7.2 Allergies Flashcards

1
Q

What is the sensitisation phase in allergies?

A

The first encounter with the antigen

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2
Q

What is the effector phase in allergies?

A

Clinical pathology upon re exposure to the same antigen as in the sensitisation phase

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3
Q

What is a type I hypersensitivity reaction?

A

Immediate,

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4
Q

What is a type II hypersensitivity reaction?

A

Antibody mediated over 5-12 hours

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5
Q

What is a type III hypersensitivity reaction?

A

Immune complex mediated over 3-8 hours

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6
Q

What is a type IV hypersensitivity reaction?

A

Cell mediated caused by infectious agents over 24-48 hours

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7
Q

List 3 risk factors of getting allergic disorders?

A

High antibiotic use
Low Helminth burden
Westernised country
Good sanitation

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8
Q

What increased immunoglobulin causes hypersensitivity reactions?

A

IgE

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9
Q

Give examples of three common allergens

A

House dust
Animals
Pollen
Insect venom

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10
Q

What is the cell responsible for hypersensitivity reactions?

A

Mast cells

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11
Q

What do mast cells release in hypersensitivity reactions?

A

Histamine and chemokines

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12
Q

What skin problems can result from hypersensitivity reactions?

A

Urticaria- rash from mast cells in the epidermis

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13
Q

What do mast cells in the deep dermis cause in hypersensitivity reactions?

A

Angioedema in the lips, eyes, tongue and upper respiratory airway

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14
Q

What is anaphalyaxis?

A

Systemic activation of mast cells causing hypotension, CV collapse, generalised urticaria, angioedema and breathing problems

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15
Q

How can anaphylaxis be treated?

A

Give epinephrine intramuscularly to reduce effects

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16
Q

What blood tests should be done to diagnose anaphylactic shock?

A

Serum allergen-specific IgE
Histamine
Serum mast cell tryptase

17
Q

How can allergies be managed?

A

Allergen avoidance
Education to recognise symptoms
Medic alert identification
Give drugs- antihistamine, corticosteroids
Allergen desensitisation- only for high risk patients

18
Q

What is hypersensitivity?

A

The antigen specific immune responses are either excessive or inappropriate and results in harm to the host