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85 Cards in this Set
- Front
- Back
marker for Langerhans cells
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CD1a
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anyphylatoxins of complement
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C3a, C4a, C5a
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most powerful PMN chemoattractant
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C5a
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MAC complex
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C5b, C6, C7, C8, C9
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TH1 cytokines
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IFN-g, TNF-b, IL-2
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TH2
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humoral response, IL-4,5,6,10
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IL-4
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stimulates B cells to produce IgE
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IL-5
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promotes eosinophils
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!L-10
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inhibits TH1
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antimicrobial peptides
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defensins (hBD-2) and cathelicidens (LL37)
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what cells can present MHCII
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macrophages/monocytes, dendritic cells, B-cells
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4 regions of TCR
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variable diversty joining constant
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2nd costim molecules
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CD28 on T cells, B7 on APC
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B cells markers (3)
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CD19+,20+, 22+
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IgM
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largest, classic complement
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IgG
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most abundant, classic complement, autoimmune
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IgA
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mucosal, alternative complement
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IgE
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anaphylaxis
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ACD cause in nail polish
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tosylamide formaldehyde
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adhesive allergen
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colophony
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allergen in poison oak
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urushiol
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cross reactions with posion oak
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mango skin, non-American Tochicodendron trees, cashew nut oil, ginko biloba
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allergen in hair dye
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p-phenylenediamine (PPD)
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allergen in hair wave
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glyceryl monothioglycolate
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Hertoghe’s Sign
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loss of lateral eye brow, sign of atopic derm
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gene defect in NF1
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neurofibromin
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gene defect in NF2
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Schwannomin or Merlin
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gene defect in tuberous sclerosis
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TSC1 (hamartin) or TSC2 (tuberin)
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gene defect in Marfan's syndrome
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fibrillin
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Crowe's sign
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seen in NF1, axillary or ingunal freckling
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tuberous sclerosis triad
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adenoma sebaceum, mental deficicency and epilepsy
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Koenen's tumor
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periungal fibromas, pathogneumonic for tubersous sclerosis
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defect in Peutz Jeghers syndrome
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STK11/LKB1, tumor supressor, periorifical lentiginosis, polyps but not adenocarcinoma, incr in other CAs
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Peutz Jeghers has incr risk of which 3 cancers
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ovarian, breast, pacreas
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gene defect in Gardner's
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APC, tumor supressor; stomach cancer and epidermoid cysts, CHRPE
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congenital marker for Gardner's syndrome
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congenital hypertrophy of the repital pigment epithelium (CHRPE)
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general gene defect in XP
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defects in DNA repair
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gene defect in Cowden's, also alternative name
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multiple hamaratoma syndrome, gene defect in PTEN tumor supressor, facial trichelmoma, oral papillomas, keratotic papules
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systems that can be involved in Cowden's (6)
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skin, breast, thyroid, GI, GU, MSK
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gene defect in Alkaptonuria and the result
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defect in homogentisate 1,2 dioxygenase gene which leads to a decr amount of homogentisic acid oxidase which is required for the breakdown of phenylalanine and tyrosine
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gene defect in Fabry's disease and mode of inheritence
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defect in a-galactosidase A, x-linked recessive
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organism causing Pityriasis versicolor
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Malssezia furfur
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organism causeing tinea negra
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Exophilia wernekii
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organism causing white piedra
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Trichosporon beigelli
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organism causeing black piedra
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Piedraia hortae
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3 organims causing dermaphytoses
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Trichophyton, microsporum, epidermophyton
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trichophyton
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can infect hair, nails or skin; many microconidia and rare thin walled macroconidia
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microsporum
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can infect hair or skin, fewer microcondia and thick walled macroconidia
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epidermophytan
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can infect skin or nails, no microconidia and thin walled macroconidia
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2 causes of onochomycosis
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Scopulariopsis brevicaulis is mold and Candida is yeast
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organism causing impetigo
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group A strep (pyogenes), sometimes staph aureus
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organism causing bullous impetigo
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specific type of staph aureus
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oragnism causing erysipelas
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group A strep
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organism causing folliculitis (2)
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usually staph aureus, p. aeruoginosa in hot tubs/pools
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organisms causing cellulitis
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group A strep or staph aureus
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absecess in IV drug user (4)
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staph aureus, strep, gram - enterics, anaerobes
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abscess in normal
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staph aureus
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organism causing erysipeloid
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Erysipelothrix rhusiopathiae
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scabies organism
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sarcotpes scabiei
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molecules that make up tonofilaments in basal keratonocytes
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cytokeratins 5 and 14
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components of anchoring filaments
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laminin 5 and type 17 collagen
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component of anchoring fibrils
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type 7 collagen
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type 17 collagen (other name, location)
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BP antigen 2/180, has a small part which binds the hemidesmosome and the rest sticks out (the collagenous part) in the upper lamina lucida
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BP antigen 1
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230, totally within the interior of keratinocytes, near where the tonofilaments converge on the hemidesmosomes
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a3b1 intigrin
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binds both laminin 1 and 5 and collagens
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a6b4 integrin
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binds laminin 5, stabalizes hemidesmosomes
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laminin 1
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cross shaped with globular molecules; attaches to basal cells, type 4 collagen and heparin sulfate proteoglycan in the densa layer
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laminin 5
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component of anchring filaments
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type 4 collagen
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major component of the lamina densa, forms a lattice
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heparin sulfate PG
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protein core with lots of GAGs attached, gives BMZ negative charge
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type 7 collagen
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make up the anchoring fibrils, has middle a helix collagenous part and 2 globular ends
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JEB
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gene defects in either integrin a4b6 or laminin 5 or type 17 collagen, separation through the lamina lucida
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DEB
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gene defect in type 7 collagen, separation is below the lamina densa
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BP
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IgG against type 17 collagen and/or BP Ag 1, subepidermal blistering
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CP
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IgG against laminin 5 ot type 17 collagen
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EBA
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igG against type 7 collagen
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linear IgA bullous dermatosis
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IgA to distal portion (collagen part) of type 17 collagen
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dermatitis herpetiformis
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IgA to unid BMZ component
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PV
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IgG to desmoglien 3, localizes to deeper epidermis, mucosal
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PF
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IgG to desmoglien 1, localizes to the top of the epidermis, localized to head and neck
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nidogen
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lamina lucida compnonent, binds laminin 1 and type 4 collagen
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atopic triad
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allergic rhinitis, asthma, atopic derm
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major criteria for atopic derm
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pruritis, typical morphology and distribution, chronic or chronically relapsing course, personal or family hx of atopy
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sebum content (3)
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Tg's, squalene, cholesterol/cholesterol esters
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gene defect in familial melanoma syndrome
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CDKN2A
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