7- Hypersensitivity Flashcards

1
Q

Which hypersensitivity reaction is IgE mediated

A

Type 1

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2
Q

Describe type 1 hypersensitivity phase 1

A

sensitisation phase - no clinical signs
allergen exposure via respiratory or skin –> APC capture them which causes naive T cells to differentiate (T helper 2 cells)
Releases cytokines –> B cell proliferation –> IgM to IgE
IgE binds to mast cells
mast cells relocate to near where the allergen was first encountered

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3
Q

Describe type 1 hypersensitivity: phase 2

A

same allergen encountered
primed IgE coated mast cells bind to antigen –> release of cytoplasmic granules
Pruritis, broncho-constriction, oedema
occurs within 15 mins

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4
Q

Which hypersensitivity type is anaphylaxis an example of

A

type 1

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5
Q

Which type of sensitivity is atopic dermatitis an example of

A

type 1

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6
Q

Which hypersensitivity is antibody-mediated ?

A

type 2

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7
Q

What pathway is activated in hypersensitivty type 2

A

complement system

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8
Q

In which hypersensitivity type are the antibodies present in circulating blood type 1 or 2

A

type 2

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9
Q

What type of antibody is present in type 2 hypersensitivity

A

IgG subtype

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10
Q

Name an example of type 2 hypersensitivity

A

Myasthenia gravis- deficiency in Ach
Is a neuromuscular disorder

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11
Q

Which type of hypersensitivity reaction involves formulation of immune complexes

A

type 3 (antigen- antibody)

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12
Q

T/F neutrophils are unable to digest immune complexes

A

True

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13
Q

Name an example of type 3 hypersensitivity

A

Equine recurrent airway obstruction
Canine blue eye

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14
Q

Describe type 3 hypersensitivty

A

-Immune Complex Hypersensitivity
-antigen combines with antibody
- Activates complement system > by-products formed
- Neutrophils
-causes inflammation and tissue destruction

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15
Q

Type 4 hypersensitivity is mediated by

A

T cell mediated

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16
Q

Type 4 hypersensitivity is used in what disease for diagnosis

A

TB

17
Q

Which hypersensitivity does neutrophils release toxic granule contents

A

Type 3 - this causes severe tissue damage

18
Q

In canine blue eye where are immune complexes formed

A

within the uveal tract

19
Q

Describe what happens during type 4 hypersensitivity

A

Sensitisation phase
- Antigen specific T lymphocytes (T helper 1) generated
Re-exposure
- Reactivation of sensitised cells
- Travel to site of presentation
- Release interferon gamma and other chemokines
- Recruitment of macrophage, CD4+/8+, granulocytes

20
Q

When do type 4 hypersensitivities occur

A

Delayed onset - 24-72 hours