2-4 November Abu Dhabi
P-240 | GLUCOCORTICOIDS FOR TREATMENT OF SEVERE .. | Sheila Aissa .. | Carol Nhavoto, Alda Menete, Fi.. | Clinical presentation, contemporary mana.. | - - |
P-241 | PROFILE OF RHEUMATIC HEART DISEASE AT CA.. | Tengku Winda Ardini .. | Aziz AchmadFadlan Aufar Malik.. | Clinical presentation, contemporary mana.. | - - |
P-242 | LEFT ATRIAL STRAIN OF LOW GRADIENT SEVER.. | Nabila Damaiati .. | Amir Aziz Alkatiri, Doni Firma.. | Clinical presentation, contemporary mana.. | - - |
P-243 | Left atrial compliance after following p.. | Athayde Guilherme .. | .. | Tertiary care and surgery.. | - - |
P-244 | Health Related Quality of Life of Uganda.. | Mohammed Ahmed Mohammed .. | Twalib Aliku, Judith Namuyonga.. | Tertiary care and surgery.. | - - |
P-245 | ASSOCIATION OF LEFT ATRIAL STRAIN CHANGE.. | Yudhistira Kurnia .. | Doni Firman, Amir Aziz Alkatir.. | Clinical presentation, contemporary mana.. | - - |
P-247 | Insights into the mechanisms of left ven.. | Airandes Pinto .. | .. | Clinical presentation, contemporary mana.. | - - |
P-249 | RESULTS OF MITRAL VALVE REPAIR IN RHEUMA.. | Sheila Aissa .. | Carol Nhavoto, Alda Menete, Fi.. | Tertiary care and surgery.. | - - |
P-252 | ENHANCING TERTIARY CARE AND SURGERY IN N.. | Josef Nashilongo .. | .. | Tertiary care and surgery.. | - - |
P-253 | MORBIDITY, MORTALITY AND SURVIVORSHIP BI.. | Tuliana Cua .. | S Talukder, ML Perman, D Engel.. | Clinical presentation, contemporary mana.. | - - |
P-257 | CHANGES IN THE RIGHT VENTRICULAR GLOBAL .. | Gusti Ayu Temi Vidianti .. | .. | Clinical presentation, contemporary mana.. | - - |
P-260 | LATENT RHD IN WEST AFRICA (LATTE study).. | Lamin Jaiteh .. | Fidelia Bode-Thomas, Adama Kan.. | Clinical presentation, contemporary mana.. | - - |
P-265 | Clinical Characteristics and Outcomes of.. | Renata Mendoza .. | RODRIGO OLIVEIRA, BERNARDO MEN.. | Clinical presentation, contemporary mana.. | - - |
P-266 | INVESTIGATING BENZATHINE PENICILLIN PROP.. | Treasure Mkaliainga .. | A. BULA, M. C. HOSSEINIPOUR, N.. | Clinical presentation, contemporary mana.. | - - |
P-267 | EDUCATIONAL TOOLS FOR ENHANCING RHEUMATI.. | Jessica Abrams .. | .. | Clinical presentation, contemporary mana.. | - - |
P-268 | A PILOT RHEUMATIC HEART DISEASE SCREENIN.. | Matthew Lawlor .. | Sugi Min, Bryan Carrillo Perez.. | Clinical presentation, contemporary mana.. | - - |
P-271 | CLINICAL AND ECHOCARDIOGRAPHIC CHARACTER.. | Abraha Hailu Weldegerima .. | Marta Yemane, Samuel Berhane, .. | Clinical presentation, contemporary mana.. | - - |
P-272 | DEVELOPMENT AND VALIDATION OF MULTIPLEXE.. | Alma Fulurija .. | .. | Streptococcal Vaccines.. | - - |
P-274 | DEADLY HEART TREK: COMMUNITY-CONSULTATIO.. | Georgina Byron .. | Vicki Wade, Dr Gavin Wheaton.. | Clinical presentation, contemporary mana.. | - - |
P-276 | Left ventricle myocardial work correlate.. | Estu Rudiktyo .. | Amiliana M Soesanto, Maarten J.. | 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.