Hypersensitivity and Allergy Types
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Questions and Answers

What type of hypersensitivity reaction involves the activation of cytotoxic cells and requires a latent period of sensitization?

  • Type II Hypersensitivity
  • Type III Hypersensitivity
  • Type IV Hypersensitivity (correct)
  • Type I Hypersensitivity
  • Which autoimmune disorder is characterized by the presence of anti-CCP antibodies?

  • Rheumatoid Arthritis (RA) (correct)
  • Systemic Lupus Erythematosus (SLE)
  • Hashimoto's Thyroiditis
  • Type 1 Diabetes
  • What is the primary mechanism of tissue damage in Type III Hypersensitivity reactions?

  • Immune complex deposition in tissues (correct)
  • Complement-mediated lysis of cells
  • T cell-mediated cytotoxicity
  • Antibody-dependent cellular cytotoxicity
  • Which of the following is NOT a characteristic symptom of Severe Combined Immunodeficiency Disease (SCID)?

    <p>Joint pain and swelling</p> Signup and view all the answers

    What is the typical time course of a Type I Hypersensitivity reaction?

    <p>Immediate reaction within minutes</p> Signup and view all the answers

    What is the primary role of IgE antibodies in Type I Hypersensitivity reactions?

    <p>Mediating immediate allergic reactions</p> Signup and view all the answers

    Which of the following is an example of a Type II Hypersensitivity reaction?

    <p>Acute hemolytic reaction after a blood transfusion</p> Signup and view all the answers

    What is the characteristic skin lesion seen in Systemic Lupus Erythematosus (SLE)?

    <p>Butterfly rash</p> Signup and view all the answers

    What is the primary characteristic of DiGeorge syndrome?

    <p>Genetic disorder causing thymic hypoplasia leading to T-cell deficiency</p> Signup and view all the answers

    What is the term for a high white blood cell count indicating infection or inflammation?

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

    What is the primary cause of anemia in anemia of acute blood loss?

    <p>Rapid loss of blood</p> Signup and view all the answers

    What is the term for a cancer of the blood and bone marrow that affects white blood cells?

    <p>Acute Lymphoblastic Leukemia (ALL)</p> Signup and view all the answers

    What is the term for a condition where there is a deficiency of red blood cells or hemoglobin?

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

    What is the term for an anemia caused by the destruction of red blood cells?

    <p>Hemolytic Anemia</p> Signup and view all the answers

    What is the term for a genetic disorder that affects lymphocyte development?

    <p>Severe Combined Immunodeficiency (SCID)</p> Signup and view all the answers

    What is the term for a low white blood cell count, increasing infection risk?

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

    What is the primary cause of acute bronchitis?

    <p>Infection of the bronchi</p> Signup and view all the answers

    What are the characteristic signs and symptoms of pneumonia?

    <p>Fever, cough, chest pain, and dyspnea</p> Signup and view all the answers

    What is the primary feature of obstructive disorders?

    <p>Airway obstruction</p> Signup and view all the answers

    What is the underlying pathology of chronic obstructive pulmonary disease (COPD)?

    <p>Chronic bronchitis and emphysema</p> Signup and view all the answers

    What is the characteristic symptom of pneumothorax?

    <p>Sudden chest pain</p> Signup and view all the answers

    What is the primary feature of pulmonary edema?

    <p>Accumulation of fluid in the lungs</p> Signup and view all the answers

    What is the primary presentation of pulmonary hypertension?

    <p>Dyspnea and fatigue</p> Signup and view all the answers

    What is the characteristic symptom of adult respiratory distress syndrome (ARDS)?

    <p>Severe dyspnea</p> Signup and view all the answers

    What is a common consequence of thrombocytopenia?

    <p>Increased bruising and bleeding risks</p> Signup and view all the answers

    Pernicious anemia is primarily characterized by a deficiency of which nutrient?

    <p>Vitamin B12</p> Signup and view all the answers

    Which condition is associated with an increased risk of bleeding due to clotting factor deficiencies?

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

    What symptom is typically observed in a patient with iron-deficiency anemia?

    <p>Craving for non-food substances</p> Signup and view all the answers

    Which sign is commonly associated with hemolytic disease of the newborn?

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

    Which of the following statements accurately describes a feature of atherosclerosis?

    <p>It results in plaque formation in arterial walls</p> Signup and view all the answers

    What is a major risk associated with an untreated cerebral aneurysm?

    <p>Rupture leading to hemorrhagic stroke</p> Signup and view all the answers

    What clinical feature is often seen in Kawasaki disease?

    <p>Fever and rash</p> Signup and view all the answers

    What is a primary symptom that differentiates Acute Myocardial Infarction (AMI) from Acute Coronary Syndrome (ACS)?

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

    What is the consequence of untreated infective endocarditis on the heart?

    <p>Development of valvular insufficiency</p> Signup and view all the answers

    Which symptom is least likely to be associated with heart failure?

