Hypersensitivity
58 Questions
10 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Define hypersensitivity

  • A normal immune reaction to an antigen
  • An increased immune reaction to an antigen that causes tissue damage (correct)
  • A genetic inability to react to antigens
  • An immune response limited to bacterial infections
  • How are hypersensitivities classified?

  • Based on antigen size
  • By the pathogen involved in the immune response
  • By the Gell and Coombs classification: Types I, II, III and IV (correct)
  • By the location of the immune response
  • What is atopy?

  • Excessive IgG production
  • Failure of B cells to produce antibodies
  • A normal reaction to an allergen
  • Excessive production of IgE caused by TH2 immunity (correct)
  • Which cytokine profile is responsible for the generation of atopy?

    <p>IL-4 and IL-13 from TH2 cells (A)</p> Signup and view all the answers

    Which T cells are activated to produce atopy?

    <p>TH2 cells (D)</p> Signup and view all the answers

    What is the phenotype of helper T cells involved in hypersensitivity type I?

    <p>TH2 cells producing IL-4 and IL-13 (B)</p> Signup and view all the answers

    Explain the events occurring in the sensitization phase of hypersensitivity I

    <p>Antigens are presented by APCs to CD4+ T cells, leading to the TH2 differentiation and IgE production by B cells (C)</p> Signup and view all the answers

    Which immunoglobulins is produced in large amounts in the sensitization phase of hypersensitivity?

    <p>IgE (A)</p> Signup and view all the answers

    Compare the levels of immunoglobulin E in serum and tissues

    <p>IgE is low in serum but high in tissues bound to mast cells and basophils (D)</p> Signup and view all the answers

    Where in tissues is IgE located?

    <p>Bound to Fc receptors on mast cells and basophils (A)</p> Signup and view all the answers

    What is the half-life of IgE on mast cells?

    <p>Weeks to months (A)</p> Signup and view all the answers

    Which Fc receptors are used for binding IgE to mast cells?

    <p>FcεRI. (B)</p> Signup and view all the answers

    Besides IgE, which other isotype of immunoglobulins can mediate a hypersensitivity 1 reaction in dogs?

    <p>IgG (specifically IgG4) (B)</p> Signup and view all the answers

    How many IgE molecules should be cross linked for degranulation of mast cells to occur?

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

    What molecules are released during degranulation of mast cells?

    <p>Histamine, prostaglandins, leukotrines and cytokines (C)</p> Signup and view all the answers

    How is IgE production regulated in hypersensitivity type 1?

    <p>Through IL-4 and IL-13 production by TH2 cells and CD40 co-stimulation (B)</p> Signup and view all the answers

    In which phase of hypersensitivity type I does the allergic reaction occur?

    <p>Hypersensitivity reaction phase (upon re-encounter with the allergen) (D)</p> Signup and view all the answers

    Apart from mast cells, which other cells can degranulation during a hypersensitivity type I reaction, thus contributing to the clinical presentation?

    <p>Eosinophils and basophils (A)</p> Signup and view all the answers

    What role does histamine play in an allergic reaction?

    <p>Acts as a vasodilator and increases vascular permeability, causing symptoms like itching and swelling (C)</p> Signup and view all the answers

    Why are allergies sometimes managed with administration of antihistamines?

    <p>To inhibit histamines effects on tissues, reducing symptoms like itching and swelling (A)</p> Signup and view all the answers

    Why would you recommend a corticosteroid to manage some allergies?

    <p>To suppress the immune response and reduce inflammation caused by hypersensitivity (C)</p> Signup and view all the answers

    Do memory responses exist in hypersensitivity type I?

    <p>Yes, memory B and T cells are involved, contributing to faster responses upon re-exposure (B)</p> Signup and view all the answers

    What is anaphylaxis?

    <p>A generalized, potentially life-threatening allergic reaction involving multiple systems (D)</p> Signup and view all the answers

    What events can lead to anaphylaxis?

    <p>Large does of antigens entering the body rapidly, often intravenously (D)</p> Signup and view all the answers

    What is the anaphylactic shock organ in dogs?

    <p>Liver (A)</p> Signup and view all the answers

    Outline the symptoms of anaphylaxis in animals

    <p>Difficulty breathing, collapse, vomiting, diarrhea and swelling of tissues</p> Signup and view all the answers

    How can allergic reactions to own milk develop in cattle?

