Immuno Flashcards
Bare lymphocyte syndrome (2 types)
T1= absent MHC 1
T2= Absent MHC2
Assoc w/ sclerosing cholangitis, hepatomemegaly + jaundice by 3months
DiGeorge
CATCH22 - 22q11
Normal B cells + IgM
Kostamnn
Severe congenital neutropoenia
NBT +ve
LAD
Neutrophilia + NBT+ve
Delayed cord separation
Cyclical neutropoenia
Neutropoenia for 6 days every 3 week Aut dom (ELA2 mut)
CGD
NBT -ve, NADPH oxidase def
X linked
Wiskott-Aldrich
Mut in WASp
Low IgM, w/ High IgA+G
Epistaxis + eczema
X linked
Reticular dysgenesis
Absolute def in granulocytes + lymphos
Severe neonatal sepsis
Chediak Higashi
Protein trafficking defect (microtubules)
Neutropoenia, defective 1o haemostasis+ albinism
Complement deficiencies (classical)
CH50 test abnormal
Assoc w/ SLE
Complement deficiencies (alt)
AP50 test abnormal
Predisposes to infection w/ encapsulated bacteria
Complement deficiencies (common)
Both AP50 and CH50 tests abnormal
assoc w/ MPGN
Hereditary angioedema
C1 inhibitor deficiency
POEMS
Polyneuropathy, Papilloedema, Pulmonary disease
Organomegaly, Oedema
Endocrinopathy
M protein
Skin abnormalities (hyerpig + hypertrich)
HLA DQ2
Coeliac (two eight or not to eat?)
HLA B27
Ank spond
HLA DR2
Goodpasture’s (DR15)
HLA DR3
SLE, Grave’s, MG + T1DM
HLA DR4
RA + T1DM
PTPN22
RA, SLE + T1DM
CTLA4
SLE, T1DM, Grave’s
Anti Rh blood group Ag Ab
AIHA
Anti RBC Ag Ab
AIHA
Anti GlpIIa/IIIb
ITP
pANCA
Churg Strauss (eMPA), MPA
Anti GBM (T4 collagen)
Goodpasture’s (T1 RPGN)
Anti gastric parietal cell + Anti IF
Pernicious Anaemia
cANCA
Wegener’s (T3 RPGN)
Anti TSH R Ab (stim)
Grave’s
Anti AChR Ab
MG
Anti dsDNA
SLE
Anti histone
Drug induced SLE
ANA
SLE, Sjorgren’s, AI hep + dermatopolymyosistis
Anti Ro
SLE, Sjorgren’s, Congenital heart block
Anti La
SLE, Sjorgren’s (speckled on IF)
Anti U1RNP
SLE, Mixed CTD
Anti Jo1 (+RNA Synthetase)
Dermatomyositis/Polymyositis
Anti CCP
RA
Anti GAD
T1DM
Anti IA2 + phogrin
T1DM (tyrosine phosphatases)
Anti Mitochondrial
Primary Biliary Cirrhosis
Anti Centromere
Limited Cutaneous Scleroderma (CREST)
Anti topoisomerase/Scl70 + RNA pol 1,2+3 + Fibrillarin
Diffuse Cutaneous Scleroderma
Anti Thyroglobulin, Thyroperoxidase
Hashimoto’s thyroiditis
Anti EMA
Coeliac (cause of dermatitis herpetiformis)
Anti robinucleoprotein
Mixed CTD (=Anti URNP1!)
Anti Cardiolipin + B2 glp
Antiphospolipid
ANA + SMA
T1 AI Hep
Anti LKM 1 Ab
T2 AI Hep
Anti Soluble liver AB
T3 AI Hep
Antiganglioside GM
ALS
Antiganglioside LM
Guillain Barre
RPGN Types
T1= Anti GBM= Goodpasture’s w/ linear stain
T2= Immune complex= IgA neph w/ granular stain
T3= Pauci-immune= Wegener’s/MPA w/ absent stain
NB all cause Crescent formation
Muromonab (OKT3)
Anti CD3
Basilixumab
Anti IL2R
Tocilizumab
Anti IL6R
Natalizumab
Anti aplha4 integrin
Daclizumab
Anti IL2R
Alemtuzumab
Anti CD52
Abtacept
CTLA4-IG fusion protein blocks costume of T cells
Efalizumab
Anti CD11a
Ustekinumab
Anti p40 subunit of IL12+23
Rituximab
Anti CD20
Infliximab
Anti TNF alpha
Etanercept
Anti TNF alpha (TNF2R+ IgG1 fusion protein)
Denosumab
Anti RANKL in bones
Anti Lymphocyte globulin
Tx allograft rejection
Adalimumab
Anti TNFalpha - fully humanised