Hypersensitivity reaction Flashcards

(101 cards)

1
Q

anaphylactic and atopic (type I) hypersensitivity reaction - delayed respond - cells ?

A

neutrophils and eosinophils

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2
Q

Pernicious anemia antibodies

A

antiparietal antibodies

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3
Q

Lupus antibodies

A
  1. Anticardiolipine (SLE, antiphospholipid syndrome)
  2. lupus anticoagulant (SLE, antiphospholipid syndrome)
  3. Anti-dsDNA (SLE, specific, poor prognosis - renal)
  4. Anti-Smith (SLE, specific, no prognostic)
  5. anti-histone (drug induced lupus)
  6. anti-β2 glycoprotein antibodies (antiphospholipid syndrome)
  7. ANA (SLE, sensitive, nonspecific)
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4
Q

eosinophil produce

A
  1. histaminase

2. Major basic protein (a helminthotoxic)

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5
Q

Blood transfusion reaction - Febrile nonhemolytic transfusion reaction - treatment

A

acetaminophen

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6
Q

Anti-hemidesmosome - disease

A

bullous pemphigoid

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7
Q

IgA-deficiency and blood transfusion

A

IgA-deficient patients with anti-IgA IgEs are at risk for anaphylaxis if they receive blood or intravenous immunoglobulin (rare)

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8
Q

Anti-basement membrane - disease

A

Goodpasture

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9
Q

Blood transfusion reaction - anaphylactic reaction mechanism

A

severe allergic reaction.

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10
Q

DM1 -anybodies

A

anti-glutamic acid decarboxylase (GAD-65) -

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11
Q

anti-Mi-2 - disease

A
  1. polymyositis

2. dermatomyositi

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12
Q

direct Coomb’s test - definition and example

A

detects antibodies that have adhered to patient’s RBCs

eg. test an Rh infant of an Rh mother

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13
Q

Basophil contains

A
  1. heparin (densly basophilic granules)
  2. histamine (densly basophilic granules)
  3. synthesie and release leukotrienes
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14
Q

anti-Smith - disease

A

SLE

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15
Q

IgA anti-endomysial

A

Celiac disease

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16
Q

anticardiolipine - disease

A

SLE

antiphospolypid syndrome

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17
Q

Mast cells releases

A
  1. histamine
  2. tryptase
  3. eosinophil chemotactic factor
  4. heparin
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18
Q

Blood transfusion reaction - Febrile nonhemolytic transfusion reaction - mechanism

A

type II hypersensitivity reaction –> host antibodies against donor HLA antignes and WBCs
NO HEMOLYSIS

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19
Q

voltage-gated calcium channel antibodies - disease

A

Lambert Eaton

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20
Q

Anti-desmoglein (anti-desmosomes) - disease

A

Pemphigus vulgaris

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21
Q

anti-CCP - disease

A

RA (more specific)

