Chapter 3: Immunologic Diseases and Conditions: Treatment

Question 1

What is the treatment of Acquired immunodeficiency Syndrome (AIDS)

Answer 1

no cure; HAART (three drug combination); prophylactic antibiotics; body fluids and blood handled with extreme care

Question 2

What is the treatment of Common Variable immunodeficiency (Acquired Hypogammaglobulinemia)

Answer 2

preventing infections; early antibiotic treatment with infections; immunoglobulin replacment; no live virus vaccines

Question 3

What is the treatment of Selective Immunoglobulin A Deficiency

Answer 3

no cure; manage infections; prophylactic antibiotics, intravenous immune globulin (IVIG)

Question 4

What is the treatment of X-linked Agammaglobulinemia

Answer 4

improve child’s immune defenses and control infections; immune globulin administration and antibiotics

Question 5

What is the treatment of Severe Combined Immunodeficiency

Answer 5

bone marrow transplantation; intravenous immune serum globulin; prevent exposure to infection; no live virus vaccines

Question 6

What is the treatment of DiGeorge’s Anomaly (Thymic Hypoplasia or Aplasia)

Answer 6

hypocalcemia restored; vitamin D/parathyroid hormone replacement therapy; thymic or bone marrow transplantation; cardiac anomaly repair

Question 7

What is the treatment of Chronic Mucocutaneous Candidiasis

Answer 7

antifungal agents and transfer factor; address other organ symptoms

Question 8

What is the treatment of Wiskott-Aldrich Syndrome

Answer 8

bone marrow transplantation is best; splenectomy

Question 9

What is the treatment of Autoimmune Hemolytic Anemia

Answer 9

warm: corticosteroids & cytotoxic drugs, splenectomy or IVIG, transfusions; cold: avoiding cold, dress warm, plasmapheresis

Question 10

What is the treatment of Pernicous Anemia

Answer 10

B12 injections; blood replacement; rest

Question 11

What is the treatment of Idiopathic Thrombocytopenia Purpura

Answer 11

corticosteroids, IVIG, blood transfusion, vitamin K administration, splenectomy

Question 12

What is the treatment of Immune Neutropenia

Answer 12

infants: resolves itself; everyone else: corticosteroids, immune globulin, G-CSF, antibiotics, WBC concentrate transfusions

Question 13

What is the treatment of Goodpasture’s Syndrome

Answer 13

plasmapheresis with immunosuppressive agents

Question 14

What is the treatment of Systemic Lupus Erythematosus

Answer 14

antiinflammatories, antimalarial agents, corticosteroids, immunosuppresive meds

Question 15

What is the treatment of Scleroderma (Systemic Sclerosis)

Answer 15

rheumatology referral; corticosteroids and immunosuppressors are only palliative

Question 16

What is the treatment of Sjorgren’s Syndrome

Answer 16

increase fluids, oral sprays, artificial tears, sunglasses; blocking of tear ducts

Question 17

What is the treatment of Rheumatoid Arthritis

Answer 17

NSAIDS, corticosteroids, DMARDS (gold compounds, penicillin); splints, surgery for replacement

Question 18

What is the treatment of Juvenile Rheumatoid Arthritis

Answer 18

similar to RA; protein based diet, physical therapy

Question 19

What is the treatment of Ankylosing Spondylitis

Answer 19

no cure; antiinflammatories, analgesics, therapy, surgery

Question 20

What is the treatment of Polymyositis

Answer 20

steroids, immunosuppressors, IVIG, therapy

Question 21

What is the treatment of Multiple Sclerosis

Answer 21

corticosteroids, interferon, immunosuppressors, muscle relaxants, vitamin B

Question 22

What is the treatment of Myasthenia Gravis

Answer 22

anticholinesterase drugs (mestinon), thymectomy, bed rest, corticosteroids

Question 23

What is the treatment of Small Vessel Vasculitis

Answer 23

corticosteroids, analgesics

Question 24

What is the treatment of Systemic Necrotizing Vasculitis

Answer 24

corticosteroids, analesics, immune suppressors, plasmapheresis, antihypertensive drugs