13-15 November, Glasgow
P-220 | Hepatic dysmetabolism in polycystic ovar.. | Stephanie Areloegbe .. | Kehinde S. Olaniyi, Ph.D... | Metabolism, Obesity and Diabetes.. | - - |
P-221 | Crosstalk between preadipocytes and macr.. | Emily Cresswell .. | .. | Metabolism, Obesity and Diabetes.. | - - |
P-224 | Metabolic profiles of children of mother.. | Simran Thakkar .. | UK Mohammed, SM Asim, SK Wangn.. | Metabolism, Obesity and Diabetes.. | - - |
P-225 | Retrospective case review of patients tr.. | Michael Batavanis .. | Dr Ploutarchos Tzoulis.. | Metabolism, Obesity and Diabetes.. | - - |
P-226 | Diabetes Management in Dialysis patients.. | Saad Butt .. | A.ALI, O.ABDALRAZAG, S.CHINNAP.. | Metabolism, Obesity and Diabetes.. | - - |
P-227 | Altered glucose homeostasis and the acut.. | Ananthi Anandhakrishnan .. | Ali AlamRamanan Ramalingam.. | Metabolism, Obesity and Diabetes.. | - - |
P-231 | Analyses of the effects of adrenomedulli.. | Yukina Oshimo .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-232 | The relationship between serum oxytocin .. | Gabriela Mihai .. | T. O SHEA, N. ZARIF , N. GLYNN.. | Neuroendocrinology and Pituitary.. | - - |
P-233 | Characterisation of the Impact of Joint .. | Sophie Hebden .. | N. Safdar, M. Heague, J. Lynch.. | Neuroendocrinology and Pituitary.. | - - |
P-234 | The utility of routine fasting gut hormo.. | Muhammad Tahir Chohan .. | Dr Chris BootsDr Anna Mitchell.. | Neuroendocrinology and Pituitary.. | - - |
P-237 | A post-operative fluid restriction proto.. | Hesarghatta Shyamasunder Asha .. | Aneez Joseph,Nitin Kapoor,Niha.. | Neuroendocrinology and Pituitary.. | - - |
P-238 | Is the cannulated prolactin an useful te.. | Veronica Chirila-Berbentea .. | Leigh Caroll-Moriarty Beas Bha.. | Neuroendocrinology and Pituitary.. | - - |
P-239 | An aggressive prolactinoma with orbital .. | Christine Gonzales .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-240 | Psychiatric side effects of cabergoline .. | Louisa Child .. | Dr Niamh Martin.. | Neuroendocrinology and Pituitary.. | - - |
P-241 | Assessing healthcare professionals knowl.. | KYAW NAING HTOON .. | Mohanad Turki, Dr Alia Munir.. | Neuroendocrinology and Pituitary.. | - - |
P-243 | A rare case of phaeochromocytoma seconda.. | Kavita Narula .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-244 | Co-occurrence of Neurofibromatosis Type .. | Maria Tabasum .. | Nabeel Ahmed, Laura Harris, Ro.. | Neuroendocrinology and Pituitary.. | - - |
P-245 | A CHALLENGING CASE OF RECURRENT CUSHINGS.. | Raisa Minhas .. | .. | Neuroendocrinology and Pituitary.. | - - |
P-246 | Assessing Growth Hormone replacement pra.. | Pavithra Sakthivel .. | Anson Wong, Sherwin Criseno, A.. | Neuroendocrinology and Pituitary.. | - - |
P-247 | Primary ileal carcinoid presenting with .. | Aarthi S Jayraj .. | .. | Neuroendocrinology and Pituitary.. | - - |
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.