EUROPEAN ASSOCIATION FOR THE STUDY OF THE LIVER

EASL Congress 2023

 

21-24 June Vienna
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EASL Congress 2023

 

21-24 June Vienna
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SAT-122 Socio-economic disparities drive the pre.. Zobair Younossi .. .. Public Health.. - -
FRI-122 One step closer to the goal: mobile Info.. Tatjana Reic .. Magda Pletikosa Pavic, Diana N.. Public Health.. - -
THU-122 Efficacy and safety of atezolizumab plus.. Leonardo Stella .. L. STELLA, C. HOLLANDE , S. SI.. Liver tumours.. - -
FRI-123 Late presentation of chronic hepatitis C.. Tengiz Tsertsvadze .. .. Public Health.. - -
SAT-123 Non-alcoholic fatty liver disease preval.. Karl Vaz .. William Kemp, Ammar Majeed, Jo.. Public Health.. - -
THU-123-YI Transarterial chemoembolization and syst.. Louisa Stern .. .. Liver tumours.. - -
WED-123-YI HBsAg seroclearance decreases risk of he.. Terry Cheuk-Fung Yip .. .. Viral Hepatitis.. - -
WED-124 Influence of viral load and fibrotic bur.. Ho Soo Chun .. .. Viral Hepatitis.. - -
SAT-124 Multiple vitamin co-exposure and mortali.. Wang Zilong .. .. Public Health.. - -
FRI-124 The impact of hepatitis D virus infectio.. Pietro Lampertico .. Robert Gish, Nancy Reau, Heine.. Public Health.. - -
THU-124-YI Interim analysis of the ACTION trial: Ca.. Marco Sanduzzi Zamparelli .. .. Liver tumours.. - -
WED-125 IP10 and anti-HBc can predict virologica.. Yandi Xie .. .. Viral Hepatitis.. - -
FRI-125-YI The impact of Covid-19 on hepatocellular.. Makuza Jean Damascene .. Stanley Wong, Mawuena Binka, M.. Public Health.. - -
SAT-125 Prevalence and predictors of clinically .. Zobair Younossi .. .. Public Health.. - -
THU-125 Association of tumor response with survi.. Tim Meyer .. .. Liver tumours.. - -
THU-126 Effectiveness and safety of conversion s.. Xingzhi Li .. .. Liver tumours.. - -
WED-126 Off-therapy events in hepatitis B e anti.. Yen-Chun Liu .. Wen-Juei Jeng, Rong-Nan Chien,.. Viral Hepatitis.. - -
SAT-126-YI Relationships between education and non-.. Florian Koutny .. Aigner Elmar, Datz Christian, .. Public Health.. - -
FRI-126 HCV screening automation at hospitals le.. Marinela Mendez .. .. Public Health.. - -
FRI-127 Policy and implementation needs for hepa.. Lindsey Hiebert .. Henry Njuguna, Neil Gupta, Joh.. Public Health.. - -
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Abstract

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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