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34 Cards in this Set

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Bruton's Agammaglbulinemia
X-linked Recessive. Defect in BTK (tyrosine kinase) that blocks B-cell differentiation/maturation
Recurrent Bacterial Infections after 6 months due to opsonization defect
Hyper-IgM
Defective CD40L on helper T-cells- No class switching
Severe pyogenic infections early in life
Severe Ig deficiency
Defect in isotype switching- deficiency in specific class of immunoglobulins
Sinus and lung infections, milk allergies and diarrhea, Anaphylaxis on exposure to blood products with IgA
Common Variable Immunodeficiency
Defect in B-cell maturation; many causes
Can be acquired in 20-30s. Increased risk of autoimmune disease, lymphoma, sinopulmonary infections
Thymic Aplasia
22q11 deletion- failure to develop 3rd and 4th pharyngeal pouches
Tetany, recurrent viral/fungal infections, congenital heart and great vessel defects
IL-12 receptor deficiency
Decreased TH1 response
Disseminated mycobacterial infections
Hyper-IgE Syndrome
Th cells fail to produce IFN-y- inability of neutrophils to respond to chemotactic stimuli
FATED: coarse Facies, cold staphylococcal Abscesses, retained primary Teeth, increased IgE, Dermatologic problems (eczema)
Chronic mucocutaneous candidiasis
T-cell dysfunction
Candida infections of skin and mucous membranes
SCID
Severeal Types: Defective IL-2 receptor (most common, X-linked recessive), adenosine deaminase deficiency, failure to synthesize MHC II antigens
Recurrent viral, bacterial, fungal and protozoal infections, due to both B & T-cell deficiency.
Ataxia-telengiectasia
Defect in DNA repair enzyme
Triad: cerebellar defects, spider angiomas, IgA deficiency
Wiscott-Aldrich Syndrome
X-linked recessive defect. Progressive deletion of B & T cells
WA
Immunodeficiency
Thrombocytopenia
Eczema
Recurrent Pyogenic Infections
Leukocyte adhesion deficiency (type 1)
Defect in LFA-1 integrin (CD18) protein on phagocytes
Recurrent bacterial infections, absent pus formation, delayed separation of umbilicus. Can present with neutrophilia
Chediak-Higashi Syndrome
Autosomal Recessive- defect in microtubular function with decreased phagocytosis
Recurrent pyogenic infections by staphylococci and streptococci, partial albinism, peripheral neuropathy
Chronic Granulomatous disease
Lack of NADPH oxidase- decreased reactive oxygen species and absent respiratory burst in neutrophils
increased susceptibility to catalase-positive organisms (S. aureus, E. coli, Aspergillus). Negative Nitroblue Tetrazolium dye test
Antinuclear Antibodies
SLE, Sjogren's, Scleroderma, Polymyositis, RA, Juvenile Arthritis, Mixed connective disease, dermatomyositis
Anti-dsDNA, anti-Smith
SLE
Antihistone
Drug-induced lupus
Anti-Scl 70 (anti-topoisomerase I)
Diffuse sclerodserma
Anticetromere
CREST
Anti-IgG
RA
Antimitochondrial
Primary Biliary cirrhosis
ANti-U1 RNP
Mixed Connective Disease
Anti-smooth muscle
Autoimmune hepatitis
Anti-glutamate decarboxylase
Type 1 DM
c-ANCA
Wegener's granulomatosis
p-ANCA
Other vasculitides
mpo-ANCA
Microscopic polyangitis
Antiglidian, antiendomysial
Celiac disease
Anti-basement Membrane
Goodpasture's Syndrome
Anti-desmoglein
Pemphigus vulgaris
Antimicrosomal, antithyroidglobulin
Hashimoto's thyroiditis
Anti-Jo-1
Polymyositis, dermatomyositis
Anti-SS-A
Sjogren's syndrome
Anti-SS-B
Sjogren's syndrome