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17 Cards in this Set

  • Front
  • Back
SLE
type 2, 3
tests:
screening: ANA
DX: Anti-ds DNA, anti smith
LE cell test, VDRL (false positive)

Black women
4 types of nephropathy
Mesangial dis (most common and mildest) : class II
transient proteinuria
PROLIFERATION OF MESANGIAL MATRIX AND MESSANGIAL CELLS
focal proliferative nephritis: class III
proteinuria + hematuria, proliferation of mesangial cells and matrix, ENDOTHELIAL PROLIFERATION, FOCAL LESION
diffuse proliferative nephritis (most severe) class IV
nephrotic syndrome, gross hematuria, proliferation of mesangium +endothelium +EPITHELIUM +/- CRESCENT FORMATION, DIFFFUSE LESION, SUBENDOTHELIAL IMMUNE COMPLEX DEPOSITION, renal fail +HTN
Membranous glomerulonephropathy: class V
nephrotic syndrome, ENDOTHELIAL THICKENING, SUB EPITHLIAL COMPLEX DEPOSITS
Job's syndrome (phagocyte disorder)
deficient Gamma IFN

sinoplumonary infx, candidiasis, cold abscesses
chediak Higaski syndrome (phagocyte dix)
impaired microtubles limiting WBC movement and use of granules

bacterial infx, viral infx, partial albinism
chronic granulomatous diz (phago. dix)
deficient NADPH oxidase causing impaired resp. burst

granulomas, recurrent bact. & fungal infx, yellow NBT test
brutons agammaglobulinemia (humoral Immunity)
No mature b cells

DIAD: reccurent severe pyogenic infx, severly low amt of ABS
IGA deficiency (humoral Immunity)
igA plasma cells fail to develop

bact. infx of mucus membrane, possible anaplylaxis to transfused blood, redused IgA
common variable immunodeficiency (humoral Immunity)
Abnormal b cell maturation

recurent pyogenic bact. infx, normal number of b cells, decreased level of Abs
digeorge syndrome (thymic aplasia) (cell mediated imunity )
defect in the 3rd and 4th pharyngeal pouches results in development failure of thymus and parathyroids

deficits in T cells, recurrent viral, fungal, protozona infx, tetany, hypocalcemia
chronic mucocutaneous candidiasis (cell mediated imunity )
tcells cant destroy candida albicans

chronic candidiaiss, normal t cells number
Hyper IgM syndrome (cell mediated imunity )
inability of b cells to class switch from igm to igG ( loss of CD 40 ligand on Tcells)

severy recurrent pyogenc infx
svere combined immunodef. (scid) ( b and t cell dix)
1; IL-2 receptor defect on CD4, CD8 or Tcell secondary messenger system defect, or defect in t cell ability to interact wiht APC's, or absence of adenosine deaminase resulting in increased dATP and decrease DNA production, or devective class I, II MHC

recurrent bacterial, viral, fungal, protozoal infx, low antibody levels, no lymph nodes, monst comonly pneumocyctis pneumonia
Wiskott Aldrich syndrome ( b and t cell dix)
b cells not stimulated to make IgM (impaired intial response)

recurrent bact. infx (especiallty otits media), eczema, thrompcytopenia (low MPV), low igM levels
ataxia telangiectasia ( b and t cell dix)
deficient DNA repair enzymes, resulting in t and b cell deficienceis

ataxia, telangiectasia, recurrent infx (especially sinopulmo), increased malignancy risk, low t cell numbers, igA deficiency