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12 Cards in this Set

  • Front
  • Back
two types of "true" allergic disease in the skin
Type 1 (anaphylactic) hypersensitivity

Type 4 (cell-mediated) hypersensitivity
allergic diseases that are hereditary and atopic

they ocur in individuals who have been previously sensitized to a specific allergen

examples include food allergies and insect venom
those mediated by IgE (Type 1 hypersensitivity)
mechanism for type 1 hypersensitivity
APCs present Ag to T cells
T-cell proliferation (Th2 activation)
cytokines promote IgE response in B cells
IgE binds to surface receptors of mast cells and other cells, enabling immune response
clinical symptoms primarily mediated by release of histamine from mast cells and basophils
in the skin, atopic allergy appears as ___
eczema
two strategies for treatment of type 1 hypersensitivity reaction
minimize clinical symptoms (adrenaline, antihistamines, corticosteroids, etc.)
immunotherapy to decrease initial immune response (limit antigen presentation or T cell function)
most common prescription drug for severe allergic reactions
adrenaline (epinephrine)
hypersensitivity in which the binding of Ab to insoluble Ag, w/out the direct involvement of lymphocytes

mechanism is identical to that of normal protective immunity against viral infection and tumor cells

complement system is activated; neutrophil-dominated inflammation
Type II hypersensitivity
group of chronic bullous disease, mediated by autoantibodies against surface proteins of keratinocytes

Type II hypersensitivity

what are the autoantigens involved?
Pemphigus Vulgaris

desmogleins
hypersensitivity that involves reactions against soluble antigens circulating in the blood

Ab-Ag complexes are deposited in organs and activate complement
Type III hypersensitivity
what Ab classes are involved in SLE and why?
IgG, IgM, and IgA

they are complement-fixers
hypersensitivity that results primarily from contact w/ compounds that sensitize the individual through the skin

involves activation of Th1 response

reactions are delayed by 24-48 hours, due to T cell and macrophage migration
type IV hypersensitivity
non-infectious, chronic inflammatory disease of skin, characterized by well-defined erythematous plaques

persistent, abnormal epidermal cell hyperplasia resulting in increased thickness of the granular layer of the epidermis
psoriasis