19 - 22 Septiembre, Barcelona
E-307 | Estrategias de afrontamiento como mediad.. | Berta Obispo .. | .. | Cuidados continuos.. | - - |
E-308 | Estudio MITRA: dilemas éticos en pacient.. | Paula Jimenez Fonseca Jimenez Fonsec.. | Alberto Carmona-Bayonas2, Fra.. | Cuidados continuos.. | - - |
E-309 | Factores predictores de sufrimiento psic.. | Veronica Velasco Durántez .. | .. | Cuidados continuos.. | - - |
E-310 | Factores psicológicos y preferencias en .. | AVINASH RAMCHANDANI VASWANI VASWANI.. | Autores y FiliaciónAvinash Ram.. | Cuidados continuos.. | - - |
E-311 | Parámetros nutricionales relacionados co.. | Jonatan Zacarías Benoit Perejón .. | Macarena Moreno Martínez; Inma.. | Cuidados continuos.. | - - |
E-312 | Registro ONCOPAL: Pacientes ingresados e.. | María Isabel Pamies Ramón Ramón.. | J. Bosque1, D. Anguita1, N. Sú.. | Cuidados continuos.. | - - |
E-313 | Resultados de la colaboración de un serv.. | Karla Andrea Osorio Macassi .. | .. | Cuidados continuos.. | - - |
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E-315 | Impacto en la esfera sexual del tratamie.. | Berta Obispo Portero.. | .. | Cuidados continuos.. | - - |
E-316 | IMPLEMENTACIÓN DE UN PROGRAMA DE EJERCIC.. | María Luisa Garrido Onecha .. | Blanca Távara Silva, Laura Lóp.. | Cuidados continuos.. | - - |
E-317 | Indicación de infliximab en reacciones i.. | Kevin Molina Mata .. | .. | Cuidados continuos.. | - - |
E-318 | Indicaciones y complicaciones asociadas .. | Asia Ferrández Arias Arias.. | Francisco José Pelegrín Mateo,.. | Cuidados continuos.. | - - |
E-319 | Infecciones del torrente sanguíneo en el.. | Carlos López Jiménez .. | Rocío Martín Lozano, Roberto J.. | Cuidados continuos.. | - - |
E-320 | La atención multidisciplinar de los cuid.. | Judit Sanz Beltran .. | O. Mirallas, F. Bosma Ainaud, .. | Cuidados continuos.. | - - |
E-321 | Una visión de la pandemia de SARS-CoV2 d.. | Carlos De Zea Luque .. | .. | Cuidados continuos.. | - - |
E-322 | Cuidados paliativos en pacientes oncológ.. | Regina Gironés Sarrió .. | .. | Cuidados continuos.. | - - |
E-323 | Concordancia entre observadores en la va.. | Noel Blaya Boluda .. | .. | Cuidados continuos.. | - - |
E-324 | El cisplatino ocasiona hipotensión sinto.. | Aurora Soldado Serrano Serrano.. | .. | Cuidados continuos.. | - - |
E-325 | Características psicosociales y clínicas.. | MARÍA CORNIDE SANTOS .. | ; Vargas Aragón , Martín2; Et.. | Cuidados continuos.. | - - |
E-326 | Estudio de las necesidades de ocio de pa.. | Pablo Gómez Mugarza .. | Maria Cristina Lasala Villa, P.. | Cuidados continuos.. | - - |
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.