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36 Cards in this Set

  • Front
  • Back

Blood Transfusion Reaction

Type II Hypersensitivity


Mechanism= Opsonization (IgG)

Erythrblastosis Fatalis

Type II Hypersensitivity Reaction


Mechanism= Opsonization

Autoimmune Hemolytic Anemia

Type II Hypersensitivity Reaction


Mechanism= Opsonization

Agranulocytosis

Type II Hypersensitivity Reaction


Mechanism= Opsonization

Thrombocytopenia

Type II Hypersensitivity Reaction


Mechanism= Opsonization

Pemphigous Vulgaris

Type II Hypersensitivity Reaction


Mechanism= Complement- Fc receptor


-desmosome disruption


-blistering


ANCA Vasculitis

Type II Hypersensitivity Reaction


Mechanism= Complement- Fc receptor


-degranulation of neutrophils in muscular wall of epithelium

Goodpasture Syndrome

Type II Hypersensitivity Reaction


Mechanism= Complement- Fc receptor

Hemorrhagic Fever

Type II Hypersensitivity Reaction


Mechanism= Complement- Fc receptor

Myesthenia Gravis

Type II Hypersensitivity Reaction


Mechanism= ADCC

Graves Disease

Type II Hypersensitivity Reaction


Mechanism= ADCC

Systemic Lupus Eryhtematosus

Type III Hypersensitivity Reaction (systemic)


Autoimmune


-ANA (anti-dsDNA, anti-Smith antigen)


-malar butterfly rash


-nephritis


-CNS


-splenomegaly


-Libman-Sacks endocarditis


-Pleural effusion


-arthritis



Post-streptococcal Glomerulonephritis

Type III Hypersensitivity Reaction (systemic)


-"planted" streptococcal antigens in the glomerular basement membrane


Polyarteritis Nodosa Vasculitis

Type III Hypersensitivity Reaction (systemic)

Reactive Arthritis

Type III Hypersensitivity Reaction (systemic)

Arthus Reaction

Type III Hypersensitivity Reaction (localized)


-occurs at vaccination site

Multiple Sclerosis

Type IV Hypersensitivity Reaction

Diabetes Mellitus Tye I (insulitis)

Type IV Hypersensitivity Reaction

IPEX

childhood autoimmune disease


-FOXP3 mutation


-t-regulatory cell dysfunction

ALPS

childhood autoimmune disease


-FasL defect


-peripheral tolerance development via activated cell-induced apoptosis is not possible

Sjogren Syndrome

autoimmune


-lymphocytic infiltration of endocrine glands:


-salivary--> xerostomia


-lacrimal--->xeropthalmia


-ANAs: anti-ro (SSA) and anti-la (SSB) indicative of early onset and longer duration


-increased risk of lymphoid malignancy


-association with ebv, HIV-1, HTLV-1



Scleroderma

-autoimmune


-anti-topoisomerase (SCL-70)--> systemic


-malignant hypertension=> kidneys


-anti-cerntromere--> CREST


C=calcinosis


R=Raynauds Phenomenon


E=Esophageal Dysmotility


S=Sclerodactyly


T= Telangiectasia

Mixed Connective Tissue Disease

-indicators of SCL, Scleroerma, and polymyositis


-high titers of antibodies to RNP


-no renal disease


-responsive to corticosteroids


Hypogammaglobulinemia

-primary immunodeficiency


-B cell deficiency


-general Ab deficiency


-recurrent bacterial infections


-higher risk for gastric carcinoma and lymphoma



Brutons X-Linked Agammaglobulinemia

-B cell deficiency


-x-linked


-BtK mutation


-inability of B cells to mature from pre-b cells


-lack of germinal centers


recurrent pyogenic infections


-increased risk of colonic carcinoma

Isolated IgA deficiency

-b cell deficiency


-most common primary ID


-frequently asymptomatic


-prone to GI and sinonasal infections


DeGeorge's Syndrome


(thymic apasia)

-T cell deficiency


-3rd and 4th pharyngeal arch do not develop


-lack of thymus and parathyroid


-low CD3+ cell counts--> no cell-mediated response


-hypocalcemia--> tetany


-poor defense against fungal/ viral infections (no CD8)


-abnormal facies, congenital heart defects

SCID

-combined


-ADA deficiency (purine synthesis) or common gamma chain mutation (IL-2 receptor)


-infants with recurrent severe infections


- treatment= bone marrow transplant

Wiskott Aldrich

-combined


-x-linked


-cellular defect in actin cytoskeleton/ glycoprotein on B and T cells


-thrombocytopenia


-reduced lifespan of T cells


-pyogenic infections


-bleeding


-eczema (peri-oral and peri-ocular)


Hyper IgM Syndrome

-combined


-x-linked


-CD40L defect--> no class switching


-recurrent bacterial infections


-infancy- recurrent respiratory tract bacterial infections, opportunistic infections, recurrent or protracted diarrhea


-increased risk for hodgkins lymphoma (EBV)

Chronic Granulomatous Disease

--x-linked


-phagocytic ID


-NADPH-oxidase deficiency


-recruitment of macrophages and t cells--> granulomas


-hepatosplenomegaly and lymphadenopathy


-diagnosis= nitroblue tetrazolium


C3 deficieny

-increased bacterial infections

C1q, C2, C4

-immune-complex- mediated diseases (classical pathway)

C1 esterase inhibitor

-hereditary angioedema

DAF deficiency

-paroxysmal nocturnal hemoglobinuria

C5-C9 deficiency

-nesseiria and meningococcal infections