Chapter 8 & 9 Alterations in Immunity & Infections Flashcards
Hypersensitivity (2)
- Refer to excessive or inappropriate activation of the immune system that leads to production of antibodies and T-cell responses that causes tissue injury and disease
- Called hypersensitivity reactions
Types of Hypersensitivity (3)
- Allergy
- Autoimmunity
- Alloimmunity
Allergy Hypersensitivity
Hypersensitivity to environmental (exogenous) antigens such as medicine, pollens, bee stings
Autoimmunity Hypersensitivity (3)
- Disturbance in the immunologic tolerance of self-antigens
- Immune system usually does not recognize the bodies own antigens
- However it can develop auto-antibodies or T cell that damage its own tissue
Alloimmunity (2)
- Immune reaction to tissues of another individual
- Blood or organ donation
Type I Hypersensitivity is characterized by….(5)
- Allergy
- IgE produced in response to exogenous antigens
- Against environment
- IgE binds to Fc receptors on surface of mast cells
- Histamine is then released
Type II Hypersensitivity is characterized by…(2)
- Antigen/antibody
- Tissue-specific reactions
Type III Hypersensitivity is characterized by…(3)
- Antigen/antibody
- Autoimmunity
- Immune complex mediated
Type IV Hypersensitivity is characterized by…(2)
- Intracellular (organ transplant rejection)
- Cell mediated
Hypersensitivity Process (3)
- Sensitization against an antigen
- Immune response
- Second exposure cause symptoms
Hypersensitivity Response (3)
- Immediate hypersensitivity reactions
- Anaphylaxis
- Delayed hypersensitivity reactions (several hours and severity occurs later)
Type I Hypersensitivity Manifestations (8)
- Itching
- Urticaria
- Conjunctivitis
- Rhinitis
- Hypotension
- Broncospasms
- Dysrhythmias
- GI cramps and malabsorption
Type I Hypersensitivity Management (9)
- Genetic predisposition
- Tests (food challenges, skin tests, lab tests)
- Antihistamines
- Desensitization
- Anti-inflammatories
- Bronchodilators
- Anti-leukotrienes
- Anti-IgE antibody
- Epinephrine
Type II Hypersensitivity is what specific?
Tissue specific
Type II Hypersensitivity Steps (3)
- Cell is destroyed and antibodies (IgG, IgM) and complement. Antibody or complement attaches to cell and destroys
- Cell destruction through phagocytosis by macrophages
- Antibody-dependent cell-mediated cytoxicity NK cells recognize antibodies on target cells and cause target cell malfunction
Examples of Type II Hypersensitivity (3)
- Autoimmune hemolytic anemia
- Hemolytic disease of the newborn
- Goodpasture disease
Type III Hypersensitivity (2)
- Immune complex mediated
- Antigen/antibody complexes are formed in the circulation and are later deposited in vessel walls or extravascular tissues
Difference between Type II and III Hypersensitivity (2)
- II the bond is on the cell surface
- III it is a bond to a soluble antigen in the blood or body fluid and then is deposited in the tissue