|WP-156||Conditioned Pain Modulation (CPM) in pat..||Steffen Krger ..||..||Pain management..||- -|
|WP-157||The perception of pain in children with ..||Samantha Pasca ..||..||Pain management..||- -|
|TP-157||Joint mobility program of patients with ..||Maria Kardos ..||Lajos Bartha MD PhD, Laszlo Ne..||Physiotherapy and rehabilitation..||- -|
|MP-157||GLOBAL ALLIANCE FOR PROGRESS (GAP) PROGR..||Nguyen Thi Mai ..||Tran Thi Thao, Duong Thi Thuy ..||Hemophilia programs and organizations..||- -|
|MP-158||One solidarity crowdfunding initiative l..||Eduardo Garzon ..||..||Hemophilia programs and organizations..||- -|
|TP-158||Evaluation of the Musculoskeletal Status..||Rungrote Natesirinilkul ..||Montana Buntragulpoontawee, Wa..||Physiotherapy and rehabilitation..||- -|
|WP-158||Non-pharmacologic Hemophilia Pain Manage..||Angela Lambing ..||Michelle Witkop, Thomas Humphr..||Pain management..||- -|
|WMP-159||Assessment of depressive disorders among..||Joanne Wu ..||Randall Curtis..||Psychosocial issues..||- -|
|MP-159||MHEMO : The healths French network of ra..||Benedicte WIBAUT ..||Stéphanie RINGENBACH, Catherin..||Hemophilia programs and organizations..||- -|
|TP-160||The Functional Gait Analysis in Persons ..||Emilio Valter Passeri ..||..||Physiotherapy and rehabilitation..||- -|
|WP-160||Group therapy for parents of young child..||Helena Landa ..||Gaby Golan, Dalia Bashari, Tam..||Psychosocial issues..||- -|
|WP-161||Psychological support to families and it..||Silvina Graña ..||Maricela Osorio Guzmán..||Psychosocial issues..||- -|
|MP-161||40 years of Catalan Association of Haemo..||Otilia Ragull ..||Ana M. Fernández, Eduardo Garz..||Hemophilia programs and organizations..||- -|
|WP-162||Go Dutch with Ethics; using a Moral Deli..||Greta Mulders ..||Nanda Uitslager, Tony Neuman, ..||Psychosocial issues..||- -|
|WP-163||A psychological wellbeing needs assessme..||Frances Wilkins ..||Sandra Bell, Sara Heary, April..||Psychosocial issues..||- -|
|TP-163||A Physiotherapist a small price to pay..||Trupti Bhandari ..||Dr J Alamelu..||Physiotherapy and rehabilitation..||- -|
|MMP-164||The impact of hemophilia on the social s..||Claudia Djamba Khayat ..||Elie Naous, Philippe de Moerlo..||Quality of life..||- -|
|WP-164||HEALTH CARE PROFESSIONALS AT HAEMOPHILIA..||frederica cassis ..||Vicena SANTOS, Eliane P. SANDO..||Psychosocial issues..||- -|
|WP-165||The Effects of Counseling using NLP(Neur..||BAK WON-SOOK ..||Yong Mook Choi, Myung Chul Yoo..||Psychosocial issues..||- -|
|MP-165||Health-related quality of life and healt..||Johannes Oldenburg ..||Huyen Tran, Flora Peyvandi, Ra..||Quality of life..||- -|
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.