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22
Q

anti-glutamic acid decarboxylase (GAD-65) - disease

A

DM1

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23
Q

anaphylactic and atopic (type I) hypersensitivity reaction - test

A

skin test for specific IgE

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24
Q

Serum sickness - symptoms

A
  1. Fever
  2. Urticaria
  3. arthralgia
  4. proteinuria
  5. lymphadeonpathy
  6. splenomegaly
  7. eosinophilia
    OCCURS 5-10 DAYS AFTER ANTIGEN EXPOSURE
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25
Blood transfusion reaction - acute hemolytic transfusion reaction - intravascular or extravascular hemolysis?
both
26
Sjogren antibodies
1. Anti-SSA | 2. Anti-SSB (anti-Ro, anti-La)
27
Delayed (cell mediated) Hypersensitivity reaction (IV) - mechanism
sensitized T cells encounter antigen and then release cytokine (leads to macrophages activation) DOES NOT INVOLVE ANTIBODIES (vs I, II, III)
28
Anticentromere - disease
Limeted scleroderma (CREST syndrome)
29
Arthus reaction - diagnosis
immunofluorescent stating
30
dermatomyositis antibodies
1. Anti-jo 2. Anti-SRP 3. Anti-Mi-2
31
PR3-ANCA/c-ANCA - disease
granoulomatosis with polyangiitis (Wegener)
32
Blood transfusion reaction - allergic type - mechanism
type I hypersensitivity against plasma proteins in transfused blood
33
Anti-Jo-1 - disease
1. polymyositis | 2. dermatomyositis
34
Polymyositis antibodies
1. Anti-jo 2. Anti-SRP 3. Anti-Mi-2
35
Hypersensitivity reaction - types
1. anaphylactic and atopic (type I) 2. Cytotoxic (antibody mediated, type II) 3. Immune complex (type III) 4. Delayed (cell mediated, type IV)
36
Blood transfusion reaction - anaphylactic reaction - treatment
epnephrine
37
anaphylactic and atopic (type I) hypersensitivity reaction - examples
1. allergic and atopic disorder (eg. rhinitis, hay fever, eczema, hives, asthma) 2. Anaphylaxis (eg. bee sting, some food/drug allergies
38
Cytotoxic (antibody mediated) Hypersensitivity reaction - types of antibodies
IgM | IgG
39
vasculitis - antibodies
1. Microscopic polyangitis --> MPO-ANCA/p-ANCA - disease 2. eosinophilic granulomatosis with polyangitis (Churg strauus) --> MPO-ANCA/p-ANCA - disease 3. granoulomatosis with polyangiitis (Wegener) --> PR3-ANCA/c-ANCA
40
Hypersensitivity reaction type IV - test
1. patch test | 2. PPD
41
haptens are
small molecules that elicit an immune response only when attached to a large carrier (eg. protein) which may be one that also does not elicit an immune response by itself
42
Crest syndrome - antibodies
Anticentromere
43
bullous pemphigoid - antibodies
Anti-hemidesmosome
44
Arthus reaction vs serum sickness according to time and which is the MC
Arthus reaction --> 3-6h MC | serum sickness --> 5 days
45
antithyroglobulin - disease
Hashimoto
46
Anti-smooth muscle
Autoimmune hepatitis type 1
47
anti-dsDNA - disease
SLE
48
Celiac disease - antibodies
1. IgA anti-endomysial | 2. IgA anti-tissue transglumatiminase
49
Arthus reaction - mechanism
local sabacute antibody-mediated hypersensitivity reaction --> intradermal (or subcutaneous) injection into a presensitized (has circulating IgG individual leads to immune complex formation in the skin --> activation of complement --> PMN infiltration and platelet clumbing
50
Hypersensitivity reaction type IV - example of diseases (3)
1. Contact dermatitis (poison IV, nickel allergy) 2. graft-vs-host disease 3. Multiple sclerosis
51
Arthus reaction - symptoms
edema and necrosis
52
antiparietal cell - disease
pernicious anemia
53
indirect Coomb's test - definition and example
detects serum antibodies that can adhere to other RBCs | eg. test in Rh- woman for Rh+ antibodies)
54
Cytotoxic (antibody mediated) Hypersensitivity reaction - example of a nervous system disease
Guiillain Barre syndrome
55
antiphospholipase A2 receptor - disease
primary membranous neuropathy
56
Immune complex Hypersensitivity reaction - examples of diseases
1. SLE 2. Polyarteritis nodosa 3. Poststreptococcal glomerulonephritis 4. Serum sickness 5. Arthus reaction
57
Blood transfusion reaction - acute hemolytic transfusion reaction - mechanism
Type II hypersensitivity reaction --> intravascular hemolysis (ABO incompatibility) or extravascular hemolysis (host antibody reaction against foreign antigen on donor RBCs)
58
mixed connective tissue disease - antibodies
anti-U1 RNP
59
primary membranous neuropahty antibodies
Antiphospholipase A2 receptor
60
