10-14 April 2019 Vienna
|SAT-415||High levels of basement membrane remodel..||Natasja Gudmann ..||Natasja Gudmann, Maja Thiele, ..||General hepatology..||- -|
|FRI-415||People are scared: what they dont know d..||Kathryn Jack ..||Kathryn Jack, Paul Linsley, B..||General hepatology..||- -|
|THU-415||Changing patterns of liver disease in Wa..||Andrew Yeoman ..||Tom Pembroke, Gareth John, Ber..||General hepatology..||- -|
|FRI-416||Assessment of written patient informatio..||Lea Ladegaard Grnkjr ..||Lea Ladegaard Grnkjr, Kirsten ..||General hepatology..||- -|
|SAT-416||Transient elastography in normal pregnan..||Hannes Hagstrm ..||Marcus Stenberg Ribeiro, Per S..||General hepatology..||- -|
|THU-416||Use of telemedicine as a cost-effective ..||Jose Luis Perez Hernandez ..||JOSE LUIS PEREZ HERNANDEZ, Mar..||General hepatology..||- -|
|SAT-417||Serum levels of keratin 19 fragments (CY..||Karim Hamesch ..||Karim Hamesch , Nurdan Gueldik..||General hepatology..||- -|
|FRI-417||Impact of a nurse educational program an..||Neus Llarch ..||Neus Llarch, Gemma Iserte, Ví..||General hepatology..||- -|
|FRI-418||Evaluating patients experience in liver ..||Eva Lopez-Benages ..||Eva Lopez-Benages, Raquel Garc..||General hepatology..||- -|
|THU-418||Community-based screening for significan..||Archana Ramalingam ..||Archana Ramalingam, Bharathnag..||General hepatology..||- -|
|SAT-418||Splenic stiffness measurement using the ..||Masashi Hirooka ..||Masashi Hirooka, Yohei Koizumi..||General hepatology..||- -|
|FRI-419||Is a lack of patient awareness holding b..||Bronwen Williams ..||Bronwen Williams, Nurun Tania,..||General hepatology..||- -|
|SAT-419||Endotrophin, a fragment of collagen type..||Signe Holm Nielsen ..||Signe Holm Nielsen, Raj Uchila..||General hepatology..||- -|
|THU-419||Prevalence of hepatitis B and C virus in..||Khishigtogtokh Sereenendorj ..||Khishigtogtokh Sereenendorj, M..||General hepatology..||- -|
|FRI-420||A nurse-led advice and lifestyle interve..||Bronwen Williams ..||Bronwen Williams, Lynsey Corle..||General hepatology..||- -|
|SAT-420||The value of liver stiffness to platelet..||Soung Won Jeong ..||Se Ri Ryu, Seong Hee Kang, J..||General hepatology..||- -|
|THU-420||Examination of patient and provider perc..||Janvier Serumondo ..||Janvier serumondo, Alida Ngwij..||General hepatology..||- -|
|SAT-421||A novel score to patients for treatment..||Asgeir Johannessen ..||Asgeir Johannessen, Hanna Aber..||General hepatology..||- -|
|THU-421||Lower alcohol taxes are associated with ..||Nicole Shen ..||Nicole T Shen, Jeremy Bray, Mi..||General hepatology..||- -|
|FRI-422||Genetic and pathophysiological factors l..||Marta Alonso-Peña ..||Marta Alonso-Peña, Heike Herma..||General hepatology..||- -|
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.