20-22 September Budapest
P-1312 | CULTURAL ADAPTATION AND PSYCHOMETRIC PRO.. | Alexandros Sideris .. | .. | Measurement of physical aspects of pain.. | - - |
P-1330 | THIRTY PERCENT OF PEOPLE WITH PERSISTENT.. | Nathan Johns .. | .. | Long-term post-surgical pain.. | - - |
P-1344 | ONLINE MEDITATION FOR BACK PAIN.. | Jorge Jiménez .. | Marisol Muñoz de Cote.. | Digitization in pain management.. | - - |
P-1361 | DO WE PERCEIVE PAIN INSIDE AND OUTSIDE O.. | Livia Guadagnoli .. | Sofie Den Hond, Jonas Zaman, J.. | Human experimental.. | - - |
P-1363 | PRELIMINARY EFFECTIVENESS AND PHYSIOLOGI.. | Albert Feliu-Soler .. | .. | Interdisciplinary pain programmes.. | - - |
P-1375 | FIBROMYALGIA AND REFRACTORY PAIN IN RHEU.. | Katy Plant .. | .. | Study design and statistics in pain rese.. | - - |
P-1379 | EAR ACUPUNCTURE AND MEDICAL ACUPUNCTURE .. | Monika Rybicka .. | A. PRZEKLASA-MUSZY&323;SKA, J... | Non-pharmacological interventions or the.. | - - |
P-1389 | IMPLEMENTATION OF A TRANSDIAGNOSTIC EMOT.. | Hedvig Zetterberg .. | .. | Psychological therapies.. | - - |
P-1390 | QUALITY IMPROVEMENT PROGRAMME (QIP) ON S.. | Muhammad Farhan Rasheed .. | Ahmed AbdelhakimTheanalli Kasi.. | Pharmacological therapies.. | - - |
P-1408 | ASSOCIATION OF PAIN AND POSTURE - STATE .. | Lothar Seefried .. | .. | Transition to chronic pain.. | - - |
P-1416 | THE ROLE OF THE CANNABINOID SYSTEM IN AN.. | Fatemeh Rahimi Shourmasti .. | H. Ghazvini , R. Rafaiee , S.M.. | Animal models.. | - - |
P-1425 | MEDICAL AID IN DYING IN CANADA AND THE C.. | Mohamed Megahed Gheis .. | Abeer AbedAdam Gheis.. | Instruments for the assessment of pain.. | - - |
P-1437 | EFFECT OF AN INTERDISCIPLINARY APPROACH .. | Andrea Battaglino .. | Jorge Hugo Villafañe.. | Interdisciplinary pain programmes.. | - - |
P-1450 | USE OF PRESCRIPTION ANALGESICS AMONG DAN.. | Nanna Herning Svensson .. | .. | Non-pharmacological interventions or the.. | - - |
P-1453 | AN INTELLIGENT AND PATIENT-SPECIFIC CLIN.. | Tony Bohman .. | Linda Vixner, Roger Nyberg, Ri.. | Artificial intelligence in pain.. | - - |
P-1468 | STABILITY OF PREVALENCE AND PATTERNS OF .. | Cecilie K. vers .. | Tom I. L. Nilsen, Karen Sgaard.. | Low back pain and lumboradicular pain.. | - - |
P-1474 | EARLY TREATMENT OF INTER-COSTO-BRACHIAL .. | Denis Dupoiron .. | F. Bienfait, V. Seegers, A. J.. | Pharmacological therapies.. | - - |
P-1481 | EXPLORING VARIANCE OF BACK PAIN BELIEFS .. | Rebecca Nekstad .. | Elliot Brown , rjan N. Vigdal .. | Pain in the elderly.. | - - |
P-1492 | ASSESSMENT OF EFFICACY AND SAFETY OF FIR.. | Gisele Pickering .. | Ali Mobasheri, Michael Richard.. | Non-pharmacological interventions or the.. | - - |
P-1493 | MODALITY-SPECIFIC DIFFERENCES IN PAIN PE.. | Jana Luisa Aulenkamp .. | .. | Placebo.. | - - |
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.