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Questions and Answers
What role do eosinophils and neutrophils play in late phase reactions?
What role do eosinophils and neutrophils play in late phase reactions?
They secrete proteases that cause tissue damage.
What characterizes systemic anaphylaxis upon re-exposure to an allergen?
What characterizes systemic anaphylaxis upon re-exposure to an allergen?
It is characterized by edema in tissues, a drop in blood pressure, respiratory distress, and urticarial rash.
How do airborne allergens affect the eyes and upper airways in localized anaphylaxis?
How do airborne allergens affect the eyes and upper airways in localized anaphylaxis?
They cause red, itchy, tearing eyes and increase mucus secretion, leading to nasal congestion, coughing, and sneezing.
What symptoms arise from bronchial asthma related to localized anaphylaxis?
What symptoms arise from bronchial asthma related to localized anaphylaxis?
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What is the principal purpose of conducting an allergy skin test?
What is the principal purpose of conducting an allergy skin test?
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Describe the procedure of the allergy skin test.
Describe the procedure of the allergy skin test.
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In what ways can food or drug allergens manifest within the gastrointestinal tract?
In what ways can food or drug allergens manifest within the gastrointestinal tract?
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What immediate effects occur during the degranulation of mast cells in systemic anaphylaxis?
What immediate effects occur during the degranulation of mast cells in systemic anaphylaxis?
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What is the role of IgE antibodies in Type I hypersensitivity?
What is the role of IgE antibodies in Type I hypersensitivity?
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What physiological mediators are released during the degranulation of mast cells?
What physiological mediators are released during the degranulation of mast cells?
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How does genetic predisposition influence Type I hypersensitivity reactions?
How does genetic predisposition influence Type I hypersensitivity reactions?
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What is the immediate response in Type I hypersensitivity upon re-exposure to an allergen?
What is the immediate response in Type I hypersensitivity upon re-exposure to an allergen?
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What types of substances can act as allergens in Type I hypersensitivity?
What types of substances can act as allergens in Type I hypersensitivity?
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Describe the late-phase reaction in Type I hypersensitivity.
Describe the late-phase reaction in Type I hypersensitivity.
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What is the significance of T helper 2 (TH2) cells in Type I hypersensitivity?
What is the significance of T helper 2 (TH2) cells in Type I hypersensitivity?
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What happens to the vascular system during a Type I hypersensitivity reaction?
What happens to the vascular system during a Type I hypersensitivity reaction?
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What role does the Fc region of antibodies play in ADCC?
What role does the Fc region of antibodies play in ADCC?
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How does the C3b protein function in the immune response?
How does the C3b protein function in the immune response?
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What is the clinical consequence of transfusing incompatible ABO blood types?
What is the clinical consequence of transfusing incompatible ABO blood types?
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Describe the mechanism behind hemolytic disease of the newborn.
Describe the mechanism behind hemolytic disease of the newborn.
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What is the purpose of the Coombs' test in diagnosing hemolytic disease?
What is the purpose of the Coombs' test in diagnosing hemolytic disease?
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How does exchange transfusion help a newborn with hemolytic disease?
How does exchange transfusion help a newborn with hemolytic disease?
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What treatment is given to Rh-negative mothers after delivery of a Rh-positive baby?
What treatment is given to Rh-negative mothers after delivery of a Rh-positive baby?
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Explain how antibodies targeting normal cellular receptors can lead to diseases like Graves' disease.
Explain how antibodies targeting normal cellular receptors can lead to diseases like Graves' disease.
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What is the significance of the wheal size in allergic reactions?
What is the significance of the wheal size in allergic reactions?
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How do drugs like epinephrine aid in allergic reactions?
How do drugs like epinephrine aid in allergic reactions?
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What is the role of specific IgE in allergy diagnosis?
What is the role of specific IgE in allergy diagnosis?
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Describe one mechanism by which antibodies cause tissue damage in Type II hypersensitivity.
Describe one mechanism by which antibodies cause tissue damage in Type II hypersensitivity.
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Why is identifying and avoiding allergens crucial in allergy management?
Why is identifying and avoiding allergens crucial in allergy management?
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What is allergen-specific immunotherapy and how does it work?
What is allergen-specific immunotherapy and how does it work?
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How do antihistamines function in the treatment of allergies?
How do antihistamines function in the treatment of allergies?
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What is the initial time frame for observing reactions to allergens after exposure?
What is the initial time frame for observing reactions to allergens after exposure?
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What is the underlying mechanism by which autoimmune hemolytic anemia occurs?
What is the underlying mechanism by which autoimmune hemolytic anemia occurs?
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Explain how penicillin can lead to hemolytic anemia.
Explain how penicillin can lead to hemolytic anemia.
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What role do antistreptococcal antibodies play in rheumatic fever?
What role do antistreptococcal antibodies play in rheumatic fever?
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Describe the mechanism of tissue injury in type III hypersensitivity reactions.
Describe the mechanism of tissue injury in type III hypersensitivity reactions.
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What diagnostic tests can be used to identify autoimmune diseases related to type II hypersensitivity?
What diagnostic tests can be used to identify autoimmune diseases related to type II hypersensitivity?
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In which autoimmune condition does antibody binding to cellular receptors interfere with normal receptor function?
In which autoimmune condition does antibody binding to cellular receptors interfere with normal receptor function?
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What inflammatory effect is caused by immune complexes in type III hypersensitivity?
What inflammatory effect is caused by immune complexes in type III hypersensitivity?
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How do anti-inflammatory and immunosuppressive agents help in treating autoimmune diseases?