    <p>Chest tightness</p> Signup and view all the answers

    In the context of venous insufficiency, which of the following is not a typical symptom?

    <p>Cyanosis of the legs</p> Signup and view all the answers

    What serious condition could result from Deep Venous Thromboembolism (DVT) if not treated promptly?

    <p>Pulmonary embolism</p> Signup and view all the answers

    Which of the following symptoms is commonly associated with acute sinusitis?

    <p>Facial pain</p> Signup and view all the answers

    What symptom is characteristic of epiglottitis, indicating a potentially life-threatening condition?

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

    Which of the following is NOT a common symptom of acute pharyngitis?

    <p>Runny nose</p> Signup and view all the answers

    Study Notes

    Hypersensitivity

    • Type I Hypersensitivity: immediate allergic reactions mediated by IgE antibodies
      • Symptoms: hives, bronchoconstriction, vasodilation, edema
      • Example: person stung by a bee experiencing anaphylactic shock
    • Type II Hypersensitivity: cytotoxic reactions where IgG or IgM antibodies target cells for destruction
      • Symptoms: hemolysis, tissue damage
      • Example: patient receiving wrong blood type during transfusion
    • Type III Hypersensitivity: immune complex-mediated reactions where antigen-antibody complexes deposit in tissues
      • Symptoms: inflammation, tissue damage
      • Example: post-streptococcal glomerulonephritis causing kidney inflammation
    • Type IV Hypersensitivity: delayed-type reactions mediated by T cells
      • Symptoms: localized skin reactions, chronic inflammation
      • Example: tuberculin skin test showing delayed reaction in tuberculosis

    Autoimmune Disorders

    • Systemic Lupus Erythematosus (SLE): chronic autoimmune disease causing widespread inflammation and tissue damage
      • Symptoms: butterfly rash, joint pain, kidney damage, fatigue
      • Example: young woman presenting with facial rash and joint pain, diagnosed with SLE after positive ANA test
    • Rheumatoid Arthritis (RA): autoimmune disorder causing chronic inflammation of the joints
      • Symptoms: joint swelling, pain, stiffness, deformities
      • Example: middle-aged patient with morning stiffness and swollen joints, confirmed as RA via rheumatoid factor and anti-CCP antibodies

    Immunodeficiency Disorders

    • Severe Combined Immunodeficiency Disease (SCID): genetic disorder causing profound immune system deficiency
      • Symptoms: frequent infections, failure to thrive
      • Example: infant with persistent infections and poor growth, diagnosed with SCID and requiring bone marrow transplant
    • Selective IgA Deficiency: most common primary immunodeficiency, marked by low levels of IgA
      • Symptoms: recurrent respiratory and gastrointestinal infections
      • Example: child with recurrent sinus infections and chronic diarrhea, found to have low serum IgA levels
    • DiGeorge Syndrome: genetic disorder causing thymic hypoplasia, leading to T-cell deficiency
      • Symptoms: congenital heart defects, hypocalcemia, recurrent infections
      • Example: newborn with cardiac anomalies, facial dysmorphisms, and low T-cell count, diagnosed with DiGeorge syndrome
    • HIV Infection: virus that attacks the body's immune system, specifically the CD4+ T cells
      • Symptoms: fever, weight loss, opportunistic infections, Kaposi's sarcoma
      • Example: adult with recurrent infections and weight loss, tested positive for HIV and requires antiretroviral therapy

    White Blood Cell Disorders

    • Leukopenia: low white blood cell count, increasing infection risk
      • Symptoms: frequent infections, fever, chills
      • Example: patient undergoing chemotherapy presents with recurrent fevers and is diagnosed with leukopenia
    • Leukocytosis: high white blood cell count, indicating infection or inflammation
      • Symptoms: fever, swelling, pain
      • Example: patient with appendicitis shows elevated white blood cell count in blood tests
    • Acute Lymphoblastic Leukemia (ALL): cancer of the blood and bone marrow that affects white blood cells
      • Symptoms: fatigue, fever, bleeding, bone pain
      • Example: child presenting with fatigue, bruising, and bone pain, diagnosed with ALL after bone marrow biopsy
    • Chronic Lymphocytic Leukemia (CLL): slow-growing leukemia affecting lymphocytes
      • Symptoms: enlarged lymph nodes, fatigue, weight loss
      • Example: elderly patient with painless swollen lymph nodes and night sweats, diagnosed with CLL via blood tests showing high lymphocyte count
    • Hodgkin's Lymphoma: type of lymphoma characterized by the presence of Reed-Sternberg cells
      • Symptoms: painless lymph node enlargement, night sweats, weight loss
      • Example: young adult with painless neck lump and persistent night sweats, diagnosed with Hodgkin's lymphoma after lymph node biopsy
    • Non-Hodgkin's Lymphoma: diverse group of blood cancers affecting lymphocytes
      • Symptoms: swollen lymph nodes, fever, night sweats, weight loss
      • Example: middle-aged patient with unexplained weight loss and fever, found to have non-Hodgkin's lymphoma on imaging and biopsy

