EASL Congress 2023


21-24 June Vienna
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EASL Congress 2023


21-24 June Vienna
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SAT-155 Comparable risk of cardiovascular events.. Hyeyeon Hong .. .. Viral Hepatitis.. - -
FRI-155-YI Implementation of anti-HDV reflex testin.. Valentina Cossiga .. .. Public Health.. - -
THU-155 Clinical impact of relative dose intensi.. Kaoru Tsuchiya .. .. Liver tumours.. - -
WED-156 Hepatitis D screening in HBsAg positive .. Toni Herta .. .. Viral Hepatitis.. - -
FRI-156 Effectiveness of a direct care action st.. Inés Sáenz De Miera .. A. Rodríguez; MA. Sendra; P. M.. Public Health.. - -
SAT-156 Improvements in ALT levels during Bulevi.. Katja Deterding .. .. Viral Hepatitis.. - -
THU-156 Tolerability of first line systemic ther.. Davide Di Benedetto .. .. Liver tumours.. - -
SAT-157 Comparison of body weight and lipid prof.. Pin-Nan Cheng .. .. Viral Hepatitis.. - -
FRI-157 Comparison of HCVRNA results using plasm.. Huma Qureshi .. .. Public Health.. - -
THU-157 Incidence and risk factors of post-trans.. Melissa April Pajinag .. Stephanie C. Ventura, MD, Jose.. Liver tumours.. - -
WED-158 Relationship of hepatitis D viral load, .. Soo Aleman .. .. Viral Hepatitis.. - -
FRI-158 Patients with hepatitis B and D are more.. Elena Vargas Accarino .. .. Public Health.. - -
SAT-158 Model-based meta-analysis of pegylated I.. Vera Gielen .. Nathan Hanan, Matthew L. Zierh.. Viral Hepatitis.. - -
WED-159 B cell phenotype, Toll-Like receptor 9 e.. Nour Nasser .. .. Viral Hepatitis.. - -
SAT-159 Kinetics of HBsAg forms in chronic hepat.. Stefano DAnna .. .. Viral Hepatitis.. - -
FRI-159 The impact of hepatitis B and C serologi.. Maria Stepanova .. .. Public Health.. - -
WED-160 Healthcare resource use and costs associ.. Chong Kim .. Robert J Wong, Robert G Gish, .. Viral Hepatitis.. - -
FRI-160 Development of a rapid workflow for dete.. Matthew Pauly .. Saleem Kamili.. Public Health.. - -
SAT-160 Comparison of kidney function decline be.. Jae Seung Lee .. ChanYoung Jung, Jung Il Lee, S.. Viral Hepatitis.. - -
SAT-161 Effect of first-line nucleot(s)ide analo.. Kexin Tong .. Mingjing Chen, Danni Wang, Ji.. Viral Hepatitis.. - -

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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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