20-22 September Budapest
P-884 | PATIENT-PRACTITIONER COMMUNICATION PRIOR.. | Baukje Stinesen .. | P. Sneijder, A. Köke, R. Smeet.. | Interdisciplinary pain programmes.. | - - |
P-901 | CANNABIS AFFECTS AUTONOMIC AND SUPRASPIN.. | Haggai Sharon .. | .. | Pharmacological therapies.. | - - |
P-920 | MULTIMODAL INTERNET-BASED GROUP REHABILI.. | Indre Bileviciute-Ljungar .. | Jan-Rickard Norrefalk, Agneta .. | COVID-19 associated pain.. | - - |
P-935 | CORTICOMOTOR EXCITABILITY IS ALTERED IN .. | Luciana Barbosa .. | .. | Central neuropathic pain.. | - - |
P-945 | EUROPEAN RECOMMENDATIONS ON OPIOIDS FOR .. | Anne-Priscille Trouvin .. | .. | Pharmacological therapies.. | - - |
P-952 | A TEN-YEAR TREND IN OPIOID ANALGESIC USE.. | Anne-Priscille Trouvin .. | .. | Pharmacological therapies.. | - - |
P-958 | CONDITIONED PAIN MODULATION PREDICTS ACU.. | Ana Cristina Paredes .. | .. | Acute post-surgical pain.. | - - |
P-963 | PROOF-OF-CONCEPT STUDY OF TOPICAL AMITRI.. | Philippe Picaut .. | .. | Pharmacological therapies.. | - - |
P-971 | REPETITIVE TRANSCRANIAL MAGNETIC STIMULA.. | Massimo Allegri .. | M.-L. Rosato, M. Jacobs, S. .. | Non-pharmacological interventions or the.. | - - |
P-1147 | RE-DESIGNING CHRONIC PRIMARY PAIN: LOOKI.. | Eva Tordera Nuño .. | .. | Definition and classification.. | - - |
P-1162 | MEDICAL CANNABIS FOR SEVERE REFRACTORY C.. | Uri Hochberg .. | .. | Pharmacological therapies.. | - - |
P-1171 | Feasibility and acceptability of trial d.. | Veronica Sjöberg .. | Andreas MonnierElena TseliRicc.. | Digitization in pain management.. | - - |
P-1177 | THE ASSOCIATION BETWEEN CIRCULATING PAIN.. | Ann-Sofie Rönnegrd .. | .. | Pharmacological therapies.. | - - |
P-1180 | OPIOID BASED ANALGESIA VS NON-OPIOID ANA.. | Elena Farladansky .. | .. | Pharmacological therapies.. | - - |
P-1199 | A NOVEL OPTION FOR THE TREATMENT OF GREA.. | André Vieira .. | .. | Interventional blockade therapies.. | - - |
P-1214 | MODULATION OF P2RY6-DEPENDENT PHAGOCYTOS.. | Thomas Deluc .. | .. | Central neuropathic pain.. | - - |
P-1259 | MULTIMODAL TREATMENT OF POST- MASTECTOMY.. | Magdalena Bitner-Bieleszuk .. | .. | Cancer pain.. | - - |
P-1269 | THE EFFECTS OF THE FATTY ACID BINDING PR.. | Saoirse OSullivan .. | .. | Pharmacological therapies.. | - - |
P-1277 | AN AUDIT OF PATIENT AWARENESS OF THE ADV.. | Patrick Walsh .. | N/A.. | Education of pain care.. | - - |
P-1308 | POSTOPERATIVE PAIN MANAGEMENT: A BEST PR.. | Jacinta Manata .. | J. Manata 1, 2, A. Marques 2, .. | Organisation of clinical pain care.. | - - |
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.