Thunderstorm-related asthma is a dramatic example of the allergenic potential of pollen antigens. Pollen allergic patients who encounter the allergenic cloud of pollen during a thunderstorm are at higher risk of having an asthma attack. Relapse is also possible and we describe here the first case of relapse of near fatal thunderstorm-asthma occurred in a 36 years old, 20 weeks pregnant woman affected by seasonal asthma and sensitized to allergens released by Parietariapollen. Patients suffering from pollen allergy should be alerted of the danger of being outdoors during a thunderstorm in the pollen season and if they experienced an episode of severe thunderstorm-related asthma could be at risk of a relapse during a heavy precipitation event.
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Int J Environ Res Public Health
May 2022
Institute of Environmental Medicine, Karolinska Institutet, Nobels väg 13, 171 77 Solna, Sweden.
Background: Thunderstorm asthma is a term used to describe surges in acute respiratory illnesses following a thunderstorm and is often attributed to an intense exposure to aeroallergens. Several episodes of thunderstorm asthma have been observed worldwide; however, no such cases have been described in Sweden. In Sweden, the most prominent exposure to air-borne pollen occurs during the blooming of the birch.
View Article and Find Full Text PDFClin Exp Allergy
February 2021
Ambulatorio di Allergologia, Clinica San Carlo, Paderno Dugnano, Italy.
Background: The so-called "thunderstorm asthma" (TA) is an uncommon but dramatic outbreak of asthma attacks occurring during a thunderstorm in the pollen and moulds season. Mechanisms which make the pollen able to enter the deeper airways and provoke severe asthma symptoms are still unclear.
Objective: To test the hypothesis that sub-pollen particles (SPPs) originated from the rupture by an osmotic shock of pollen associated with TA contain allergens.
Thunderstorm asthma is induced by specific weather conditions causing breakdown and widespread distribution of allergens. Thunderstorm asthma had previously been considered unlikely to occur in New Zealand (NZ), given its local weather patterns. Storm events on 2 December 2017 led to increased asthma presentations at Waikato Hospital in Hamilton.
View Article and Find Full Text PDFJAMA Intern Med
September 2020
Harvard Medical School, Department of Health Care Policy, Boston, Massachusetts.
This cross-sectional study examines the association between thunderstorm-related atmospheric changes and emergency department visits for acute respiratory illnesses among Medicare beneficiaries.
View Article and Find Full Text PDFEnviron Monit Assess
July 2020
Faculty of Mathematics, Physics and Informatics, Department of Applied Mathematics and Statistics, Comenius University, Mlynská dolina, 842 48, Bratislava, Slovakia.
A thunderstorm is a risk factor for severe respiratory allergy or asthma attacks in patients suffering from pollen/spore allergy. This study aimed to investigate the changes in the spectrum and quantity of pollen and fungal spores in the air of Bratislava during summer storms as well as the impact of selected environmental parameters on these changes. Pollen/spore samples were collected using a Burkard volumetric aerospore trap during summer 2016.
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