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15 Cards in this Set
- Front
- Back
Four Hypersensitivity Reactions
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Type I-Immediate Hypersensitivy=Allergy
Type II-involves IgG anitbody Type III-Immune complex hypersensitivty Type IV-Delayed type hypersensity (DTH)-cell-mediated hypersenitivity |
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hypersensitivity reaction
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excessive immune respone that causes damage
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Allergy
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Type I HS; certain diseases in which immune responeses to environmental anitgens cause tissue inflammation and oragan disfunction
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Allergen
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an antigen that induces allergic reaction
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Atopy
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allegy mediated by IgE antiboddy...pateints with this are "atopic"
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When do type I reactions occur?
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Within minutes to hours after the 2ND exposure to allergen
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How are type I reactions initiated?
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when allergen binds to IgE on the surface of mast cells, which causes degranulation with release of bioactive substances (histamine)
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Is the etiology for an atopic agent known?
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No, but allegries run in families (genetic factor)
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Distinguishing feature of IgE antibody
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binds to high affinity FCRI region on mast cells and basophils and exists only as a monomer
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Two names for allergic rhinitis
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allergic rhinoconjunctiivits and hay fever
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What is the most coomon clincal expression of allergic rhinitis?
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Its the main cuase of atopic hypersensitivity
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What will a lab finding of allergic rhinitis consist of ?
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Numerous eosinophils in nasal secretions and in blood AND elevated IgE
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What are two ways to idenitfy the specific allergen to help diagnosis of allergic rhinitis?
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Skin testing (wheal and flare responese for Type I HS) or In vitro tests
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What's the difference b/n early and late phase reaction?
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Early phase (immediate)-involves vasoactive amines and lipid mediators and happens right after exposure to allergen; late phase involves cytokines 2-4 hrs after exposure to allergen
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What's the steps leading up to when mast cell release their activators?
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1. first exposure to anitgen
2. ant. activation of TH2 cells and stimulation of IgE withcing in B cells 3. prodcution of IgE $. Binding of IgE to FcRI on mast cells 5. 2nd exposure to allergen 6. mast cells activated! |