Immunology 2 Flashcards
(26 cards)
factors contributing to autoimmunity
MHC products
release of sequestered antigens
molecular mimicry
polyclonal b-cell activation
spec. autoab seen in active stages of sle = drug-induced sle = diagnostic for sle = SLE, mixed connective tissue dse = SLE, systemic sclerosis =
Anti-dsDNA Anti-histone/anti-DNP Anti-Sm Anti-RNP Anti-nucleolar
neutrophil that has engulfed the ab-coated nucleus of another neutrophil
specimen:
LE cell
buffy coat
Staining patterns of FANA
- homogenous or peripheral pattern
- homogenous pattern
- speckled pattern
- finely speckled
- nuceolar staining pattern
- anti-dsdna & anti-histone
- anti-dnp
- anti-sm & RNP
- anti-SS-A/Ro & -B/La
- anti-nucleolar RNA
IgM reacting against Fc portion of IgG
RF
RA lab test
sheep cell agglu
LAT
sensitized alligator erythrocyte test
bentonite flocculation test
RF in serum/synovial fluid
rose-waaler
singer and plotz
cohen et al
bloch and bunim
autoimmune thyroid dses
Hashimotos thyr - anti-thyroglobulin, anti-microsomal
Graves - anti-TSHr, anti-TPO
1 Type I DM 2 Multiple sclero 3 Myasthemia gravis 4 Goodpasteur 5 Primary biliary cirrhosis 6 chornic active hepa 7 pernicious anemia 8 sjogren's syndrome 9 scleroderma/CREST syndrome
1 anti-islets cells ab 2 anti-mbp 3 anti-acetylcholine receptors 4 anti-glomerular basement membrane 5 anti-mitochondrial 6 anti-smooth muscle 7 anti-parietal 8 anti-salivary and anti-lacrimal glands 9 anti-centromere ab
hodgkins dse
non-hodgkin dse
presence of Reed-sternberg cells; cd15 and cd30 +
b cell lymphoma
monoclonal ig component in plasma (paraproteins)
MM
excessive IgM
hyperviscosity syndrome
waldenstrom’s macroglobulinemia
Lab eval
Leukemia & lymphoma
plasma cell dyscrasia
flow cyto
serum ig lvls and SPE
b cell system defects 4
X-linked bruton’s agammaglo
iga dfncy
common variable immunodefncy
igg subclass dfncy
t cell system defects
digeorge anomaly severe combined immunodfncy wiskott aldrich syndrome ataxia telangiectasia chronic granulomatous dse
wiskott triad
immunodfncy
eczema
thrombocytopenia
CGD test
nitroblue tetrazolium test
spotted fever
typhus
scrub typhus
q fever
r.rickettsii -RMSF akari -rickpox australis -australian tick typ conorii -boutenneuse fever ------ r. prowazekii -epidemic typ; sporadic typ; brill-zinsser dse (recrude typ) typhi -endemic ------ tsutsu ---- cox burnetii
Lab work up ricket infxn
IFA -gold
micro-IF
IPA
ELISA
OX-19
OX-2
OX-K
Proteus vulgaris
Proteus vulgaris
P. mirabilis
H.pylori work up
EIA stool -detects Ag
EIA serum -detects IgG or IgM
m.pneumoniae work up
cold agglu
eia on serum
ifa
nontreponemal test types
VDRL RPR TRUST USR RST
treponemal test types
TPI
FTA-ABS
HATTS
TPHA
MHA-TP
uses glutaraldehyde-stab turkey RC sensi with nichol’s strain
HATTS
TPHA