyn Ngwa Lumngwena .. | Samantha Africa, Andrea Tonel.. | Pathogenesis and other biological insigh.. | - - |
P-237 | Progress towards ending RHD in Australia.. | Rosemary Wyber .. | Asha Bowen, Glenn Pearson, Jon.. | Clinical presentation, contemporary mana.. | - - |
P-238 | A Comparison of Community Sensitization .. | Rachel Sarnacki .. | .. | Clinical presentation, contemporary mana.. | - - |
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.