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?

21
Q

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

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
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 )
farmers lung | pigeon fanciers lung
26
type iv hypersenstiivity aka
cell mediated / delayed
27
when does type iv arise?
24-72 hours after exposure
28
types of type iv
contact dermatitis tuberculin rxn granulomatous rxn
29
type iv lesion characterized by?
induration and erythema
30
what cell ivovled in type iv>
th1
31
examples of type I aka anaphylactic
allergic asthma | hay fever
32
examples of type ii aka cytotoxic
erythroblastosis fetalis goodpasture's nephritis
33
examples of type iii aka immune complex
see farmers lung disease
34
examples of type iv aka delayed
tuberculin poison ivy granuloma