13-15 November, Glasgow
P-353 | Ex-vivo immune responses of blood cells .. | Ghazel Mukhtar .. | .. | Metabolism, Obesity and Diabetes.. | - - |
P-354 | Anti-diabetic properties of the ethanoli.. | Prawej Ansari .. | JMA Hannan, Peter R. Flatt, Ya.. | Metabolism, Obesity and Diabetes.. | - - |
P-355 | Long-term effects of PCSK9 inhibitor the.. | Qaisar Farooq .. | .. | Metabolism, Obesity and Diabetes.. | - - |
P-357 | An endocrine cause of diabetes remission.. | Amina Khanam .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-358 | Copy number variation (CNV) in self-limi.. | Yasmin Al-Sayed .. | Miho Ishida; Charlotte Hall; S.. | Neuroendocrinology and Pituitary.. | - - |
P-359 | Prescription Profile of Narrow Therapeut.. | Marylin Acuña Hernandez .. | Caro Uribe Patricia, Portilla .. | Neuroendocrinology and Pituitary.. | - - |
P-361 | UNUSUAL PRESENTATION OF SUPRASELLAR LESI.. | Mudassir Ali .. | Dr Srikanth Mada.. | Neuroendocrinology and Pituitary.. | - - |
P-362 | Pituitary Adenomas- A Retrospective Revi.. | Suhani Bahl .. | Kavan Arora, Kofi Obuobie.. | Neuroendocrinology and Pituitary.. | - - |
P-363 | Hindering the progression of cardiac fib.. | Kanokporn Sanpawithayakul .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-364 | Audit of compliance with NICE TA64 on pr.. | Sherwin Criseno .. | Charlotte Tarr, Jenny Anderson.. | Neuroendocrinology and Pituitary.. | - - |
P-366 | MGMT and MSH2 immunohistochemistry statu.. | Ben Whitelaw .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-367 | Multisystem Langerhans cell histiocytosi.. | Aeysha Harvey .. | Dr Jana Bujanova, Dr Srinivasa.. | Neuroendocrinology and Pituitary.. | - - |
P-369 | The Natural History of Clinically Non-fu.. | Leanne Cussen .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-370 | A Retrospective Review of New Hyperprola.. | Kyi Pyar Than Yu .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-371 | GnRH neuronal disruption and hypotestost.. | Sophie Clarke .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-372 | An unusual case of Myeloma masquerading .. | NIKITA SAHAY .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-373 | A case of mild autonomous cortisol secre.. | Yin Yin .. | Hira Rasheed, Arthur Ogunko, I.. | Neuroendocrinology and Pituitary.. | - - |
P-375 | An Unusual Case of Azoospermia.. | Melvin Lee Yoong Zher .. | .. | Reproductive Endocrinology.. | - - |
P-376 | ENDOCRINOLOGICAL ALTERATIONS IN PATIENTS.. | Maria Ciliberti .. | E. BLANCO 1, L. DULCEY1, J. TH.. | Reproductive Endocrinology.. | - - |
P-377 | Hypoglycaemia in pregnancy post bariatri.. | Rachel Narunsky .. | Sarah N Ali, Vinita Singh, Eft.. | 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.