2-4 November Abu Dhabi
P-150 | HAPPY HEART CLINIC. FROM ZERO TO HERO.. | Erin Ferguson .. | Dr Ben Reeves.. | Clinical presentation, contemporary mana.. | - - |
P-151 | Methods and preliminary data from HYDRxA.. | Rebecca Somerville .. | .. | Clinical presentation, contemporary mana.. | - - |
P-152 | Surveillance results from the Missing Pi.. | Janessa Pickering .. | .. | Clinical presentation, contemporary mana.. | - - |
P-153 | Telling the Missing Piece Story: Partici.. | Kassandra Fernando .. | .. | Clinical presentation, contemporary mana.. | - - |
P-154 | ADDRESSING RHEUMATIC HEART DISEASE IN FI.. | Mary Anne Harihiru Koraai .. | .. | Clinical presentation, contemporary mana.. | - - |
P-155 | DISSEMINATING THE RESULTS OF THE STOP TR.. | Asha Bowen .. | Dr. Hannah ThomasMs. Tracy McR.. | Clinical presentation, contemporary mana.. | - - |
P-156 | STOP: A COMMUNITY-ENGAGED APPROACH TO TA.. | Asha Bowen .. | Dr. Hannah ThomasMs. Marianne .. | Clinical presentation, contemporary mana.. | - - |
P-157 | A new rapid test approach for the detect.. | Asha Bowen .. | .. | Clinical presentation, contemporary mana.. | - - |
P-158 | YARNING TO STOP SKIN SORES AND SCABIES: .. | Asha Bowen .. | Ms. Tracy McRaeDr. Ingrid Amga.. | Clinical presentation, contemporary mana.. | - - |
P-159 | ADHERENCE TO BENZATHINE PENICILLIN G OF .. | Ara Noraene Vertudez .. | Karen Santos, Ruzenette Hernan.. | Clinical presentation, contemporary mana.. | - - |
P-160 | OUTCOMES FOR SCHOOL CHILDREN WITH SCREEN.. | Juliana dos Santos Sarmento .. | Joaquina de Sousa Maurays, Jes.. | Clinical presentation, contemporary mana.. | - - |
P-161 | First Degree Relative RHD Echocardiograp.. | Sukafa Matanaicake .. | .. | Clinical presentation, contemporary mana.. | - - |
P-162 | Prevalence of Rheumatic Heart Disease in.. | Luh Oliva Saraswati Suastika .. | .. | Clinical presentation, contemporary mana.. | - - |
P-163 | Assessment of Improvement in Left Atrial.. | Asim Ali .. | Waheed Ahmed, Shazia Ahmed, Na.. | Tertiary care and surgery.. | - - |
P-164 | Molecular Epidemiology of Superficial St.. | Emma Pearson .. | Hannah Thomas, Mark Davies, An.. | Clinical presentation, contemporary mana.. | - - |
P-166 | ECG evolution after hydroxychloroquine t.. | Nigel Wilson .. | Rebecca Somerville, Jude Tresi.. | Clinical presentation, contemporary mana.. | - - |
P-167 | Severe RHD from Antenatal Echocardiograp.. | Sukafa Matanaicake .. | .. | Clinical presentation, contemporary mana.. | - - |
P-168 | TE MÄ€TAI MANAWA A WHÄ€NAU: Improving ac.. | Adam Dennison .. | Rachel WebbAnneka AndersonRach.. | Clinical presentation, contemporary mana.. | - - |
P-171 | FIJI ANTENATAL ECHOCARDIOGRAPHY SCREENIN.. | Mairini Rokovunisei .. | .. | Clinical presentation, contemporary mana.. | - - |
P-173 | TREATING ADVANCED RHEUMATIC HEART DISEAS.. | Gina Portella .. | .. | 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.