How do anti-inflammatory and immunosuppressive agents help in treating autoimmune diseases?
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What is the primary mechanism behind the development of serum sickness after exposure to foreign serum?
What is the primary mechanism behind the development of serum sickness after exposure to foreign serum?
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Describe the Arthus reaction and its common triggers.
Describe the Arthus reaction and its common triggers.
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How are immune complex-mediated diseases differentiated between bacterial and viral origins?
How are immune complex-mediated diseases differentiated between bacterial and viral origins?
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What role does complement component C3 play in the diagnosis of immune complex diseases?
What role does complement component C3 play in the diagnosis of immune complex diseases?
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Discuss the role of corticosteroids in the treatment of immune complex diseases.
Discuss the role of corticosteroids in the treatment of immune complex diseases.
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What is the key difference between Type IV hypersensitivity and other types of hypersensitivity reactions?
What is the key difference between Type IV hypersensitivity and other types of hypersensitivity reactions?
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How do CD4+ helper T cells contribute to tissue damage in Type IV hypersensitivity reactions?
How do CD4+ helper T cells contribute to tissue damage in Type IV hypersensitivity reactions?
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What is farmer's lung and how is it related to immune complex formation?
What is farmer's lung and how is it related to immune complex formation?
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Study Notes
Type I Hypersensitivity Reaction (Immediate Hypersensitivity)
- Type I hypersensitivity involves IgE antibodies and mast cells.
- Allergic reactions occur within minutes of re-exposure.
- Allergens trigger allergic reactions in the body.
- Allergens can be various substances like pollen, foods, bee venom or serum proteins.
- Antigen-presenting cells process the allergen.
- Helper T2 cells (TH2) receive and activate B cells.
- Activated B cells release IgE antibodies.
- IgE antibodies bind to mast cells and basophils.
- Sensitization occurs.
- Subsequent exposure to the same allergen triggers degranulation.
- This releases various mediators including histamine, leukotrienes, heparin, prostaglandins, and platelet-activating factor (PAF).
- Effects include smooth muscle contraction, vasodilation, and increased vascular permeability.
- Other effects are increased mucus secretion, itching and pain.
Clinical Presentations
- Systemic anaphylaxis involves widespread edema, fainting, respiratory distress, and a drop in blood pressure.
- Localized anaphylaxis (atopic) affects the respiratory passages, digestive tract, and skin.
- Symptoms include difficulty breathing, wheezing, bronchial asthma, red itchy eyes, and tearing.
- Symptoms may include skin rash, itching, and pain.
- Food or drug allergies may lead to abdominal pain, cramps, vomiting, diarrhea, and a reaction on the skin.
Diagnosis
- Allergy skin tests are performed to identify causative allergens.
- Common allergens include pollen, molds, tree pollen, plant or weed pollen, cat/animal dander and common substances.
- Skin prick tests are used, where allergens are pricked into the skin.
- Allergy blood tests measure total serum IgE levels or specific IgE antibodies against specific allergens by radioallergosorbent assay (RAST).
Management
- Avoiding allergens is the most effective way to prevent reactions.
- Drugs (epinephrine) can relieve symptoms by relacing smooth muscles andconstricting blood vessels.
- Antihistamines block histamine binding to receptors.
- Corticosteroids reduce inflammation.
- Mast cell stabilizers (sodium cromoglycate) inhibit mast cell degranulation.
Allergen Specific Immunotherapy
- Recommended when medications fail.
- Involves repeated subcutaneous allergen administration in small doses.
- Aims to change the T-cell response from Th2 dominance to Th1 dominance.
- May increase the production of IgG antibodies to neutralize allergens.
Antibody-mediated Type II Hypersensitivity Reaction (Cytotoxic)
- Antibodies react with antigens on cell surfaces.
- This triggers cell lysis, inflammation, and tissue damage.
Alloimmune Hemolysis
- ABO incompatibility is the most common cause of transfusion reactions.
- Mismatched blood transfusions can cause severe reactions with rapid lysis of transfused blood cells.
- Rh factor incompatibility can lead to hemolytic disease of the newborn.
Autoimmune Hemolytic Anemia (and Granulocytopenia, Thrombocytopenia)
- Autoantibodies against the body's own red blood cells, platelets, or granulocytes are produced.
- Leads to destruction of these cells.
Type III Hypersensitivity Reaction (Immune Complex-Mediated)
- Immune complexes (antigen-antibody) form.
- These complexes deposit in tissues.
- Often causes inflammation, vasculitis and/or tissue damage.
- Arthus reaction is a localized type III hypersensitivity.
Type IV Hypersensitivity Reaction (Delayed-Type)
- T cell-mediated response.
- Granulomatous diseases show infection symptoms such as tuberculosis or leprosy and lead to delayed hypersensitivity where granulomas are found.
Skin Tests
- Tuberculin test detects previous exposure to Mycobacteria tuberculosis or prior vaccinations.
- Contact dermatitis is a delayed type reaction from direct contact to a substance.
Other Syndromes
- Other related syndromes include rheumatic fever, goodpasture's syndrome and graft rejection.
Autoimmune Diseases
- Results from autoreactive T cells attacking self antigens.
- Chronic inflammatory responses happen in this autoimmune response, causing symptoms and/or organ damage.
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Description
This quiz focuses on the mechanisms and effects of Type I hypersensitivity, including the roles of eosinophils, neutrophils, and mast cells in allergic reactions. It explores systemic and localized anaphylaxis, allergy skin tests, and the physiological mediators involved. Test your knowledge on the immune response to allergens and their implications for health.