Blood transfusion reaction - acute hemolytic transfusion reaction - clinical manifestations
1. fever 2. hypotension 3. tachypnea 4. tachycardia 5. flank pain 6. hemoglobinuria (intrav hemolysis) 7. jaundice (extravascular hemolysis)
61
Serum sickness - antibodies formation takes .... (time)
5 days
62
MPO-ANCA/p-ANCA - disease
Microscopic polyangitis | eosinophilic granulomatosis with polyangitis (Churg strauus)
63
MC serum sickness is caused by
drugs (not serum) acting as haptens
64
Serum sickness - mechanism
antibodies formation to foreign proteins (take 5 days) --> immune complexes formation and deposition in membranes --> the fix complement --> tissue damage
65
Arthus reaction - examples
tetanus immunization if they are gince at the same site with too short an interval interval between immunizations (min interval us usually 5 yrs)
66
Anti-ACh receptors - disease
Myasthenia gravis
67
antimicrosomal - disease
Hashimoto
68
anti-histone - disease
drug induced lupus
69
Blood transfusion reaction - anaphylactic reaction - clinical manifestation
1. Dyspnea 2. Bronchospasm 3. Hypotension 4. Respiratory arrest 5. shock
70
Rheumatoid arthritis - antibodies
1. Rhematoid factor | 2. anti-CCP (more specific)
71
Blood transfusion reaction - types
1. allergic reaction 2. Anaphylactic reaction 3. Febrile nonhemolytic transfusion reaction 4. Acutehemolytic tranfusion reaction
72
primary biliary cirrhosis antibodies
Antimitochondrial
73
Blood transfusion reaction - allergic type - treatment
antihistamines
74
Immune complex Hypersensitivity reaction - mechanism
antigen-antibody (IgG) complexes --> activate complement --> attracts neutrophils which release lysosomal enzymes
75
Rhematoid factor?
IgM antibody that targets IgG Fc region
76
Pemphigus vulgaris - antibodies
Anti-desmoglein (anti-desmosomes)
77
anti-U1 RNP - disease
mixed connective tissue disease
78
Autoimmune hepatitis type 1 antibodies
Anti-smooth muscle
79
Lupus antigoagulant
SLE | antiphospolypid syndrome
80
Cytotoxic (antibody mediated) Hypersensitivity reaction - disease tends to be specific on
tissue or site where antigen is found
81
antinuclear (ANA) - disease
SLE (nonspecific)
82
Anti-SRP1 - disease
1. polymyositis | 2. dermatomyositis
83
anti-TSH receptor
Graves disease
84
IgA anti-tissue transglumatiminase
Celiac disease
85
anti-β2 glycoprotein antibodies - disease
antiphospholipid syndrome
86
Anti-SCL-70 (anti-DNA topoisomerase I)
diffuse scleroderma
87
diffuse scleroderma antibodies
Anti-SCL-70 (anti-DNA topoisomerase I)
88
Anti-SSB (anti-Ro, anti-La) - disease
Sjogren syndrome
89
Cytotoxic (antibody mediated) Hypersensitivity reaction - mechanism
IgM, IgG bind to fixed antigen on "enemy" cell --> complement activation --> membrane attack complex (MAC) --> a. opsonizaiton and phagoyctosis b. complement and Fc-mediated inflammation c. antibody-mediated cellular dysfunction
90
anaphylactic and atopic (type I) hypersensitivity reaction - mechanism
Antigen induce the formation of IgE (through Th2 and Il-4) --> Reexposure --> Free antigen cross-links IgE on presenting mast cells and basophils, triggering immediate release of vasoactive amines that act at postcapillary venules (eg. histamine). Rapidly reaction because of preforemed antibody --> Delayed response due to production of arachindoinc acid metabolites (eg. Leukotrienes) --> neutrophils and eosinophils
91
Blood transfusion reaction - allergic type - clinical presentation
1. urticaria 2. pruritus 3. wheezing 4. fever
92
Anti-SSA - disease
Sjogren syndrome
93
Blood transfusion reaction - acute hemolytic transfusion reaction - intra vs extravscular hemolysis according to clinical manifestation
hemoglobinuria (intrav hemolysis) | jaundice (extravascular hemolysis)
94
Immune complex Hypersensitivity reaction can associated with
1. vasculitis | 2. Systemic manifestations
95
Arthus reaction - time
3-6 h
96
anaphylactic and atopic (type I) hypersensitivity reaction - main vasoactive amine and where it acts
Histamamine --> postcapillary venules
97
Hashimoto thyroditis antibodies
1. antimicrosomal | 2. antithyroglobulin
98
Blood transfusion reaction - Febrile nonhemolytic transfusion reaction - clinical manifestation
1. fever 2. headaches 3. chills 4. flushing
99
antimitrochondrial - disease
primary biliary cirrhosis
100
anaphylactic and atopic (type I) hypersensitivity reaction - antibodies, cells and their binding
IgE are binded on Mast cells or basophils through Fc receptor
101
Hypersensitivity reaction type IV is cell mediated so it is not transferable by
serum