19 - 22 Septiembre, Barcelona
E-287 | EXPERIENCIA CLÍNICA CON PACLITAXEL-CETUX.. | Sara Coca Membribes Membribes.. | .. | Cabeza y cuello.. | - - |
E-288 | Uso de inmunoterapia en pacientes con ca.. | Cristel Andrea Quiñones Palacios .. | Marta Monteis Pla.. | Cabeza y cuello.. | - - |
E-289 | Análisis de supervivencia y causas de mo.. | Sofía Wikström Fernández .. | .. | Cabeza y cuello.. | - - |
E-290 | Análisis de incidencia y localización de.. | Sofía Wikström Fernández Fernández.. | .. | Cabeza y cuello.. | - - |
E-291 | La ausencia de mutaciones en RET no se a.. | Javier Pozas Pérez .. | .. | Tiroides.. | - - |
E-292 | Identificación de factores pronósticos e.. | María San Román Gil .. | Javier Pozas Pérez, Carlos Gon.. | Tiroides.. | - - |
E-293 | Evidencia en vida real de una cohorte mu.. | Carlos Ayala de Miguel .. | .. | Tiroides.. | - - |
E-294 | TASA DE SEROCONVERSIÓN FRENTE SARS-COV2 .. | Deborah Martín Ruiz.. | Adriana Gómez Alderete, Laura .. | Cuidados continuos.. | - - |
E-295 | Puesta en marcha de un programa de ejerc.. | María Merino Salvador .. | .. | Cuidados continuos.. | - - |
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E-297 | Score pronóstico asociado a inmunoterapi.. | MARINA LÓPEZ MORENO marinalopezmoren.. | G Serrano Pradas, F. Ruiz Rami.. | Cuidados continuos.. | - - |
E-298 | Triaje telefónico como clave para la ate.. | Eva Coma Salvans .. | Y.Rodríguez ,I. de la Haba ,Ch.. | Cuidados continuos.. | - - |
E-299 | Uso de antibióticos en pacientes oncológ.. | Alberto Romero Monleón .. | Karla Andrea Osorio Macassi, M.. | Cuidados continuos.. | - - |
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E-302 | Detección de errores de medicación y nec.. | Lucía Castillo Portellano .. | Carolina Alarcón Payer, María .. | Cuidados continuos.. | - - |
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E-305 | ¿SE PUEDE INDIVIDUALIZAR LA COMUNICACIÓN.. | Irene Solana López .. | Irene Solana López, Manuel Mei.. | Cuidados continuos.. | - - |
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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.