13-15 November, Glasgow
P-248 | Hypophysitis: a case report on how multi.. | Khin Yadanar Kyaw .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-249 | Beyond the Run: Loperamides Secret Toll .. | Preet Shah .. | Emma Ward.. | Neuroendocrinology and Pituitary.. | - - |
P-250 | Hypophysitis Secondary to Monoclonal Ant.. | Viswesh Anand .. | Dr B Srinivasan.. | Neuroendocrinology and Pituitary.. | - - |
P-251 | Severe arginine vasopressin resistance (.. | Fred Keen .. | Mohd Khaliq Hamdan, Samuel Bec.. | Neuroendocrinology and Pituitary.. | - - |
P-252 | A Rare presentation of Cushings disease .. | Fathima Pambinezhut Kunjumohaned .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-253 | Young male presented with primary hyperp.. | Mohammad Salah Uddin .. | Kamruddin Mohammed, Harshal De.. | Neuroendocrinology and Pituitary.. | - - |
P-254 | Oral Contraceptive Pill (Yasmin) Can Par.. | Krzysztof Lewandowski .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-255 | A Never Event Case of Hyponatraemia.. | Berkeley Rhiannon .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-256 | ACROMEGALY WITH NORMAL PHENOTYPE?.. | Hiba Rajpar .. | Dr. Sheharyar Qureshi .. | Neuroendocrinology and Pituitary.. | - - |
P-258 | Significant weight loss associated with .. | Fatimah Alawami .. | Fatimah Alawami, Olivia Novaes.. | Reproductive Endocrinology.. | - - |
P-260 | Ovarian mitochondrial dysfunction in let.. | Kehinde S. Olaniyi .. | .. | Reproductive Endocrinology.. | - - |
P-262 | Sex affects Ca2 channel expression of ad.. | Paul Smith .. | Olena A. Fedorenko, Maria Tole.. | Reproductive Endocrinology.. | - - |
P-264 | Insights into dysregulation of luteinizi.. | Priyanka Anujan .. | .. | Reproductive Endocrinology.. | - - |
P-265 | Non-Invasive Assessment of Liver Abnorma.. | Matilde Calanchini .. | .. | Reproductive Endocrinology.. | - - |
P-266 | The mystery of bulky testes.. | Simran Thakkar .. | Pareekshith Rai.. | Reproductive Endocrinology.. | - - |
P-267 | Kallmann syndrome with unilateral anosmi.. | Jovanna Tsoutsouki .. | Alexander N Comninos, Maria Ph.. | Reproductive Endocrinology.. | - - |
P-268 | Simultaneous adrenal and ovarian vein sa.. | Amynta Arshad .. | Miriam Asia, Helena Gleeson, Y.. | Reproductive Endocrinology.. | - - |
P-269 | A Case of postpartum hypophysitis initia.. | Muhammad Umair Shehzad .. | Shar Lei Yee , Kamal Abouglila.. | Reproductive Endocrinology.. | - - |
P-270 | SIADH in Pre-Eclampsia: A Rare Cause of .. | Ali Abdalraheem .. | Dr Chung Thong LimProfessor Ri.. | Reproductive Endocrinology.. | - - |
P-271 | Are we paying enough attention to detect.. | C G K Amiyangoda .. | NOÉMI B A ROY, SHANI A D MATHA.. | Reproductive Endocrinology.. | - - |
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.