    Red Blood Cell Disorders

    • Anemia: condition where there is a deficiency of red blood cells or hemoglobin
      • Symptoms: fatigue, pallor, shortness of breath, dizziness
      • Example: patient with chronic fatigue and pallor, diagnosed with anemia through low hemoglobin levels
    • Anemia of Acute Blood Loss: rapid loss of blood causing a decrease in red blood cell mass
      • Symptoms: hypotension, tachycardia, pallor, fatigue
      • Example: trauma patient with significant blood loss from an injury, showing signs of acute anemia
    • Anemia of Chronic Blood Loss: slow, ongoing blood loss leading to anemia
      • Symptoms: fatigue, pallor, dizziness
      • Example: patient with chronic gastrointestinal bleeding from ulcers, resulting in anemia
    • Hemolytic Anemia: anemia caused by the destruction of red blood cells
      • Symptoms: jaundice, dark urine, fatigue
      • Example: patient with jaundice and dark urine, diagnosed with hemolytic anemia after blood tests
    • Sickle Cell Anemia: genetic disorder causing abnormal hemoglobin, leading to sickle-shaped red blood cells
      • Symptoms: painful crises, anemia, infections
      • Example: child with recurrent painful episodes and anemia, diagnosed with sickle cell disease through genetic testing
    • Hemolytic Disease of the Newborn: condition where maternal antibodies attack fetal red blood cells
      • Symptoms: jaundice, anemia, edema
      • Example: newborn with severe jaundice and anemia, diagnosed with hemolytic disease of the newborn after Coombs test
    • Iron-Deficiency Anemia: anemia caused by a lack of iron, leading to reduced hemoglobin production
      • Symptoms: fatigue, pallor, pica
      • Example: patient with chronic fatigue and craving for non-food substances, diagnosed with iron-deficiency anemia after iron studies
    • Pernicious Anemia: anemia caused by vitamin B12 deficiency due to lack of intrinsic factor
      • Symptoms: fatigue, glossitis, neurological symptoms
      • Example: elderly patient with fatigue and numbness in hands, diagnosed with pernicious anemia after blood tests showing low B12 levels

    Platelets, Hemostasis, and Coagulation Disorders

    • Thrombocytopenia: low platelet count leading to increased bleeding risk
      • Symptoms: easy bruising, petechiae, excessive bleeding
      • Example: patient with unexplained bruising and low platelet count diagnosed with thrombocytopenia
    • Thrombocytosis: high platelet count leading to increased clotting risk
      • Symptoms: headaches, dizziness, chest pain
      • Example: patient with persistent headaches and high platelet count found to have thrombocytosis
    • Immune Thrombocytopenic Purpura (ITP): autoimmune disorder causing platelet destruction
      • Symptoms: bruising, petechiae, nosebleeds
      • Example: child with sudden onset of bruising and petechiae, diagnosed with ITP
    • Hemophilia: genetic disorder causing deficient clotting factors
      • Symptoms: prolonged bleeding, hemarthrosis
      • Example: young boy with excessive bleeding after minor injuries, diagnosed with hemophilia
    • Hemolytic-Uremic Syndrome (HUS): condition causing hemolysis and kidney failure, often triggered by infection
      • Symptoms: bloody diarrhea, hematuria, renal failure
      • Example: child presenting with bloody diarrhea and renal failure after E. coli infection, diagnosed with HUS

    Arterial Disorders

    • Hyperlipidemia: elevated levels of lipids in the blood, increasing atherosclerosis risk
      • Symptoms: often asymptomatic, detected via blood tests
      • Example: patient with high cholesterol levels identified during routine blood screening
    • Hypertension: chronic high blood pressure leading to cardiovascular damage
      • Symptoms: often asymptomatic, can cause headaches, vision problems
      • Example: patient with consistent blood pressure readings above 140/90 mmHg, diagnosed with hypertension
    • Atherosclerosis: buildup of plaque in the arterial walls leading to reduced blood flow
      • Symptoms: chest pain, leg pain, shortness of breath
      • Example: patient with chest pain during exertion, diagnosed with coronary artery disease due to atherosclerosis
    • Aneurysm: abnormal dilation of a blood vessel, risking rupture
      • Symptoms: often asymptomatic, detected via imaging
      • Example: patient with sudden severe headache, found to have a cerebral aneurysm on a CT scan
    • Kawasaki Disease: acute childhood illness causing inflammation of blood vessels
      • Symptoms: fever, rash, swollen hands and feet
      • Example: child with prolonged fever and red eyes, diagnosed with Kawasaki disease after clinical examination

    Ischemic Heart Disease and Conduction Disorders

    • Acute Coronary Syndrome (ACS): spectrum of conditions caused by reduced blood flow to the heart
      • Symptoms: chest pain, shortness

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    Description

    Identify and understand the different types of hypersensitivity reactions, including immediate allergic reactions and cytotoxic reactions. Learn about the symptoms and examples of each type.

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