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January 10-12, 2021 Virtual Conference
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posters found | 473
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PO-2071 What is the effect of transmastoid super.. Nicholas Dawe .. .. Otology, Neuro-Otology and Audio-Vestibu.. - -
PO-2074 Human Papillomavirus in Head and Neck Ca.. Bethan McLeish .. .. Student and foundation doctors in Otorhi.. - -
PO-2075 The Hum Test: an accessible alternative .. George McNally .. Mr Thomas Hampton.. Otology, Neuro-Otology and Audio-Vestibu.. - -
PO-2076 Improving ENT Ward Round Documentation a.. Zi Heng .. Alexander Yao, Suzanne Jervis.. Professional standards and guidelines.. - -
PO-2078 Animal products used in ENT, what do pat.. Carina Banziger .. Mr Richard GreenMr Peter Ross.. Student and foundation doctors in Otorhi.. - -
PO-2079 Post tonsillectomy bleeds in adults and .. Serena Mehta .. Mrs S Jervis (ENT Consultant).. Student and foundation doctors in Otorhi.. - -
PO-2080 Direct Referral for MRI scan of Internal.. Yohanna Takwoingi .. Srinish Gopala-Krishnan and Cl.. Otology, Neuro-Otology and Audio-Vestibu.. - -
PO-2081 Management of children with airway injur.. Claudine Murphy .. C. Reinhardt, R OShea, C Wijay.. Paediatrics.. - -
PO-2082 Keratosis obturans causing mastoiditis; .. Hamza Qureshi .. Jason Powell, Philip Yates.. Otology, Neuro-Otology and Audio-Vestibu.. - -
PO-2083 An Evaluation of Pre- and Post-Operative.. Emma Watts .. .. Head and Neck.. - -
PO-2084 Drawer D The Last Resort. Creating a s.. Paula Coyle .. K Watson, J Bewick, N Jonas .. Paediatrics.. - -
PO-2086 Are inflammatory markers significant pro.. Edgardo Abelardo .. Y Kamhieh, G Davies, V Prabhu.. Head and Neck.. - -
PO-2087 Multi-disciplinary management of childre.. Kirsten Stewart .. Wan Hei ChanRosalyn ArdillMary.. Paediatrics.. - -
PO-2088 An Audit Of The Use Of Swabs To Investig.. Nikhil Joshi .. Thomas Yule.. Student and foundation doctors in Otorhi.. - -
PO-2089 An unusual submental mass: Ectopic thyro.. Tom Paterson .. Mostafa Ammar, Costa Repanos a.. Head and Neck.. - -
PO-2091 Clinical Judgement or Implicit Bias: A C.. Emma Watts .. .. Head and Neck.. - -
PO-2092 A hard look at cervical thoracic duct cy.. Edgardo Abelardo .. P Shastri, V Prabhu.. Head and Neck.. - -
PO-2093 Otitis media with effusion in adults: ou.. Hamza Qureshi .. Hassan Mohammed (1st author), .. Otology, Neuro-Otology and Audio-Vestibu.. - -
PO-2094 Developing and implementing a 28-day fas.. Arun Takhar .. .. Head and Neck.. - -
PO-2095 Snot Easy to See: An Unusual Case of Opt.. Emma Watts .. .. Rhinology.. - -
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Abstract

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.

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