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15 Cards in this Set

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Phases of Type I
Sensitization: Ag exposure-IgE binds to FceR on mast cell

Eliciation: re-exposure of Ag cross-links IgE on mast cell

Late phase reaction: mast cells release cytokine causing inflammation and tissue damage
Type II: blood transfusion reaction
During transfusion of non-matching type of blood, these IgMs bind to incoming blood and activate complement to induce cell lysis
Localized inflammation caused by deposition of immune complexes
Type III: Arthus reaction
Systemic inflammation to immune complexes deposited in many areas of the body
Type III: Serum Sickness
Examples of Type IV
Contact dermatitis, tuberculin test, granulomatous
A DTH targeted to skin, eczema occurs at antigen-contact site

ex: poison ivy, latex, metal
Type IV: Contact dermatitis/sensitivity
Cutaneous inflammatory reaction, firm red swelling of skin peaked after antigen exposure

ex: TB test
Type IV: Tuberculin-Type
Continuous accumulation of macrophages leads to clusters of epithelioid cells that fuse to form giant cells caused by inability of macrophages to degrade phagocytozed bacteria
Type IV: Granulomatous
What type of hypersensitivity does not involve antibody?
Type IV hypersensitivity is mediated by T cells.
Allergens coming from which two routes would have anaphylaxis outcome?
Food ingestion & blood
PK test
Test for presence of immediate hypersensitivity

Test serum from atopic individual and inject into normal person.
RAST
Using person's blood sample & radiolabeling, detects the amount of IgE that reacts with suspected/known allergen
Cycopenia or anemia is what type of hypersensitivity?
Type II hypersensitivity
Difference between Type II and III hypersensitivity?
Type II is mediated by Abs IgM, IgG. (Ab binds to auto-antigen)

Type III is mediated by antigen-Ab immune complex (Ab binds to foreign antigen)
TB test and PPD, mantoux test
TB test: tuberculin is a lipoprotein isolated from M.tunerculosis and is used to detect previous exposure

PPD, mantoux test is a purified protein derivative that takes the place of the TB test.