DSE OF IMMUNE PT2 Flashcards
PERIPHERAL TOLERANCE IS SUPPRESSED BY
T REGULATORY CELLS
ALTERS NEGATIVE SELECTION
PTP22
IBD
CYTOPLASMIC SENSOR
NOD2
GROWTH N SURVIVAL OF TREG
MULTIPLE SCLE
TYPE 1 DM
IL2RA
SLE 65 UP
2:1
SLE CHILDBEARING
9:1
MALAR RASH
PHOTOSENSITIVE
BUTTERFLY RASH
FLAT
ACUTE LUPUS
DISCOID RASH
RAISED
SCALING
CHRONIC LUPUS
NONEROSIVE SYNOVITIS
JOINT DSE
PLEURITIS
SEROSITIS
PERSISTENT PROTEINURIA
>0.5 G/24
RENAL DISORDER
HALLMARK IS PROD OF AUTOANTIBODIES TO DOUBLE-STRANDED DNA
SMITH (SM) ANTIGEN
MOST SPECIFIC
CHROMATIN, HISTONES, DOUBLE STRANDED DNA
HOMOGENOUS OR DIFFUSE NUCLEAR STAINING
DOUBLE STRANDED DNA, NUCLEAR ENVELOPE
RIM OR PERIPHERAL
MOST COMMON
UNIFORM
LEAST SPECIFIC
SPECKLED
MOST DISTINCT
CENTROMERIC
AB TO RNA
NUCLEOLAR
RECURRENT SPONTANEOUS MISCARRIAGES
APS
VERY SUBTLE CHANGES
CLASS 1
MESANGIAL DEPOSITS GRANULAR APP
CLASS 2
<50
CRSCENT FORMATION
CLASS 3
> 50
WIRE LOOP
CLASS 4
THICKENING OF CAPILLARY WALL
CLASS 5
END-STAGE
>90%
CLASS 6
NONBACTERIAL VERRUCOUS ENDOCARDITIS
LIBMAN-SACKS
FUNDAMENTAL IN SLE
FAILURE TO MAINTAIN SELF TOLERENCE
LUPUS PX INHERITED DEFICIENCY
C2, C4, C1Q
WHAT DSE BUTTERFLY RASH TRIGGERED BY SUNLIGHT NON EROSIVE SYNOVITIS NO INFLAM PLEURAL LIBMAN-SACKS ONION SKIN SPLEEN 2NDARY PULMONARY HTN
SLE
+ GENERIC ANAs
SLE
+ ANTI-SSA, HLA-DR3
SUBACUTE LUPUS ERYTHEMATOUS
INTERMEDIATE BET SLE N DISCOID
SUBACUTE LUPUS ERYTHEMATOUS
+ ANTI-HISTONE BODIES
DRUG-INDUCED
CHRONIC DRY EYES DRY MOUTH PRIMARY:SICCA SYNDROME SECONDARY:RHEUNATOID BLOCKAGE OF THE DUCTS
SJORGEN SYNDROME
+ ANTI-SSA (RO)
+ ANT-SSB (La)
+ RHEUMATOID FACTOR
SJORGEN SYNDROME
ENLARGEMENT OF THE SALIVARY AND LACRIMAL GLANDS
MICKULICZ SYNDROME
CHROIC INFLAM BY AUTOIMMUNITY AUTIIMMUNE DSE VASCULAR DAMAGE COLLAGEN DEPOSITION FOR FIBROSIS AUTOAMPUTATION
SCLERODERMA
SCLERODERMA RATIO F:M
3:1
50-60 Y.O.
DNA TOPO ISO 1 (ANTISCLERO 30-70) 10-20%
ANTI-CENTROMERE BODY (20-40) 30%
RNA POLYMERASE IIi(15-20)
SCLERODERMAA
+ UI-RIBONUCLEOPROTEIN
MIXED CON TISSUE DSE
+CCP
RHEUMATOID ARTHRITIS
HISTIDYL
MYOSITIS
REJECTION IS BY
T LYMPHOCYTE
APC FROM DONOR/GRAFT
T CELL ACT BY MHC PROTEIN OF INTACT DONOR
T CELL MEDIATED ACUTE REJECTION
DIRECT ALLORECOGNITION
CHRONIC REJECTION
RECIPIENT APC PICKED UP BY DONOR ANTIGEN AND PRESENT TO RECIPIENT TCELL
INDIRECT ALLORECOGNITION
TYPE 1
CD4 N CD8 LYMPHOLYTIC INFLAM
EXPRESS MARKERS OF ACTIVATED T CELL
TUBULOINTERSTITIAL PATTERN
TUBULITIS
ACUTE ANTIBODY MEDIATED REJECTION
B CELL MEDIATED
ACUTE CELLULAR REJECTION
T CELL MEDIATED
IMMUNOSUPPRESSIVE DRUG
NEPHROTXIC
CYCLOSPORINE
HAVE INTERSTITIAL MONONUCLEAR INFILTRATES
WITH NK N PLASMA CELLS
CHRONICCALLY REJECTING KIDNEYS
MANIFESTATION OF CHRONIC ANTIBODY MEDIATED REJECTION
INFLAMMATORY CELLS
ACCU OF MESANGIAL MATRIX
DUPLICATION OF CAPILLARY BASEMENT MEMBRANE
TRANSPLANT GLOMERULOPATHY