17. Atopy and Allergy Flashcards
What is atopy?
Genetic tendency to make IgE
Autoantibodies are produced to receptors on mast cells
Manifests as rhinitis, asthma and eczema
What is urticaria caused by?
Superficial histamine release
What is angioedema caused by?
Deep histamine release or bradykinin build up
What is dermographism?
Extreme urticaria which can be brought on by friction
Chronic urticaria is caused by allergy. T/F?
False
Allergic symptoms will come on within 1 hour of exposure to the antigen
What is an allergy?
History of allergic reactions to a substance
What is the difference between sensitisation and allergy?
In sensitisation specific IgE is present without symptoms
Why should someone who is sensitive to a food not cut it out of their diet?
By eating it regularly, they maintain tolerance to it, cutting it out could cause the allergy
How is an allergy diagnosed?
History
Skin prick test
Allergen specific IgE
Food challenge
How should anaphylaxis be managed?
Assess ABCs Lie flat Oxygen Adrenaline IM Antihistamine Hydrocortisone IV
What is the purpose of giving hydrocortisone to treat anaphylaxis?
Prevent the late phase of the reaction
Eosinophils are sensitive to steroids
What determines the severity of an allergic reaction?
Dose of allergen
Asthma status
Exacerbating factors
ACE inhibitors and beta blockers
What are the hereditary causes of C1 inhibitor deficiency?
Type 1: too little protein
Type 2: dysfunctional protein
What are the acquired causes of C1 inhibitor deficiency?
Consumption
Autoantibody
What proteins should be measured to diagnose a C1 inhibitor deficiency?
C1 inhibitor
C1q
C4