Allergy Flashcards
What is allergy and what are the two most common types in the UK?
A hypersensitive disorder of the immune system
Asthma & Allergic rhinitis
What do allergic reactions normally occur to?
Harmless environmental substances known as allergens
What is the allergic reaction?
An exaggerated or inappropriate immune reaction and causes damage to the host
What does the allergic reaction trigger?
An IgE mediated response of mast cells and subsequent accumulation of inflammatory cells at sites of antigen deposition
What is the first allergen exposure?
Response with T cells and B cells producing IgE
What does the IgE-specific receptor contain?
Mast cells and basophils
What does the acute response cause release of? (5)
Histamines Cytokines Interleukins Leukotrienes Prostaglandins
What does degranulation in the acute response cause>
Systemic effects - Vasodilation, Mucous secretion, Nerve stimulation & Smooth muscle contraction
What is the late phase response and how does it happpen?
Occurs 2-4 hours after exposure
Due to migration of other leukocytes such as neutrophils, lymphocytes, eosinophils and macrophages to the initial site
What can symptoms be?
Localised - Asthama in respiratory system
OR
Systemic - Eczema to the dermis
What are the signs and symptoms of an allergic reaction? (11)
Sneezing Nasal congestion Runny nose Swelling & Tenderness of the mouth Difficulty breathing Flushing or rash Burning & Itching of skin Hives Nausea/Vomiting Abdominal cramps Diarhhoea
What are four common food allergens?
Peanuts
Eggs
Milk
Dairy
What are three host risk factors?
Heredity
Race
Age
What are four environmental factors?
Exposure to infectious diseases in early childhood
Environmental pollution
Allergen levels
Dietary changes
What is the skin test?
Responses to known allergens – High NPV, up to 15% false positives