ASOCIACIÓN ESPAÑOLA DE ESTUDIO DEL HÍGADO

44 Congreso de la AEEH

 

20 al 22 de Febrero de 2019 Madrid
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ASOCIACIÓN ESPAÑOLA DE ESTUDIO DEL HÍGADO

44 Congreso de la AEEH

 

20 al 22 de Febrero de 2019 Madrid
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P-50 PRONÓSTICO Y DINÁMICA DE AKI EN PACIENTE.. Alberto Monescillo Francia .. Alberto Monescillo, Lanny Tole.. Complicaciones de la cirrosis.. - -
P-51 PREVALENCIA, FACTORES DE RIESGO E IMPACT.. Sara Lorente Pérez .. .. Complicaciones de la cirrosis.. - -
P-52 FACTORES PREDICTORES DE MORTALIDAD DE PA.. Alberto Amador Navarrete .. Gerard Surís; Alba Cachero; Si.. Complicaciones de la cirrosis.. - -
P-53 Déficit de micronutrientes en pacientes .. Gemma Llibre Nieto .. A. Lira, M. Vergara, M. Miquel.. Complicaciones de la cirrosis.. - -
P-54 La albúmina modula la señalización vía T.. Mireia Casulleras Oliver .. .. Complicaciones de la cirrosis.. - -
P-55 ANÁLISIS DE LA VARIABILIDAD EN EL USO DE.. Matias Estevez Escobar .. .. Complicaciones de la cirrosis.. - -
P-56 Características de los pacientes con Dia.. Carmen Alvarez Navascues .. Víctor Jiménez Beltrán, Pablo .. Complicaciones de la cirrosis.. - -
P-57 INCIDENCIA Y REPERCUSIÓN CLÍNICA DE LA D.. Miguel Ángel Rodríguez Gandía Gandía.. .. Complicaciones de la cirrosis.. - -
P-58 Caracterización de la respuesta inmune e.. Elsa Solà Vergés .. .. Complicaciones de la cirrosis.. - -
P-59 ENSAYO CLÍNICO DE SEGURIDAD DE DOS DOSIS.. Elisa Pose Méndez .. L Napoleone, A Amin, D Campion.. Complicaciones de la cirrosis.. - -
P-61 En la cirrosis hepática, los niveles sis.. Oriol Juanola Juárez .. .. Complicaciones de la cirrosis.. - -
P-62 Efectos protectores de la albúmina frent.. Marta Duran Güell .. .. Complicaciones de la cirrosis.. - -
P-63 La elastografía de transición esplénica .. Elba Llop Herrera Herrera.. .. Complicaciones de la cirrosis.. - -
P-64 En pacientes con cirrosis hepática VHC t.. Juan Carlos García Pagán .. .. Complicaciones de la cirrosis.. - -
P-65 CIRROSIS SECUNDARIA A HEPATITIS AUTOINMU.. Laura Patricia Llovet Soto .. Oswaldo Ortiz, Montserrat Garc.. Complicaciones de la cirrosis.. - -
P-66 Modificaciones en las características de.. Carmen Alvarez Navascues .. .. Complicaciones de la cirrosis.. - -
P-67 Evaluación de la indicación, resultados .. Esteban Andrés Fuentes Valenzuela Va.. Javier Tejedor Tejada, Rodrigo.. Complicaciones de la cirrosis.. - -
P-68 Comparación entre una pauta descendente .. Berta Cuyàs Espí .. Elida Oblitas, Marc Batlle, Ge.. Complicaciones de la cirrosis.. - -
P-69 El volumen hepático estimado por TC se a.. Mario Romero Cristóbal .. Dra. Clemente, Dr. Ramón, Dra... Complicaciones de la cirrosis.. - -
P-70 PUEDEN LAS TÉCNICAS NO INVASIVAS MODIFIC.. Consuelo Froilán Torres .. .. Complicaciones de la cirrosis.. - -
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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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