2-4 November Abu Dhabi
P-54 | EARLY OUTCOMES OF MITRAL VALVE REPLACEME.. | Alfred Omo .. | Jun Li, Lijun Xu, Tie cheng Pa.. | Tertiary care and surgery.. | - - |
P-55 | RHEUMATIC HEART DISEASE IN SCHOOL ATTEND.. | Prakash Raj Regmi .. | Ajay Adhikaree , Urza Bhattara.. | Clinical presentation, contemporary mana.. | - - |
P-56 | TRENDS IN RHEUMATIC HEART DISEASE IN EGY.. | Alaaeldin Elghamrawy .. | Nermin Elghamrawy.. | Clinical presentation, contemporary mana.. | - - |
P-57 | A STRATEGIC POLICY OF CAPACITY BUILDING .. | Nilas Young .. | Albina Popova, Gary W Raff, Ki.. | Tertiary care and surgery.. | - - |
P-58 | Effect of rheumatic process on myocardia.. | Asim Katbeh .. | .. | Clinical presentation, contemporary mana.. | - - |
P-64 | Filling the evidence gap to reduce the i.. | Stephanie Enkel .. | Dr. Hannah ThomasDr. Nina Lans.. | Clinical presentation, contemporary mana.. | - - |
P-65 | Putting the P in SToP: Health Promotion .. | Stephanie Enkel .. | Ms Tracy McRaeDr. Hannah Thoma.. | Clinical presentation, contemporary mana.. | - - |
P-70 | PATTERN OF RHEUMATIC HEART DISEASE AND T.. | Elham Elgdhafi .. | Laila T Sabei.. | Clinical presentation, contemporary mana.. | - - |
P-72 | DEVELOPMENT OF A PEPTIDE-BASED VACCINE T.. | Michael Good .. | M.F. GOOD 1, M. PANDEY 1, S. R.. | Streptococcal Vaccines.. | - - |
P-76 | RHEUMATIC HEART DISEASE (RHD) BURDEN IN .. | Judith Katzenellenbogen .. | Ralph AP, Stacey I, Wade V, Ne.. | Clinical presentation, contemporary mana.. | - - |
P-78 | A STANDARDZIED COMPETENCY TRAINING PROGR.. | Scott Wirth .. | .. | Clinical presentation, contemporary mana.. | - - |
P-79 | HIGH RATES OF MORTALITY IN UGANDA FOLLOW.. | Scott Wirth .. | .. | Clinical presentation, contemporary mana.. | - - |
P-81 | Subcutaneous infusion of penicillin (SCI.. | Julie Bennett .. | D MOODLEY, J KADO, TK HLA, H D.. | Clinical presentation, contemporary mana.. | - - |
P-82 | School and clinical-based experimentatio.. | Stephanie Enkel .. | Dr. Thel HlaMs. Bernadette Won.. | Clinical presentation, contemporary mana.. | - - |
P-83 | HOUSEHOLD TRANSMISSION OF STREPTOCOCCUS .. | Stephanie Enkel .. | Mr. Sam BarnesMs. Jessica DawD.. | Clinical presentation, contemporary mana.. | - - |
P-85 | RAPID MOLECULAR TESTING AIDS TIMELY DIAG.. | Adam Dennison .. | Tarah Fepuleai, Susan Taylor, .. | Pathogenesis and other biological insigh.. | - - |
P-86 | PAROXYSMAL ATRIAL FIBRILLATION WITH HOLT.. | Demu Tesfaye .. | .. | Clinical presentation, contemporary mana.. | - - |
P-87 | POST-OPERATIVE OUTCOMES IN CRITICALLY IL.. | Naomi Kebba .. | Mr. Jonathan Izudi, Dr. Dimian.. | Tertiary care and surgery.. | - - |
P-88 | RHEUMATIC MITRAL REPAIR IN NEPAL: EARLY.. | Rabindra Timala .. | .. | Clinical presentation, contemporary mana.. | - - |
P-91 | PREVENTING A FUTURE CRISIS: ADDRESSING R.. | Shamim Hayder Talukder .. | Ummay Farihin Sultana, Kazi Fa.. | Tertiary care and surgery.. | - - |
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.