immunology and disorders Flashcards

(37 cards)

1
Q

what are SPUR infections

A

serious, persistent, unusual, recurrent infections (most potent) that are signs of immune deficiency

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2
Q

which is more common primary or secondary immune deficiencies and what are they

A

secondary, PID = immune component missing

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3
Q

In PID’s, what is associetad with primary antibody deficiency and what are some examples

A

sinusitis and otitis pedia, CVID, specific AB def (SAD), X - linked agamma… (XLA)

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4
Q

who is likely to have complement system disorders

A

laryngeal angioedema

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5
Q

what can cause congenital neutropenias

A

IgG deficiency in children

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6
Q

what is kotsmann syndrome

A

neutrophils are not produced , rare autosomal dominant disease, count down, severe congenital neutropenia (SCN)

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7
Q

how can failure to produce neutrophils arise

A

failure of stem cell differentiation and failure to mature to neutrophils

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8
Q

what is leukocyte adhesion deficiency

A

PID, neutrophils can’t stick to vessels and enter to site of infection, autosomal recessive, count OK

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9
Q

what is chronic granulomatous disease (CGD)

A

failure of oxidase killing (NADPH complex) so neutrophils cannot kill, count OK, lots of pus

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10
Q

what can anti-TNF reactivate

A

latent TB

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11
Q

how o you treat PID’s

A

Ig replacement, bone marrow transplant, gene therapy

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12
Q

where do neutrophils arise

A

haematopoietic cells from bone marrow

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13
Q

what is reticular dysgenesis

A

stem cells can’t differentiate into haematopoietic cells

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14
Q

what is severe combined immune deficiency (SCID)

A

failure to produce lymphocytes

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15
Q

why does SCID only present after 3 months

A

maternal IgG boosts babies immunity until then

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16
Q

which receptor is damaged in X linked SCID

17
Q

what is DiGeorge syndrome

A

chromosome 22q11 deleted and thymus fails to develop = funny looking kid

18
Q

what happens if the thymus does not develop

A

T cells cannot develop

19
Q

what is CVID

A

failure to produce IgG, IgA, IgE

20
Q

what type of hypersensitivity is type 1

A

allergies, an IgE response to an allergen

21
Q

what is the role of B and T cells in allergies

A

B produce IgE and T aid this

22
Q

what do mast cells do in allergic reactions

A

express Fc receptors for IgE and produce inflammatory mediators

23
Q

what can you give to people with allergies such as hayfever

A

antihistamines

24
Q

what can be done to identify allergies

A

skin prick test and challenge testing

25
what drug should be discontinued 48 hours before skin prick test
antihistamines
26
what drugs stop mast cells degranulating
sodium chromoglycate
27
what is type II hypersensitivity
antiBodies, bind to cell antigens and cause complement pathway
28
what is a syndrome caused by type II hypersensitivity
Goodpasture's syndrome
29
what antibody is a pentagon
IgM
30
what is type III hypersensitivity
immune complexes are in areas they are not wanted and cause complement pathways and inflammation
31
give an example of type III hypersensitivity
EEA, eg farmers lung
32
what mediates type IV hypersensitivity
T cells
33
what does type IV lead to the formation of
granulomas
34
give examples of non-autoimmune type IV hypersensitivity
TB, sarcoidosis, leprosy
35
what type of sensitivity is anaphyaxis
type I (IgE)
36
what are the symptoms of anaphlyacis
flushing, itchy, hives, angioedema (swelling), vomiting and abdo pain, hypotension and resp failure
37
how do you treat anaphylaxis
IM epinephrine (adrenaline), antihistamine, corticosteroid, high flow O2, allergy avoidance