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 FRI-55 |
Clinicians perspectives on barriers and .. | Yasaman Vali .. | .. | Metabolism, alcohol and toxicity.. | - - |
| THU-55 |
Association of non-alcoholic fatty liver.. | Laurens van Kleef .. | .. | Metabolism, alcohol and toxicity.. | - - |
| FRI-56 |
Ectopic fat deposition in the liver and .. | Tom Waddell .. | .. | Metabolism, alcohol and toxicity.. | - - |
| THU-56 |
High meat consumption is prospectively a.. | Dana Ivancovsky Wajcman .. | .. | Metabolism, alcohol and toxicity.. | - - |
| SAT-56 |
TNF-alpha knockout mice are protected fr.. | Katharina Burger .. | .. | Metabolism, alcohol and toxicity.. | - - |
| SAT-57 |
Low dose thyroid hormone improves hepati.. | Raghu Ramanathan .. | Sarah A Johnson and Jamal A Ib.. | Metabolism, alcohol and toxicity.. | - - |
| FRI-57 |
Genomic and metabolomic profiles and the.. | Mario Masarone .. | .. | Metabolism, alcohol and toxicity.. | - - |
| THU-57 |
Relevance of diabetes medication on recr.. | Michael Holzhey .. | .. | Metabolism, alcohol and toxicity.. | - - |
| SAT-58 |
Three-dimensional imaging of cleared hum.. | Buket Yigit .. | .. | Metabolism, alcohol and toxicity.. | - - |
| THU-58 |
Comorbidity severity scores and cardiova.. | Jeffrey Lazarus .. | .. | Metabolism, alcohol and toxicity.. | - - |
| FRI-58 |
Determinants of liver stiffness measurem.. | Ferenc Mozes .. | E. A. Selvaraj, A. N. A. Jayas.. | Metabolism, alcohol and toxicity.. | - - |
| THU-59 |
NAFLD association with renal impairment .. | Jesús Rivera .. | .. | Metabolism, alcohol and toxicity.. | - - |
| FRI-59 |
Knowledge of liver fibrosis stage among.. | Jeffrey Lazarus .. | Patrizia Carrieri, Abbas Moura.. | Metabolism, alcohol and toxicity.. | - - |
| THU-60 |
The impact of liver fibrosis on the immu.. | Marta Freitas .. | .. | Metabolism, alcohol and toxicity.. | - - |
| SAT-60 |
Hepatic insulin resistance is the basis .. | Sami Qadri .. | .. | Metabolism, alcohol and toxicity.. | - - |
| FRI-60 |
The MRI and AST (MAST) score is correlat.. | Mazen Noureddin .. | .. | Metabolism, alcohol and toxicity.. | - - |
| THU-61 |
Non-alcoholic steatohepatitis is also be.. | Laura Martínez-Arenas .. | .. | Metabolism, alcohol and toxicity.. | - - |
| SAT-61 |
Non-alcoholic fatty liver disease featur.. | Gabriele Mocciaro .. | .. | Metabolism, alcohol and toxicity.. | - - |
| FRI-61 |
Independent determinants of CAP values i.. | Cristiana Bianco .. | .. | Metabolism, alcohol and toxicity.. | - - |
| THU-62 |
Total healthcare cost and characteristic.. | Zobair Younossi .. | .. | Metabolism, alcohol and toxicity.. | - - |
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.
