Auto-Immune Diseases Flashcards
Autoimmune Hemolytic Anemia(AIHA) auto-antibody
anti-RBC antibodies
Autoimmune Hemolytic Anemia(AIHA) clinical signs
RBC hemolysis
Autoimmune Hemolytic Anemia(AIHA) clinical test
Positive Direct Coombs Test
Pemphigus Vulgaris auto-antibody
anti-desmoglein (desmosomes)
Pemphigus Vulgaris pathogenesis
IgG mediated disruption of cellular adhesion on skin and mucosa
Pemphigus Vulgaris clinical presentation
blisters all over body fishnet pattern in Immunofluorescence
Goodpasture’s Syndrome auto-antibody
anti-basement membrane in glomerulus and cross-reactivity with lung alveoli
Goodpasture’s Syndrome pathogenesis
IgG mediated complement activation and Fc receptor mediated inflammation
Goodpasture’s Syndrome clinical presentation
glomerulonephritis, lung hemorrhage
Goodpasture’s Syndrome treatment
Removing the anti-GBM antibody by plasmapheresis immunosuppressant drugs
Acute Rheumatic Fever auto-antibody
Strep A antibody cross-reacts with myocardial antigen
Acute Rheumatic Fever pathogenesis
macrophage activation and inflammation
Acute Rheumatic Fever clinical presentation
myocarditis and arthritis
Pernicious Anemia auto-antibody
anti-Intrinsic Factor (Parietal Cells)
Pernicious Anemia Pathogenesis
Neutralization of Intrinsic Factor Decreased Vit B12 absorption
Pernicious Anemia clinical presentation
abnormal erythropoiesis and anemia
Myasthenia Gravis auto-antibody
anti-Acetylcholine Receptor
Myasthenia Gravis Pathogenesis
antibody inhibits ACh binding down-modulates receptors
Myasthenia Gravis clinical presentation
muscle weakness PTOSIS
Grave’s Disease auto-antibody auto-antibody
anti-TSH Receptor
Grave’s Disease Pathogenesis
antibody stimulates TSH secretion
Grave’s Disease clinical presentation
enlarged thyroid/goiter bulging eyes
Serum Sickness hypersensitivity type and pathogenesis (timing after exposure and mechanism)
Type III antibodies to foreign proteins are produced 5-10 days after exposure Immune complexes deposit in membranes complement activation leads to damage
Complement serum levels in Serum Sickness?
decrease due to activation
Serum Sickness presentation
rash fever arthritis
Rheumatic Arthritis auto-antibody and pathogenesis
IgM antibody that targets IgG Fc region Rheumatoid Factor deposits in joints, causes inflammation
SLE auto-antibody
anti-dsDNA
SLE pathogenesis
Ag/Ab complexes damage tissues by activating complement
SLE presentation
butterfly rash after sunlight exposure systemic inflammation women more affected
Polyarteritis nodosa pathogenesis and presentation
Formation of immune complexes in patients with circulating hepatitis B antigen vasculitis
anti-RBC antibodies
Autoimmune Hemolytic Anemia(AIHA) auto-antibody
RBC hemolysis
Autoimmune Hemolytic Anemia(AIHA) clinical signs
Positive Direct Coombs Test
Autoimmune Hemolytic Anemia(AIHA) clinical test
anti-desmoglein (desmosomes)
Pemphigus Vulgaris auto-antibody
IgG mediated disruption of cellular adhesion on skin and mucosa
Pemphigus Vulgaris pathogenesis
blisters all over body fishnet pattern in Immunofluorescence
Pemphigus Vulgaris clinical presentation
anti-basement membrane in glomerulus and cross-reactivity with lung alveoli
Goodpasture’s Syndrome auto-antibody
IgG mediated complement activation and Fc receptor mediated inflammation
Goodpasture’s Syndrome pathogenesis
glomerulonephritis, lung hemorrhage
Goodpasture’s Syndrome clinical presentation
Removing the anti-GBM antibody by plasmapheresis immunosuppressant drugs
Goodpasture’s Syndrome treatment
Strep A antibody cross-reacts with myocardial antigen
Acute Rheumatic Fever auto-antibody
macrophage activation and inflammation
Acute Rheumatic Fever pathogenesis
myocarditis and arthritis
Acute Rheumatic Fever clinical presentation
anti-Intrinsic Factor (Parietal Cells)
Pernicious Anemia auto-antibody
Neutralization of Intrinsic Factor Decreased Vit B12 absorption
Pernicious Anemia Pathogenesis
abnormal erythropoiesis and anemia
Pernicious Anemia clinical presentation
anti-Acetylcholine Receptor
Myasthenia Gravis auto-antibody
antibody inhibits ACh binding down-modulates receptors
Myasthenia Gravis Pathogenesis
muscle weakness PTOSIS
Myasthenia Gravis clinical presentation
anti-TSH Receptor
Grave’s Disease auto-antibody auto-antibody
antibody stimulates TSH secretion
Grave’s Disease Pathogenesis
enlarged thyroid/goiter bulging eyes
Grave’s Disease clinical presentation
Type III antibodies to foreign proteins are produced 5-10 days after exposure Immune complexes deposit in membranes complement activation leads to damage
Serum Sickness hypersensitivity type and pathogenesis (timing after exposure and mechanism)
decrease due to activation
Complement serum levels in Serum Sickness?
rash fever arthritis
Serum Sickness presentation
IgM antibody that targets IgG Fc region Rheumatoid Factor deposits in joints, causes inflammation
Rheumatic Arthritis auto-antibody and pathogenesis
anti-dsDNA
SLE auto-antibody
Ag/Ab complexes damage tissues by activating complement
SLE pathogenesis
butterfly rash after sunlight exposure systemic inflammation women more affected
SLE presentation
Formation of immune complexes in patients with circulating hepatitis B antigen vasculitis
Polyarteritis nodosa pathogenesis and presentation