EUROPEAN SOCIETY FOR RADIOTHERAPY AND ONCOLOG..

ESTRO 2020

 

28 November - 01 December 2020 Virtual
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EUROPEAN SOCIETY FOR RADIOTHERAPY AND ONCOLOGY

ESTRO 2020

 

28 November - 01 December 2020 Virtual
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PO-986 Concurrent Chemoradiation for Inoperable.. Bárbara Castro .. .. Clinical track: Breast.. - -
PO-988 Is there a learning curve for SABR that .. Clive Peedell .. Clive Peedell, Alex Wood, Guar.. Clinical track: Lung.. - -
PO-989 Radiation therapy for thoracic malignanc.. Sonja Adebahr .. .. Clinical track: Lung.. - -
PO-990 Prevention of oncologic pulmonary death .. Takaya Yamamoto .. .. Clinical track: Lung.. - -
PO-991 Impact of residual setup errors after im.. Corinne Johnson-Hart .. Gareth Price, Alan McWilliam, .. Clinical track: Lung.. - -
PO-992 Pericardial effusion after radiotherapy .. Charlotte Linthorst .. .. Clinical track: Lung.. - -
PO-993 Multicenter study of stereotactic body r.. Seung-Gyu Park .. .. Clinical track: Lung.. - -
PO-994 Prognostic factors in elderly patients w.. Jon Cacicedo .. .. Clinical track: Lung.. - -
PO-996 Early mortality in stage III NSCLC after.. Merle Ronden-Kianoush .. .. Clinical track: Lung.. - -
PO-997 Evaluation of outcome and toxicity of Du.. Lukas Ksmann .. .. Clinical track: Lung.. - -
PO-998 Durvalumab treatment after CRT in inoper.. Lukas Ksmann .. .. Clinical track: Lung.. - -
PO-999 Deciphering the tumor microenviroment ba.. Lukas Ksmann .. .. Clinical track: Lung.. - -
PO-1000 Multicentric restrospective analysis of .. Luca Frassinelli .. .. Clinical track: Lung.. - -
PO-1002 Early outcomes of stereotactic MR-guided.. Tobias Finazzi .. Cornelis J.A. Haasbeek, Femke .. Clinical track: Lung.. - -
PO-1003 Preliminary results of SRS for a lung tu.. Takaya Yamamoto .. .. Clinical track: Lung.. - -
PO-1004 Continuous Positive Airway Pressure (CPA.. Sarit Appel .. Z.Symon1, Y.R . Lawrence1, J... Clinical track: Lung.. - -
PO-1005 Influence of PTV underdosage on local co.. Marloes Duijm .. .. Clinical track: Lung.. - -
PO-1006 Immunotherapy related pneumonitis correl.. Ivaylo Mihaylov .. .. Clinical track: Lung.. - -
PO-1007 Predictors of radiation pneumonitis in e.. Animesh Saha .. Nathaniel Hatton, Matthew Beas.. Clinical track: Lung.. - -
PO-1008 Predictive dosimetric parameters of lymp.. Ick Joon Cho .. Yong-Hyub Kim, Jae-Uk Jeong, W.. Clinical track: Lung.. - -
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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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