Hypersensitivity Flashcards

(40 cards)

1
Q

what is hypersensitivity

A

exaggerated innaprotpriate adaptive immune response

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2
Q

what can be a result of hypersensitivity

A

inflammation and tissue damage

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3
Q

what can hylprsenstiiy be provoked by

A

many antigens

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4
Q

who will a hyper reaction occur

A

no manifest on 1st contact with Ag usually appears on the rcontact

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5
Q

what are the classes of hyper

A

1, 2, 3, 4

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6
Q

how are types 1 2 3 mediated

A

antibody

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7
Q

how is type 4 mediated

A

by T cells and macrophages

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8
Q

what is type 1 hyper

A

IgE response to innocuous enviro antigens

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9
Q

what are some examples of innocuous enviro antigens

A

pollen
dust mites
animal hair
latex

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10
Q

what doe IgE bind to

A

F(epsilon)RI on mast cells bind very tight as high affinity

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11
Q

what does the second encounter with allergen do

A

triggers release inflam mediators

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12
Q

what does type 1 produce

A

acute inflam reactions within minutes with symptoms such as asthma

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13
Q

what are some major allergens for type 1 hyper

A

house mites a

pollen - ragweed

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14
Q

what happens when allergic response release of

A

histamine
prostangladins
other mediators
leukotrienes

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15
Q

what are som treatments for type 1 hyper

A

avoidance
sodium chromoglycate
anti histamines
desnsitiitaiton

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16
Q

what is anaphltactic shock

A

severe type 1 reactions with systemic symptoms life threat

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17
Q

what are some symptoms of anaphylactic shock

A
wheeze 
swelling of face 
laryngopharynx 
nausea 
dizziness
18
Q

how is anaphylactic shock treated

A

adrenaline immediately

19
Q

what is imp for dentist to know anaphylactic shock

A

type 1 reactions to anaesthetics can occur can create generalised anaphylaxis so always have adrenaline near

20
Q

what is type 3 hyper

A

antibody dept cytotoxic hyper

21
Q

when does type 3 occur

A

12-18 hours after Ab expo

22
Q

what causes type 3

A

IgM or IgM binds to either self antigen or foriegn causing phagocytosis kileer cell active

23
Q

what is a primary example of type 3

A

blood transfusion reaction when ABO incompatible blood is transferred

24
Q

what are some symptoms of blood tran incompatible

A
fever 
hypotension 
nausea 
vomiting 
pain in back or chest
25
what is another example of type 3
haemolytic disease of newborn
26
what is haemolytic disease in newborn
when rhesus d in mother and child don't match causing attack in future children
27
what is seen with a baby who has haemolytic disease
swollen abdomen due to enlarged liver and spleen du to RBC destruction elevated bilirubin facial petechia
28
when does type 3 extrinsic allergic alveoli's occur
18-24 hours
29
what is extrinsic allergic alveoli's mediated by
persistence and depo of antibody antigen immune complexes
30
what is IC clearance influenced by
route of Ag expo dose Ag size IC binding of Ag direct to tissues
31
type 4 hyper said to be
delayed occurs in 48-72 hour
32
what are the three types of type 4
contact 48-72 hours tuberculin 48-72 granulomatous 21-28 days
33
what is type 4 mediated by
T cells and macrophages
34
what are the two phases of type 4
sensitisation | elicitation
35
what is sensitisation
Ag encoures dendritic cell in skin migrates to lymph node presents Ag to CD4+T cell
36
what is elicitation
Ag enouctered memory T cell triggered inflamation
37
what are some dental materials that can elect a type 4 response
amalgam gold mercury resin based
38
what si contact type 4
eczetamus recation POC - nickel or poison ivy
39
what is tuberculin type 4
skin swelling develops after intradermal expo
40
what is granulotamotu type 4
granuloma for - aggregation and prolif macrophages press for weeks