    <p>By absorption of milk proteins like alpha-casein into the blood stream due to inadequate milking (C)</p> Signup and view all the answers

    A dog owner claims their pet Fido developed an allergic reaction after drinking decaf coffee for a week. Do you agree? Why or why not?

    <p>No, allergic reactions typically require prior sensitization, and the symptoms might be due to food intolerance or another cause (B)</p> Signup and view all the answers

    What is the difference between a food allergy and food intolerance?

    <p>Food allergies are immunological reactions, while food intolerance results from toxic effects of food metabolites (A)</p> Signup and view all the answers

    Describe a diagnostic test you could perform to determine the allergen causing the allergy

    <p>Conduct intradermal skin testing with diluted allergen solutions (A)</p> Signup and view all the answers

    If an animal is being treated for skin allergies with immune suppressants and anti-vascular permeability medicines, what precautions would you take to ensure that your allergy skin test works well?

    <p>Discontinue immune suppressants and anti-vascular permeability medicines before testing (D)</p> Signup and view all the answers

    If you were considering serology for allergy diagnosis, which immunoglobulin would you target?

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

    What’s the best medicine that can completely cure an allergy?

    <p>Avoidance of the allergen (D)</p> Signup and view all the answers

    What’s the principle behind the desensitization approach to managing allergies ?

    <p>Gradually increasing allergen exposure to reduce IgE levels and increase IgG production (B)</p> Signup and view all the answers

    What’s the mechanism of hypersensitivity type II?

    <p>IgG and IgM antibodies bind to antigens on cell surfaces, leading to cell destruction via complement, ADCC, or phagocytosis (C)</p> Signup and view all the answers

    Which immunoglobulins play an important role in Type II hypersensitivity?

    <p>IgM and IgG</p> Signup and view all the answers

    Describe three ways tissue destruction can occur during type II hypersensitivity

    <p>Complement activation, ADCC by NK cells, and phagocytosis by macrophages</p> Signup and view all the answers

    How does the hemolytic disease of the newborn (HDN) develop in horses?

    <p>When maternal antibodies against fetal RBCs are transferred to the foal through colostrum (A)</p> Signup and view all the answers

    What conditions must be met for HDN to occur in a newborn foal?

    <p>The fetus must inherit antigens not present in the mother, the mother must be sensitized to these antigens and the foal must ingest colostrum containing anti-RBC antibodies (B)</p> Signup and view all the answers

    A horse is treated with trimethoprim for a respiratory infection. Four weeks later, it develops a bleeding condition with anemia. Diagnostic tests reveal high levels of antibodies against platelets and RBC. What this the likely cause and mechanism?

    <p>Drug-induced type II hypersensitivity, where the drug modifies RBC and platelet surfaces, triggering antibody-mediated destruction (B)</p> Signup and view all the answers

    Do you know any infections that can lead to a hypersensitivity type II reaction?

    <p>Streptococcus spp, infectious anemia virus, Aleutian disease virus, Rickettsia, Trypanosomes</p> Signup and view all the answers

    In dogs and horses, how does rheumatic heart disease develop after infection with streptococcus spp?

    <p>Through cross-reactivity where antibodies against Streptococcus spp antigens attack heart tissue antigens, leading to chronic inflammation and damage (C)</p> Signup and view all the answers

    When too many antigen-antibody (Ag/Ab) complexes accumulate in the body, what inflammatory condition results?

    <p>Type III hypersensitivity, leading to tissue damage from immune complex deposition (B)</p> Signup and view all the answers

    Give examples of diseases associated with hypersensitivity type III

    <p>Immune complex glomerulonephritis, Rheumatoid arthritis, serum sickness, subacute bacterial endocarditis, symptoms of malaria, systemic lupus erythematosus and Arthus reaction</p> Signup and view all the answers

    Which immunoglobulins are responsible for hypersensitivity type III?

    <p>IgG and IgM</p> Signup and view all the answers

    Depending on the lactation of Ag/Ab complex deposition, what two types of hypersensitivity type III can be differentiated?

    <p>Localized (antibody excess) and generalized (antigen excess) (A)</p> Signup and view all the answers

    What type of lesions would you expect to see in the skin with local reaction of a hypersensitivity type III?

    <p>Redness, edema, bleeding, and thrombosis at the injection site (B)</p> Signup and view all the answers

    What is the phenomenon : Arthus reaction?

    <p>A localized, painful, swollen area that occurs under the skin after an injection</p> Signup and view all the answers

    What can be the cause of “blue eye” in dogs?

