Royal College of Psychiatrists International Congress 2022


20-23 June 2022 Edinburgh
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Royal College of Psychiatrists International Congress 2022


20-23 June 2022 Edinburgh
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PO-787 The impact of the COVID-19 pandemic on t.. Zeryab Meyer .. .. Research.. - -
PO-788 Innovations in Mentorship: Implementatio.. Shaheen Darani .. Mary Jane Esplen, PHD; Certina.. Education and Training.. - -
PO-789 Chronic, Unipolar, Treatment-Resistant M.. Yasir Mateen .. .. Case Study.. - -
PO-790 Improving Capacity and Consent to Treatm.. Rebecca McKnight .. Dr Rachel Fu .. Audit.. - -
PO-791 Identification and management of substan.. Joshua Lusby .. Kenny ChuThomas HillenShivanth.. Service Evaluation.. - -
PO-792 Safe Prescribing of Psychotropic Medicat.. Amina Sardar .. Amina Sardar (presenting autho.. Audit.. - -
PO-793 The impact of stigma on forensic psychia.. Tharshni Umakanthan .. .. Case Study.. - -
PO-796 Transcranial Direct Current Stimulation .. Fernanda Menezes de Faria .. .. Research.. - -
RF-798 The clustering of physical health condit.. Emmert Roberts .. Ujhelyi-Gomez K, Roberts E, Bu.. Margaret Slack Prize Winners.. - -
RF-799 Exploring the pain beliefs of children w.. Kate Stein .. .. Margaret Slack Prize Winners.. - -
RF-800 A BRIEF NOTE FROM PAKISTAN: REFLECTIONS .. Musa Sami .. .. Margaret Slack Prize Winners.. - -
PO-801 The Impact of Shared Trauma on the Famil.. Scott Deschain .. Anna Hedges, Paul French, Prat.. Research.. - -
PO-999 Prueba.. Daniel Zaldumbide .. .. Quality Improvement.. - -

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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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