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14 Cards in this Set

  • Front
  • Back

definition of an allergy?

"a damaging immune response by the body to a substance, especially a particular food, pollen, fur or dust to which it has become hypersensitive"

four types of hypersensitivity reactions...

type 1: IgE mediated


type 2: antibody-mediated cytotoxic


type 3: immune complex mediated


type 4: delayed type hypersensitivity




types 1, 2, 3 are immediate


type 4 is delayed

type 1 hypersensitivity reaction...

first exposure to pollen


IL-4 drives B cells to produce IgE in response to pollen antigens


pollen specific IgE binds to mast cell


second exposure to pollen


acute release of mast cell contents causes allergic rhinitis

effects of mast cell degranulation...

increase in vascular permeability


bronchoconstriction


intestinal hypermotility


inflammation


tissue remodelling


mucus secretion

define angioedema?

swelling of the lips, tongue or face

release of histamine can occur by two processes...

energy and Ca2+ dependent degranulation reaction


(due to IgE, antigens and mast cells)




energy and Ca2+ independent release


(due to drugs such as morphine)


(due to mast cell damage caused by venom or trauma)

H1 receptors are bound to which G protein?


H2 receptors are bound to which G protein?

Gq


Gαs

allergic rhinitis...


(hay fever)

inhaled allergen triggers reaction in nasal mucosa


watery exudate from nose, eyes, upper respiratory tract, sneezing and coughing

atopic dermatitis...


(allergic asthma)

often occurs in young children


red skin rash


strong hereditary disposition



2 main layers of skin?

dermis and epidermis

skin structure...

compaction due to protein filaggrin which can be broken down into amino acids to make natural moisturising factor.




cells are held together by desmosomes. dead skin cells are shed when these bridges are cleaved by skin proteases



atopic eczema...

genetic component that leads to the breakdown of the skin barrier




relapsing/remitting




environmental triggers

RIST?

radioimmunosorbent test - non invasive way to identify allergies

acute stage eczema...

fluid escapes from dilated dermal blood vessel to produce oedema.




chronic stage - less oedema and vesiculation and more thickening of epidermis