A3: Immunodeficiencies Flashcards
What is the difference between primary immuno and secondary immuno
Primary are genetic defects in immune system
Secondary was injtially intact but other environmental or infective factors compromised
Are pid germline or somatic
Both but most lilely hereditary so germline
Give some causes of SID
Meds wg chemo Infections like hiv Barrier defects Malnutrition Splenectomy (removal)
How would splenectomy cause sid
Because it is a secokdary lymph tissue where adaptive response occurs
How can premature births cause sid
Botn before the igg maternal transfer
Give an example of breaxh of barriers
Eczema
Are immune deficinecies always loss of the immjne response
No can become hupersctive eg autoimmune responses, hyper allergenic
Give some consequences of immunodeficiencies
Recurrent infection Hypoallergenic (no immune tolerance) Auto inflammation Autoimmunity eg type 1 Cancer
How can metastasis occur through immunodeficiency
Because lack or tumour surveillance if lacking immune system
What are the signs of immunodeficiencies in patiwnts
Recurring infection, persistent after treatment, serious eg meningitis, unusual infection, fwmily history, incestual marriage
What is an example of an unusual pathogen
Pneumocystis jurovecii
What type of immune factors are affected in immunodeficiency
Phagocutes,complement, t cell, b frll, antibodies, combined B and T
What PID which affects neutrophils is there
Chronic granulomatous disease eg x linked
How does cgd affect neutropjils via genetic defect
Inability to produce ROS to enduce phsgocytic killing
What effects does cgd have
Infection susceptibilitybeg pneumonia
Also inflammation eg in lung, colitis