Hypersensitivity Reactions Overview
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Questions and Answers

What does atopy refer to in medical terms?

  • A type of seasonal allergy
  • A condition causing hard breathing
  • An immediate allergic reaction
  • The tendency to produce IgE-mediated antibodies (correct)

What percentage of the population in developed countries is estimated to be atopic?

  • 30-35%
  • 40% (correct)
  • 50-55%
  • 20-25%

What is the primary characteristic of hives (urticaria)?

  • Raised itchy swellings (correct)
  • Anaphylactic shock
  • Difficulty breathing
  • Chronic sneezing

What does the term 'asthma' literally mean?

<p>Breathe hard (B)</p> Signup and view all the answers

What is a potential consequence of anaphylaxis if left untreated?

<p>Death (C)</p> Signup and view all the answers

What percentage of Canadians are affected by seasonal allergic rhinitis (hay fever)?

<p>20-25% (A)</p> Signup and view all the answers

Food allergies impact which percentage of Canadians?

<p>6-8% (D)</p> Signup and view all the answers

Which insects are most commonly associated with allergic reactions?

<p>Bees, wasps, and yellow-jackets (D)</p> Signup and view all the answers

What type of allergic reaction is asthma most commonly associated with?

<p>Type I allergy (B)</p> Signup and view all the answers

What has been the trend in allergy prevalence over the last 30 years?

<p>Increased 2 to 3-fold (B)</p> Signup and view all the answers

Which type of hypersensitivity reaction is primarily mediated by IgE antibodies?

<p>Type I - Allergies and Anaphylaxis (D)</p> Signup and view all the answers

What characterizes Type II hypersensitivity reactions?

<p>Antibodies binding to antigens on cells or tissues (B)</p> Signup and view all the answers

Which statement accurately describes the immunological mechanisms of Type III hypersensitivity reactions?

<p>They involve IgG antibodies forming complexes with soluble antigens. (D)</p> Signup and view all the answers

What does sensitization to an antigen entail in the context of hypersensitivity reactions?

<p>A primary immune response that can elicit a secondary response later. (D)</p> Signup and view all the answers

Which of the following correctly identifies a common feature shared by all types of hypersensitivity reactions?

<p>They all involve a heightened reaction to a specific antigen. (D)</p> Signup and view all the answers

Which type of hypersensitivity is specifically associated with delayed-type mechanisms?

<p>Type IV - Cell-mediated (C)</p> Signup and view all the answers

What is an allergen?

<p>An antigen that typically causes an IgE antibody response. (C)</p> Signup and view all the answers

What role do memory responses play in hypersensitivity reactions?

<p>They allow for a quicker and more potent reaction upon re-exposure. (C)</p> Signup and view all the answers

Which is an example of a Type I hypersensitivity reaction?

<p>Allergic asthma (D)</p> Signup and view all the answers

How can the antigen involved in hypersensitivity be characterized?

<p>It can be a protein, hapten, or drug complexed with a protein. (A)</p> Signup and view all the answers

Flashcards

Hypersensitivity Reactions

Heightened immune responses to antigens, potentially damaging or fatal.

Type I Hypersensitivity

Immediate hypersensitivity reactions involving IgE antibodies, like allergies and anaphylaxis.

Type II Hypersensitivity

Antibody-mediated hypersensitivity where antibodies (IgG or IgM) target cells or tissues.

Type III Hypersensitivity

Immune complex hypersensitivity caused by antibody-antigen complexes that deposit in tissues.

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Type IV Hypersensitivity

Delayed-type hypersensitivity involving T cells and macrophages, a slower response.

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Allergen

An antigen that triggers an allergic reaction in susceptible individuals.

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Gell & Coombs Classification

A system for classifying hypersensitivity reactions into four types (I-IV).

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Anaphylaxis

A severe, potentially life-threatening allergic reaction.

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Antibody-mediated

Involves antibodies targeting specific particles or cells in the body.

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Cell-mediated

Hypersensitivity involving T-cells and macrophages, rather than antibodies.

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Atopy

A tendency to develop allergic reactions, often involving IgE-mediated antibodies.

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Allergy prevalence

A significant portion of people in developed countries show allergic tendencies.

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Urticaria

Hives; itchy, raised skin swellings.

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Asthma

A chronic breathing condition caused by a hypersensitivity reaction (often allergic).

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Seasonal Allergic Rhinitis

Hay fever; an allergic reaction to seasonal triggers.

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Allergic Asthma

Asthma triggered by allergies.

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Food Allergies (Prevalence)

Affecting a substantial portion (6-8%) of Canadians.

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Allergy Increase

Allergy occurrences have doubled or tripled over the last 30 years.

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Hypersensitivity

An exaggerated immune response to a harmless substance.

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Study Notes

Hypersensitivity Reactions Overview

  • Hypersensitivity reactions (HSRs) are heightened immune responses to antigens, potentially harmful or fatal.
  • Gell & Coombs classification categorizes HSRs into four types (I-IV).
  • Type I: Allergy/anaphylaxis/atopic reactions
  • Type II: Antibody-mediated, antibodies bind to cells/tissues.
  • Type III: Immune complex-mediated, involves IgG and soluble antigens.
  • Type IV: Delayed-type hypersensitivity (DTH), cell-mediated via T-cells and macrophages.

Common Features of Hypersensitivity Reactions

  • Adaptive immune response, involves sensitization to the antigen (primary response).
  • Memory response develops, can last for years.
  • Antigens are often proteins (or haptens/drugs conjugated with proteins).

Type I Hypersensitivity Reactions (Immediate Hypersensitivity)

  • Characterized by immediate reactions due to IgE antibodies.
  • Triggers include allergens (innocuous antigens), typically proteins initiating IgE responses.
  • Atopic individuals ( ~40% of developed world population) are more prone to IgE mediated responses.
  • Recent data shows a 2-3 fold increase in allergy occurrence in the last 30 years.
  • Conditions associated with type I include:
    • Allergic asthma (studied as a case example)
    • Seasonal allergic rhinitis ("hay fever")
    • Food allergies (affecting ~6-8% of Canadians)
    • Reactions to insect stings (bees, wasps, yellow jackets)
    • Hives (urticaria)

Key Terms

  • Allergy: Altered reactivity to an antigen.
  • Allergen: Antigen causing allergic reaction.
  • Atopy: Tendency to develop IgE-mediated antibodies to allergens.
  • Asthma: Chronic respiratory condition, often allergic in nature.
  • Anaphylaxis: Exaggerated systemic allergic reaction, potentially fatal.

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Description

This quiz covers the classification and key features of hypersensitivity reactions, including Gell & Coombs classification types I-IV. Explore the mechanisms of each type, from immediate allergic responses to delayed-type hypersensitivity. Test your knowledge on how these immune responses can vary and their implications on health.

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