Anaphylaxis and Its Pathophysiology
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Questions and Answers

The immune system recognizes allergens as a threat and therefore produces an inappropriate response such as localized itching.

True (A)

Symptoms of intolerances and allergies can be reduced by avoiding exposure to the allergen.

True (A)

Anaphylaxis is:

  • Severe reaction
  • Generalised (rash might be on 1 area/might only effect respiratory)
  • Or Systemic (effects all systems)
  • All of the above (correct)

What is the name of the process where the allergen is introduced into the body?

<p>Exposure</p> Signup and view all the answers

What kind of cells produce antibodies?

<p>B-lymphocytes</p> Signup and view all the answers

Flashcards

Anaphylaxis

A life-threatening allergic reaction that affects the airway, breathing, circulation, and may cause skin symptoms.

Allergen

A substance that triggers an allergic reaction in a sensitive individual.

Immunoglobulin E (IgE)

An immune system protein produced by B-lymphocytes in response to allergens.

Mast Cells

Specialized immune cells that protect against harmful substances and are involved in allergic reactions.

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Degranulation

The process of releasing chemical mediators from mast cells and other immune cells.

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Histamine

A chemical mediator released during anaphylaxis that triggers systemic responses, contributing to vasodilation, bronchoconstriction, and increased vascular permeability.

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Platelet-Activating Factor (PAF)

A chemical mediator released from platelets and basophils during anaphylaxis, leading to increased vascular permeability and endothelial damage.

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Vascular Permeability

The leakage of fluid from blood vessels into surrounding tissues, contributing to swelling and edema.

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Prostaglandin D2

A chemical mediator produced by mast cells during inflammation, contributing to both bronchoconstriction and vasodilation.

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Basophils

White blood cells found in bone marrow that are involved in fighting infections and toxins, and can also be involved in allergic reactions.

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Urticaria (Hives)

A localized or generalized skin reaction characterized by red, itchy bumps and welts.

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Angioedema

Swelling beneath the skin surface.

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Objective Dyspnoea

Increased respiratory effort, often observed in anaphylaxis, characterized by rapid breathing, decreased oxygen saturation, and use of chest muscles for breathing.

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Grade 1 Anaphylaxis

A localized reaction to an allergen that does not affect vital signs.

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Grade 2 Anaphylaxis

Anaphylaxis characterized by mild to moderate reactions involving the skin or gastrointestinal tract.

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Grade 3 Anaphylaxis

Anaphylaxis characterized by severe reactions affecting the respiratory or cardiovascular systems.

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Grade 3c Anaphylaxis

Anaphylaxis with respiratory and/or cardiovascular arrest, potentially life-threatening.

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Intolerance

An adverse reaction to a substance, often a food group, that does not involve an immune response. Symptoms may include digestive upset, headaches, and skin reactions, but are not life-threatening.

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Allergy

A reaction to a substance involving an immune response, often leading to rapid and severe symptoms. It can be life-threatening.

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Adrenaline

The hormone released by the adrenal glands, used to treat anaphylaxis, acting on both the alpha and beta receptors.

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Beta Effect of Adrenaline

Effects of adrenaline on the heart, increasing contractility and heart rate, leading to increased blood pressure.

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Alpha Effect of Adrenaline

Effects of adrenaline on blood vessels, causing vasoconstriction, leading to increased blood pressure.

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Refractory Anaphylaxis

A medical condition where two doses of intramuscular adrenaline have been administered, but respiratory and cardiovascular issues persist.

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Cardiac Output

The force required to pump blood from the heart, measured in liters per minute.

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Systemic Vascular Resistance (SVR)

The resistance to blood flow in the blood vessels, contributing to blood pressure.

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Blood Pressure (BP)

A measure of the force of blood pushing against the walls of the arteries.

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Vasodilation

The widening of blood vessels, often occurring in anaphylaxis, leading to decreased blood pressure.

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Rapid Breathing

The tendency to breathe quickly, often observed in anaphylaxis, due to airway narrowing.

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Decreased Oxygen Saturation

A decrease in the oxygen level in the blood, also observed in anaphylaxis, indicating reduced oxygen intake.

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Use of Accessory Muscles

The use of chest muscles for breathing, which is not typically required in normal breathing, often observed in anaphylaxis during respiratory distress.

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Airway Narrowing

The airway narrowing, often occurring in anaphylaxis, leading to difficulty breathing.

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Increased Mucus Production

The production of excess mucus in the airway, often occurring in anaphylaxis, contributing to airway obstruction.

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Goblet Cells

The cells lining the respiratory tract that produce and secrete mucus.

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Study Notes

Anaphylaxis

  • The immune system recognises allergens as a threat and therefore produces an inappropriate response.
  • Allergic reactions can happen quite quickly, within minutes of exposure to the allergen.
  • Symptoms of intolerances and allergies can be reduced by avoiding exposure to the allergen.
  • Anaphylaxis is a severe reaction that can be generalised (rash may be on 1 area/might only affect respiratory) or systemic (effects all systems).

Pathophysiology of Anaphylaxis

  • Person is exposed to the allergen (sometimes the reaction mirrors the method in which the allergen is introduced into the body).
  • On initial exposure of allergen, B-lymphocytes produce antibodies - immunoglobulin E (IgE).
  • These bind to mast cells (these are immune cells to protect us from harmful allergens) and later to basophils (white blood cells that help us fight infections) which have IgE receptors.
  • On subsequent exposure of the same allergen - immunoglobulin E (IgE) is raised.
  • On binding with mast cells, various chemical mediators (kick-starters) are released, known as degranulation (Think of various granules that come out from these protective cells as a response) are released.
  • So which chemicals are released?? Firstly, from the mast cells - a massive amount of histamine is released - this can kick-start systemic effects, like vasodilation (so rapid drop in BP), remember drop in BP= loss of consciousness/collapse.

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Description

Explore the complex immune response triggered by allergens, leading to anaphylaxis. This quiz covers the mechanisms of allergic reactions, the role of immunoglobulin E, and the symptoms of severe allergic reactions. Understand how the immune system's misinterpretation of allergens can cause rapid and severe health consequences.

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