|-PP-T-187||Indication for use of VWF containing con..||Ana Boban ..||Catherine Lambert, Cedric Herm..||Von Willebrand disease..||- -|
|-PP-M-188||Beliefs about exercise in persons with s..||Stephanie Taylor ..||Stephanie Taylor..||Quality of Life..||- -|
|-PP-M-189||Pain, walking, and mobility play essenti..||Akiko Kakinuma ..||Akiko KakinumaToshiya KuchiiTo..||Quality of Life..||- -|
|-PP-W-189||Perception of Self-Esteem of Children wi..||Rubén Cuesta-Barriuso ..||Manuel..||Psychosocial Issues..||- -|
|-PP-W-190||Safe circumcision in haemophilia patient..||Anastasia Khasiani ..||Anastasia Khasiani, Kibet P. ..||Psychosocial Issues..||- -|
|-PP-M-190||FVII annual retreats help guide patients..||Janet Brewer ..||Barb Forss..||Quality of Life..||- -|
|-PO-T-190||Genotype Characteristics of von Willebra..||Chia-Yau Chang ..||..||Von Willebrand disease..||- -|
|-PO-T-191||Treatment with a Von Willebrand factor c..||Carlos Ramírez ..||Ospina A, Agudelo C. ..||Von Willebrand disease..||- -|
|-PP-M-191||Healthy living in India... even with hem..||Nataraj Selvaraj ..||Nataraj Selvaraj..||Quality of Life..||- -|
|-PO-M-192||Influence of aging on QOL of HIV-1-infec..||MIWA OGANE ..||TOSHIYA KUCHIIi, Shiomi Shibay..||Quality of Life..||- -|
|-PP-W-192||Social work caseloads in hemophilia trea..||Margaret Geary ..||Margaret Geary, Ellen Kachalsk..||Psychosocial Issues..||- -|
|-PP-W-193||The role of the Hemophilia Treatment Cen..||Ellen Kachalsky ..||Margaret Geary, Laurel Pennick..||Psychosocial Issues..||- -|
|-PO-M-193||CAPACITY BUILDING AND LEADERSHIP INITIAT..||Masood Fareed ..||Masood Fareed Malik..||Quality of Life..||- -|
|-PO-T-193||Reliability and validity of the Haemophi..||Karin van ..||K.P.M. van Galen, Timmer, P de..||Von Willebrand disease..||- -|
|-PO-T-194||Reliability and validity of the Haemophi..||Karin van ..||K.P.M. van Galen, M. Timmer, P..||Von Willebrand disease..||- -|
|-PO-W-194||Psychosocial factors play a role in the ..||Rubén Cuesta-Barriuso ..||Ana Torres-Ortuño, PhD..||Psychosocial Issues..||- -|
|-PO-M-194||Summer Camp with Teens..||maría sol ..||josefina santillán..||Quality of Life..||- -|
|-PO-M-195||Correlation between Hemophilia joint hea..||Cesar Haddad ..||Cesar Haaddad..||Quality of Life..||- -|
|-PO-W-195||NETWORK FOR LIFE..||David Andres ..||David Andres Cuartas Bolivar..||Psychosocial Issues..||- -|
|-PO-W-196||The impact of parental expectations with..||Silvia Grases ..||Silvia Grases, Ana Fernández F..||Psychosocial Issues..||- -|
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.