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P-93 | Safety and feasibility of irradiation an.. | Geir Olav Hjortland .. | .. | Clinical Esophageal Cancer.. | - - |
P-95 | Long-term effectiveness results and prog.. | Hans Prenen .. | .. | Clinical Colon Cancer.. | - - |
P-96 | Circulating tumor-derived DNA (ctDNA) in.. | Lorenzo Gervaso .. | D. Ciardiello, L. Ascione, L. .. | Clinical Colon Cancer.. | - - |
P-99 | Tumor treating fields (TTFields) are eff.. | Naama Flint-Brodsly .. | .. | Basic Gastric Cancer.. | - - |
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P-105 | COLSTAR study: Safety data on the first .. | Fortunato Ciardiello .. | .. | Clinical Colon Cancer.. | - - |
P-108 | An interplay between immune cells and mi.. | Wei Liang .. | .. | Basic Colon Cancer.. | - - |
P-110 | Epidemiological and clinicopathological .. | Maria Bensi .. | .. | Clinical Pancreatic Cancer.. | - - |
P-112 | Assessing the accuracy of CT staging for.. | Jingjing Yu .. | .. | Clinical Colon Cancer.. | - - |
P-113 | Evidence for early detection of metastat.. | Mark Openshaw .. | R. Hastings, K. Page, C. Cowle.. | Basic Esophageal Cancer.. | - - |
P-114 | The therapeutic potential of nuclear rec.. | Sabrina Leo .. | I. Dhoparee-Doomah, C. SILLCOX.. | Basic Hepatocellular Cancer.. | - - |
P-116 | Clinical utility of circulating tumor DN.. | James Yu .. | .. | Clinical Bilary Tract Cancer.. | - - |
P-117 | Feasibility of tumor-informed circulatin.. | Midhun Malla .. | .. | Clinical Rectal Cancer.. | - - |
P-118 | Clinical significance of primary tumor s.. | Koshiro Fukuda .. | .. | Clinical Neuroendocrine Tumors.. | - - |
P-119 | HGCSG 1803: single-arm phase II study ev.. | Kentaro Sawada .. | .. | Clinical Pancreatic Cancer.. | - - |
P-120 | Efficacy of systemic therapy for advance.. | Charlene Hoi Lam Wong .. | Kenneth Sik Kwan ChanChi Leung.. | Clinical Hepatocellular Carcinoma.. | - - |
P-123 | CD73high biliary tract cancer (BTC) is a.. | Massimiliano Salati .. | .. | Clinical Bilary Tract Cancer.. | - - |
P-126 | TROPION-PanTumor03, a phase 2, multicent.. | Yelena Janjigian .. | Kristen Ciombor.. | Clinical Gastric Cancer.. | - - |
P-131 | Evaluation of predictive factors of toxi.. | Roland Eid .. | .. | Clinical Pancreatic Cancer.. | - - |
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.