    <p>Deposition of immune complexes in the cornea following infections with canine adenovirus type 1 or vaccination with live adenovirus vaccine (B)</p> Signup and view all the answers

    What is serum sickness ?

    <p>A type III hypersensitivity resulting from antibodies against serum proteins introduced intravenously (B)</p> Signup and view all the answers

    What important disease is associated with serum sickness?

    <p>Membranoroliferative glomerulonephritis (B)</p> Signup and view all the answers

    What type of hypersensitivity is purpura hemorrhagica?

    <p>Type III hypersensitivity (C)</p> Signup and view all the answers

    Is it possible for dietary hypersensitivity type III to develop? How does it develop?

    <p>Yes, it develops when food proteins are absorbed into the bloodstream and form immune complexes, causing tissue damage (D)</p> Signup and view all the answers

    What’s the hallmark of Type IV hypersensitivity?

    <p>T-cell mediated delayed inflammation, typically occurring in 48-72 hours after antigen exposures (C)</p> Signup and view all the answers

    What is delayed type hypersensitivity (DTH)?

    <p>A hypersensitivity reaction mediated by T cells and macrophages occurring 24-72 hours after exposure (A)</p> Signup and view all the answers

    How long does it take for hypersensitivity type IV to develop?

    <p>24-72 hours (C)</p> Signup and view all the answers

    What is tuberculin used for in animal and human diagnostics?

    <p>As a skin test to diagnose tuberculosis via a type IV hypersensitivity reaction (B)</p> Signup and view all the answers

    Contact hypersensitivity is important in dogs. Mention the possible causes of this condition

    <p>Chemicals such as formaldehyde, dyes, flea collars, and shampoos acting as haptens (B)</p> Signup and view all the answers

    Flashcards

    Hypersensitivity

    An exaggerated immune response to an antigen, causing tissue damage.

    Gell and Coombs classification

    A way to categorize hypersensitivity reactions into types I, II, III, and IV.

    Atopy

    A tendency to develop allergic reactions, driven by an excessive production of IgE.

    TH2 cells

    A type of helper T cell that produces cytokines like IL-4 and IL-13, causing atopy.

    Signup and view all the flashcards

    Type I hypersensitivity

    An immediate hypersensitivity reaction mediated by IgE antibodies.

    Signup and view all the flashcards

    Sensitization phase

    First phase of Type I hypersensitivity where IgE is produced.

    Signup and view all the flashcards

    IgE

    An immunoglobulin primarily involved in Type I hypersensitivity, binding to mast cells.

    Signup and view all the flashcards

    FcεRI

    Fc receptor on mast cells and basophils, crucial for binding IgE.

    Signup and view all the flashcards

    Mast cell degranulation

    Release of histamine, prostaglandins, leukotrienes, and cytokines by mast cells.

    Signup and view all the flashcards

    Anaphylaxis

    A severe, life-threatening systemic allergic reaction.

    Signup and view all the flashcards

    Histamine

    A molecule released during degranulation, causing vasodilation and increased permeability.

    Signup and view all the flashcards

    Antihistamines

    Medications that block histamine's effects, reducing allergic symptoms.

    Signup and view all the flashcards

    Type II hypersensitivity

    Cytotoxic reaction where antibodies target cells for destruction.

    Signup and view all the flashcards

    Hemolytic disease of the newborn (HDN)

    Fetal destruction caused by maternal antibodies to fetal antigens.

    Signup and view all the flashcards

    Type III hypersensitivity

    Immune complex-mediated reaction, causing inflammation from Ag-Ab complex deposition.

    Signup and view all the flashcards

    Serum sickness

    Type III hypersensitivity caused by antibodies against injected serum proteins.

    Signup and view all the flashcards

    Arthus reaction

    Localized, severe inflammatory reaction at the site of injection.

    Signup and view all the flashcards

    Food allergy

    Immunological reactions to food components.

    Signup and view all the flashcards

    Food intolerance

    Non-immunological adverse effects to food components.

    Signup and view all the flashcards

    Skin testing

    Diagnostic test to identify allergens.

    Signup and view all the flashcards

    Serology

    Testing for the presence of antibodies in blood.

    Signup and view all the flashcards

    Desensitization

    Allergy treatment by gradually increasing allergen exposure to reduce allergic responses.

    Signup and view all the flashcards

    Memory response

    Faster immune response upon re-exposure to an allergen.

    Signup and view all the flashcards

    More Like This

    Use Quizgecko on...
    Browser
    Browser