2-4 November Abu Dhabi
P-125 | BUILDING TOWARDS SCALE-UP OF RHEUMATIC H.. | Doreen Nakagaayi .. | Jafesi Pulle, Isaac Otim, Oyoo.. | Clinical presentation, contemporary mana.. | - - |
P-126 | YARNING WITH A REMOTE ABORIGINAL COMMUNI.. | Rebecca Famlonga .. | MS E VICTOR, DR. B UINK, DR H .. | Clinical presentation, contemporary mana.. | - - |
P-129 | ASSESSMENT OF IMMEDIATE POST-OPERATIVE C.. | Raheela Aamir .. | Aamir khowaja, Ali Amar, Waqar.. | Tertiary care and surgery.. | - - |
P-130 | LACK OF AWARENESS OF SECONDARY RHEUMATIC.. | Raheela Aamir .. | Aamir khowaja, Ali Amar, Waqar.. | Clinical presentation, contemporary mana.. | - - |
P-131 | OBSTRUCTIVE CORONARY ARTERY DISEASE IN P.. | Raheela Aamir .. | Aamir khowaja, Ali Amar, Waqar.. | Clinical presentation, contemporary mana.. | - - |
P-133 | A PARTNERSHIP OF CLINICAL EXCELLENCE AND.. | Sara Noonan .. | Vicki Wade.. | Clinical presentation, contemporary mana.. | - - |
P-134 | STopping Acute Rheumatic Fever Infection.. | Asha Bowen .. | Glenn PearsonAinslie Pooreon b.. | Clinical presentation, contemporary mana.. | - - |
P-135 | Preoperative left ventricular dysfunctio.. | Hilary Hardefeldt .. | Steven Kiyokawa, Bryan Mitchel.. | Tertiary care and surgery.. | - - |
P-136 | Modelling the epidemiological impact of .. | Jeffrey Cannon .. | .. | Clinical presentation, contemporary mana.. | - - |
P-138 | DECOLONISING RHD: ELEVATING THE VOICES O.. | Vicki Wade .. | .. | Clinical presentation, contemporary mana.. | - - |
P-139 | Retention in Registry-Based Care for Rhe.. | Jafesi Pulle .. | F. Odong, J. Atala, L. M Oyell.. | Clinical presentation, contemporary mana.. | - - |
P-140 | RAPID MOLECULAR POINT-OF-CARE TEST FOR S.. | Janessa Pickering .. | .. | Clinical presentation, contemporary mana.. | - - |
P-141 | Partnering with the Community to Design .. | Joselyn Rwebembera .. | .. | Clinical presentation, contemporary mana.. | - - |
P-142 | THE GAP BETWEEN KNOWLEDGE AND ACTION: UN.. | Julie Alepere .. | .. | Clinical presentation, contemporary mana.. | - - |
P-143 | A HEALTH TECHNOLOGY LANDSCAPE ASSESSMENT.. | Jafesi Pulle .. | .. | Clinical presentation, contemporary mana.. | - - |
P-145 | THE GAP BETWEEN KNOWLEDGE AND ACTION: UN.. | Gloria Kaudha .. | .. | Clinical presentation, contemporary mana.. | - - |
P-146 | Partnerships on the Missing Piece Journe.. | Bernadette Wong .. | .. | Clinical presentation, contemporary mana.. | - - |
P-147 | INTRAMUSCULAR VERSUS ENTERAL PENICILLIN .. | Joselyn Rwebembera .. | .. | Clinical presentation, contemporary mana.. | - - |
P-148 | ACUTE RHEUMATIC FEVER PRESENTATIONS IN S.. | Adam Dennison .. | .. | Clinical presentation, contemporary mana.. | - - |
P-149 | Strep A strains in throat and skin ident.. | Janessa Pickering .. | .. | 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.