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24 Cards in this Set

  • Front
  • Back
What does the humoral system protect? What cells are involved? What types of infections do they protect from?
Blood

B cells and neutrophils

Bacterial
What does Cell Mediated Immunity protect? What cells are involved? What infections does it protect from?
Tissues

T cells and macrophages

Viral, Fungal, Mycobacterial, Protozoan, Parasitic, Neoplasm
What are the distinguishing characteristics of DiGeorge Syndrome?
Third pharyngeal pouch didn't develop
No thyroid
Non parathyroids
Hypocalcemia - ONLY IMMUNODEFICIENCY WITH ELECTROLYTE PROBLEM - Click and Move!!
What 4 diseases have a chromosome 22 deficiency
DiGeorge
Neurofibromatosis Type 2
CML
Ewing's
What are the clues for chronic mucocutaneous candidiasis?
Recurrent candida infections because T-cell can fight everything else EXCEPT candida
Causes chronic fatigue syndrome
Why does chronic mucocutaneous candidiasis cause chronic fatigue syndrome?
Candida feeds on patient's glucose - making patient weak and leaving them in a low energy state
What are the functions of steroids?
Kills eosinophils and T cells
Inhibits macrophage migration
Inhibits mast cell degranulation
Inhibits Phospholipase A
Stabilizes the endothelium

Catabolic actions:
Proteolysis
Gluconeogenesis
Which steroid is used to treat endometriosis?
Danazole
Which steroid is used to enhance surfactant production of baby?
Betamethasone
Beclomethasone
NOW - IM Dexamethasone
Which steroid can be used to replace aldosterone?
Fludrocortisone
What are the clues for hairy-cell leukemia?
Fried egg/Sunburst appearance

Tartrate Resistant Acid Phosphatase (TRAP) - positive
The majority of leukemias and lymphomas are of what cell type?
B cell - 98%
What are the 2 T cell lymphomas? What clue identifies them?
Sezary (in blood)
Mycosis Fungoides (cutaneous)
What is the deficiency that causes SCID?
adenosine deaminase
What is the new standard of care for SCID?
Bone marrow transplant (or pt dies before 2yo)
What are the clues for Wiscott Aldridge Syndrome?
Thrombocytopenia
Infections are numerous
Eczema
X-linked recessive
What are the clues for Bruton's agammaglobulinemia?
Less than 1 year old
B cells don't progress to plasma cells therefore no antibodies are produced
B cell count is normal
What are the clues for Common Variable Immunodeficiency (CVID)?
Late onset Bruton's (after 1st year of life)
B cell count is normal
What are the two types of plasma cell cancer? Clues?
Plasmacytoma: One lytic lesion
Multiple myeloma:
- multiple lytic lesions
- kappa light chains --> Bence Jones proteinuria
- IgG --> M-spike
- Hypercalcemia
- Rouleaux formation
What are the clues for Heavy chain disease?
IgA and multiple myeloma of the GI tract
Causes malabsorption
What are the clues for selective IgA def?
Occurs with Selective IgG2 95% of time

Transfusion anaphylaxis
Recurrent mucosal infections
What are the clues for Selective IgG2 def?
Recurrent encapsulated organism infections
What are the encapsulated organisms? Which is gram +?
Strep pneumo (gram +)
Salmonella
Klebsiella
H Influenza B
Pseudomonas
Niesseria
Citrobacter
What is Job-Buckley syndrome?
Red-haired female
IgE only due to cell-signalling defect