Congenital and Acquired Immunodeficiencies Flashcards

(37 cards)

1
Q

what is another name for Wiskott Aldrich Syndrome?

A

eczema-thrombocytopenia immunodeficiency

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2
Q

what antibodies are high in WAS?

A

IgA/IgE

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3
Q

what cells are abnormal in WAS?

A

B cells

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4
Q

What is the Treatment for WAS?

A

bone marrow transplant

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5
Q

What is deficient in X-linked SCID?

A

y (gamma) chain in the cytokines: IL-2/4/7/9/15

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6
Q

what is affected in the other 2 autosomal SCID’s?

A

1) ADA
2) PNP

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7
Q

what cell lineage is mostly affected in SCID?

A

T cells don’t mature

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8
Q

what 2 symptoms are found in SCID?

A

no T helper cells

chronic baby diarrhea

no thymus develops

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9
Q

In autosomal SCID-ADA what lymphocytes are deficient?

A

T cells

B cells

NK cells

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10
Q

In autosomal SCID-PNP, what lymphocytes are absent?

A

no T cells

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11
Q

in X-Linked SCID, what lymphocytes are absent?

A

T cells and therefore no B cells

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12
Q

what is absent in DiGeorge?

A

The thymus

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13
Q

what 3 signs are seen in DiGeorge?

A

1) abnormal jaw
2) abnormal aorta
3) abnormal parathyroid glands

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14
Q

If there is a defect in the transport of MHC 1 molecules to the surface of the cells, I have this disease…

A

TAP deficiency

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15
Q

what cells can’t load MHC 1 into their surface in TAP deficiency?

A

all nucleated cells

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16
Q

what 2 things are mainly seen in TAP deficiency?

A

1) necrotizing granulomas
2) nose and face have skin lesions

17
Q

What lymphocyte is absent in XLA (brutton’s)

18
Q

what is the treatment for XLA?

A

and IV of Immunoglobulin’s IgA/IgE/IgM

19
Q

what happens if a polio vaccine is given to a kid with XLA?

A

he might suffer paralysis

20
Q

What physical thing is absent in XLA (brutton’s)?

21
Q

what auto-antibodies are seen in IgA deficiency?

A

there may be autoantibodies against IgA

22
Q

how are IgA deficiency patients treated?

A

you treat specific infections

23
Q

what is deficient in X-linked Hyper IgM?

24
Q

In X-linked hyper IgM, what cells can’t communicate? what happens do to this lack of communication?

A

t helper cell with B cell; t cell cant tell b cell to class switch

25
What is the defect in Autosomal Hyper IgM? what is the result?
AID is not working causing B cell to not class switch, this means IgM is the only antibody present
26
what is not being made in Chronic Granulomatous Disease?
Reactive oxygen species (ROS)
27
what 2 things are seen in CGD patients?
1) Impetigo 2) granulomas in organs
28
What is the defect in Leukocyte Adhesion deficiency? (LAD)
LFA-1 is absent
29
What happens with phagocytes in LAD?
they can't go to site of infection
30
what infections are seen in LAD deficiency?
tissue-eroding infections in skin and gums
31
what is the defect in Hereditary Angioedema?
you have low C1 inhibitor
32
what is the characteristic symptom in Hereditary Angioedema?
swelling of trachea and bronchus
33
what complement pathway cannot be controlled in Herediatry Angioedema?
Classical pathway
34
what is mutated in Chediak-Higashi syndrome?
LYST
35
what cannot be formed in Chediak-Higashi?
the phagolysosoma
36
What cell is affected and why in Chediak-Higashi?
Cytotoxic T cells because they can't secrete their granules
37
what 3 symptoms are seen in Chediak-Higashi?
1) Albinism 2) peripheral neuropathy 3) pyogenic infections