Hypersensitivities 1 & 2 Flashcards
Hypersensitivity
An overstated response to an antigen or allergen
What are the 4 types of hypersensitivity
Type 1: Anaphylactic- Immediate
Type 2: Cytotoxic
Type 3: Immune Complex-mediated
Type 4: Cell-mediates (no anitbodies)
What activates type 1 hypersensitivity?
Food products (nuts, soy, shellfish)
Animal sources (cats, bee stings)
Environmental sources (latex, mold, dust)
Allergic conditions (rhinitis, allergic asthma)
What are the 2 stages of type 1 hypersensitivity?
Sensitization and effect stage
Sensitization stage
Person encounters the antigen but doesn’t experience any symptoms
Effect stage
Person has exposure to the antigen again –> body recognizes it –> response results in symptoms
Type 1 clinical responses
Nausea and vomiting
Shortness in breath
Cardiac symptoms
Loss of consciousness
Treatment of type 1
Adrenaline or epinephrine
Systemic glucocorticoids
Antihistamines
Type 1 effectors
IgE (mast cells, basophils and eosinophils)
Examples of Type 1
Atopic dermatitis
Atopic rhinitis
Allergic asthma
Bovine atopic dermatitis
Milk allergy
Type 1 reactions
Occurs within minutes of exposure
Allergens combine with IgE antibodies
Mast cells coated with IgE
Massive drop in BP (fatal)
During a T1 reaction hat does IgE do?
Binds to mast cells and basophils causing them to degranulate and release several histamine, prostaglandins and leukotrienes (bronchial spasms)
Histamine
Dilates and increases permeability of BVs (swelling and redness), increased mucus secretion (runny nose), smooth muscle contraction (bronchi)
Prostagladins
Contraction of smooth muscle of respiratory system and increased mucus secretion
Mast cells and allergic response
Mast cell + antigen –> degranulation –> vasoactive molecules, chemotactic molecules, enzymes and cytokines –> acute inflammation and systemic effect
Canine atopic dermatitis
Genetically predisposed chronic pruritis and skin lesions
Associated with IgE antibodies to environmental allergens
How do allergens for canine atopic dermatitis enter the body?
Through skin, respiratory tract or GI tract
Allergens for canine atopic dermatitis
Pollen, animal dander, insects (house dust mites), food and medications