Hypersensitivity Reactions Overview
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Questions and Answers

Which type of hypersensitivity reaction is characterized by T-cell-mediated inflammation?

  • Type II hypersensitivity
  • Type IV hypersensitivity (correct)
  • Type I hypersensitivity
  • Type III hypersensitivity
  • What is a common feature of Type I hypersensitivity reactions?

  • Immune complexes deposit in tissues.
  • T cells destroy pancreatic beta cells.
  • IgG/IgM antibodies attack self-tissue.
  • Mast cell degranulation occurs. (correct)
  • Which of the following is NOT a risk factor for Type IV hypersensitivity?

  • Contact with certain chemicals like formaldehyde
  • Infectious diseases like tuberculosis
  • Exposure to allergens like poison ivy
  • Blood transfusions (correct)
  • For which type of hypersensitivity is prior exposure indicated by a positive Mantoux test?

    <p>Type IV hypersensitivity</p> Signup and view all the answers

    Which statement about Type II hypersensitivity is correct?

    <p>It results from IgG/IgM antibodies attacking self-tissue.</p> Signup and view all the answers

    What initiates the production of IgE antibodies in Type I hypersensitivity reactions?

    <p>Initial exposure to environmental allergens</p> Signup and view all the answers

    Which clinical manifestation is associated with Type I hypersensitivity reactions?

    <p>Urticaria (hives)</p> Signup and view all the answers

    What is the mechanism of action behind Type II hypersensitivity reactions?

    <p>Opsonization and phagocytosis of cells</p> Signup and view all the answers

    Which of the following conditions is an example of Type II hypersensitivity?

    <p>Myasthenia gravis</p> Signup and view all the answers

    In Type I hypersensitivity, which substance is primarily released by mast cells upon re-exposure to an allergen?

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

    What are commonly associated risk factors for Type I hypersensitivity reactions?

    <p>Family history of allergies and environmental exposure</p> Signup and view all the answers

    Which of the following best describes Type II hypersensitivity reactions?

    <p>Cell destruction mediated by antibodies against specific antigens</p> Signup and view all the answers

    What is a key characteristic of Type I hypersensitivity reactions regarding their transmissibility?

    <p>They are not transmissible</p> Signup and view all the answers

    What is the primary cause of Type III Hypersensitivity?

    <p>The formation of immune complexes that are deposited in tissues</p> Signup and view all the answers

    What occurs during the sensitization phase of Type IV Hypersensitivity?

    <p>Memory T cells are generated</p> Signup and view all the answers

    Which statement accurately describes the pathophysiology of Type III Hypersensitivity?

    <p>Immune complexes activate the Complement System, leading to tissue damage.</p> Signup and view all the answers

    What type of agents can trigger Type IV Hypersensitivity?

    <p>Environmental antigens like poison ivy</p> Signup and view all the answers

    Which of the following autoimmune diseases is categorized under Type III Hypersensitivity?

    <p>Systemic lupus erythematosus</p> Signup and view all the answers

    In Type IV Hypersensitivity, which cells are primarily involved in the delayed inflammatory response?

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

    What kind of response is characterized by the recruitment of neutrophils in Type III Hypersensitivity?

    <p>Complement activation response</p> Signup and view all the answers

    Study Notes

    Hypersensitivity Reactions

    • Hypersensitivity reactions are immune responses that cause harm rather than benefit.
    • Four main types of hypersensitivity reactions exist: Type I, Type II, Type III, and Type IV.

    Type I Hypersensitivity (Immediate/Allergic Reactions)

    • Cause: Exposure to allergens like pollen, pet dander, food, insect venom, or medications.
    • Pathophysiology:
      • Sensitization phase: Initial exposure triggers IgE antibody production, binding to mast cells and basophils.
      • Re-exposure: Subsequent exposure causes cross-linking of IgE, triggering mast cell degranulation and release of histamine, leukotrienes, prostaglandins.
      • This leads to increased vascular permeability, smooth muscle contraction, and mucus secretion.
    • Clinical Manifestations: Urticaria (hives), allergic rhinitis (hay fever), asthma, and anaphylaxis.
    • Transmission: Not transmissible; a response triggered by exposure to allergens.
    • Risk Factors: Genetic predisposition to atopy (family history of allergies, asthma, or eczema), environmental exposure to allergens, and occupation-related exposure.

    Type II Hypersensitivity (Cytotoxic Reactions)

    • Cause: Autoimmune disorders (e.g., Graves' disease, Myasthenia gravis) and blood transfusion reactions where the body's immune system targets its own tissues (self-antigens) or foreign antigens.
    • Pathophysiology:
      • Antibodies (IgG or IgM) bind to antigens on cell surfaces.
      • This leads to opsonization and phagocytosis by macrophages.
      • Complement system activation causes cell lysis and death.
    • Examples: Graves' disease (antibodies bind to TSH receptors), Myasthenia gravis (antibodies block acetylcholine receptors).
    • Transmission: Not transmissible; a result of the body's immune response to self or foreign antigens.

    Type III Hypersensitivity (Immune Complex-Mediated)

    • Cause: Formation of immune complexes (antigen-antibody complexes) that deposit in tissues, leading to inflammation.
    • Pathophysiology:
      • Circulating immune complexes become trapped in blood vessels or tissues.
      • Complement activation recruits neutrophils, releasing enzymes causing tissue damage.
      • Inflammation and necrosis result in organ damage.
    • Examples: Systemic lupus erythematosus (SLE), rheumatoid arthritis (RA).
    • Transmission: Not transmissible; a result of the body's immune response to self or foreign antigens.
    • Risk Factors: Autoimmune diseases (e.g., SLE and RA), chronic infections.

    Type IV Hypersensitivity (Delayed/Cell-Mediated)

    • Cause: Exposure to environmental antigens (e.g., poison ivy), medications, or infectious agents.
    • Pathophysiology:
      • Sensitization phase: Memory T cells are generated after initial exposure.
      • Re-exposure: Activates memory T cells, releasing cytokines like IFN-γ and TNF-α.
      • Delayed inflammatory response leads to macrophage recruitment and tissue damage.
    • Examples: Contact dermatitis (e.g., poison ivy).
    • Transmission: Not transmissible; a result of T-cell-mediated immune responses.
    • Risk Factors: Exposure to allergens, topical medications, chemicals like formaldehyde, and infections (e.g., Tuberculosis).

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    Description

    This quiz covers the immune responses associated with hypersensitivity reactions, specifically focusing on Type I hypersensitivity. Learn about the causes, pathophysiology, clinical manifestations, and risk factors of allergic reactions. Test your knowledge of how the immune system can cause harm through these types of responses.

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