|-P-W-67||Low Bleeding Rates in Youth and Young Ad..||Jean St-Louis ..||Nancy YoungFrancine MenardNich..||Prophylaxis..||Wednesday 14th May|
|-PO-T-68||Circumcision in hemophilia with inhibito..||EMNA GOUIDER ..||Gouider E, SghairounN, Zahra K..||Approaches to inhibitors..||Tuesday 13th May|
|-PO-T-69||Two consecutive life threatening bleedin..||Jung Woo Han ..||Hyo Sun Kim, Seung Min Hahn, Y..||Inhibitors, Pathogenesis, Prevention and..||Tuesday 13th May|
|-P-W-69||Factors associated with prophylaxis use ..||Megan Ullman ..||Qing C. Zhang, Scott D. Grosse..||Prophylaxis..||Wednesday 14th May|
|-P-W-70||Association of Peak FVIII Levels and AUC..||Leonard Valentino ..||Steven W. Pipe, MD, Peter W. C..||Prophylaxis..||Wednesday 14th May|
|-PO-T-70||Pseudotumor causing duodenal fistula and..||Jung Woo Han ..||..||Inhibitors, Pathogenesis, Prevention and..||Tuesday 13th May|
|-PO-T-71||Evaluation of inhibitor antibody in hemo..||olfa kassar ..||..||Clinical Aspects..||Tuesday 13th May|
|-P-W-71||Changing views on the use of prophylaxis..||Shannon Jackson ..||..||Prophylaxis..||Wednesday 14th May|
|-PO-T-72||Successful Management of Orthopedic Surg..||Marta Julia Lopez ..||..||Inhibitors, Pathogenesis, Prevention and..||Tuesday 13th May|
|-P-M-72||Community Counts: A National Surveillanc..||Marilyn Manco-Johnson ..||Authors: Marilyn Manco-Johnson..||Database and Registries..||Monday 12th May|
|-P-W-72||The efficacy and safety of low-dose prop..||Qun Hu ..||A.G.Liu, S.Y.Liu, L.Q.Zhang, X..||Clinical Aspects..||Wednesday 14th May|
|-P-M-73||The electronic diary smart medication al..||Wolfgang Mondorf ..||..||Hemophilia Programs and Organizations..||Monday 12th May|
|-PO-T-73||Transcatheter arterial chemoemboliazatio..||Takeshi Matsumoto ..||Hideo Wada, Isao Twara, Kohshi..||Inhibitors, Pathogenesis, Prevention and..||Tuesday 13th May|
|-PO-W-74||Assessment of children with hemophilia u..||EMNA GOUIDER ..||Gouider E, Zahra K, Meddeb B..||Outcome Assessments..||Wednesday 14th May|
|-PO-T-74||Experience of knee and hip replacement i..||Tatyana Polyanskaya ..||..||Musculoskeletal-Orthopedic Issues..||Tuesday 13th May|
|-P-M-74||Causes of death in haemophilia patients ..||Daniela Neme ..||Simon, H. Candela, M. Elhelou ..||Database and Registries..||Monday 12th May|
|-P-M-75||MyABDR: an online personally controlled ..||Suzanne OCallaghan ..||Elizabeth ArnoldMichael Linega..||Database and Registries..||Monday 12th May|
|-P-M-76||Real World Utilization and Cost of aPCC ..||Abiola Oladapo ..||Xiong Y and Epstein JD..||Health and Social Economics..||Monday 12th May|
|-PW-76||Genetics of rare bleeding disorders in t..||David Stirling ..||Anne WhiteWendy HannantGillian..||Molecular Genetics of Bleeding Disorders..||- -|
|-P-W-77||Recurrent venous thromboembolic event in..||PEYMAN ESHGHI ..||..||Rare Congenital Bleeding Disorders..||Monday 12th May|
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.