hypersensitivity Flashcards

1
Q

type I hypersensitivity

A

immediate hypersensitivity

allergic reaction from reexposure

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2
Q

type I hypersensitivity def

A

exaggerated immune response that causes tissue damage and can kill

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3
Q

reqs for type i

A

contact with allergen
priming/sensitizing dose
ige production
reexposure

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4
Q

what are results of hypersensitivity I ?

A
epi damage
edema
SM spasms
leukocyte infiltration 
mucus secretion
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5
Q

what IG mediates type I?

A

igE

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6
Q

in type I what takes up the allergen

A

APC

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7
Q

Th2 release ___ which is required for what?

A

IL4 required for isotope switching to IgE

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8
Q

what are the preformed mediators in type I granules?

A

histamine
heparin (proteoglycan)
tryptase chemise and cathepsin
serotonin

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9
Q

histamine roles

A

constricts SM, intestine and brinchioles

vasodilation –> fluid to tissue –> mucosal swelling

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10
Q

what are the newly formed mediators of type I?

A

leukotrienes
Th2 cytokines
thromboxane
platelet activation factor

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11
Q

what does type I cause in the GIT?>

A

diarrhea
vomitting
cramping

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12
Q

what does type I cause in the skin?

A

urticaria
angioedema
itching

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13
Q

what does type I cause in the airway?

A

wheezing
sneezing
asthma
rhinitis

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14
Q

type I causes systemic vasodilation and SM muscle contraction resulting in what?

A

bronchiole constriction
edema
shock

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15
Q

type ii hypersenstiivity aka

A

cytotoxic antibody hypersensitivity

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16
Q

type ii involves which immunoglobulins ?

A

Igm and igg

17
Q

examples of type ii

A

transfusion of RBCs and hemolytic disease in newborns

18
Q

type iii aka ( 2)

A

immune complex formation and ag-ab immune complexes igg mediated

19
Q

what normally removes immune complex ?

A

mononuclear phagocytes system

20
Q

what is chemotactic for neutrophils and a mast cell activator?

A

C5a

21
Q

how long does it take for a type iii hypersensitivity to occur?

A

4-8 hours

22
Q

immune complex mediated disease

A

persistent infections
autoimmune disease
inhalation of antigenic material

23
Q

what persistent infections of immune complex mediated diseases?

A

malaria
viral hepatitis
subacute endocarditis
glomerulonephritis

24
Q

what autoimmune diseases of immune complex mediated diseases?

A

SLE
RA
Polymyositis

25
Q

what inhalation of antigenic materials of immune complex mediated diseases? ( I know q doesn’t make sense I don’t feel like coming up with something that does )

A

farmers lung

pigeon fanciers lung

26
Q

type iv hypersenstiivity aka

A

cell mediated / delayed

27
Q

when does type iv arise?

A

24-72 hours after exposure

28
Q

types of type iv

A

contact dermatitis
tuberculin rxn
granulomatous rxn

29
Q

type iv lesion characterized by?

A

induration and erythema

30
Q

what cell ivovled in type iv>

A

th1

31
Q

examples of type I aka anaphylactic

A

allergic asthma

hay fever

32
Q

examples of type ii aka cytotoxic

A

erythroblastosis
fetalis
goodpasture’s nephritis

33
Q

examples of type iii aka immune complex

A

see farmers lung disease

34
Q

examples of type iv aka delayed

A

tuberculin
poison ivy
granuloma