Immuno Review Flashcards
Type of Rejection
- preformed recipient antibodies against graft antigens
Hyperacute
Type of Rejection
- gross mottling/cyanosis
- arterial fibrinoid necrosis & capillary thrombotic occlusion
Hyperacute
happens within minutes to hours
Type of Rejection
- exposure to donor antigens induces activation of naive immune cells (cell-mediated)
Acute
usually occurs w/in 6 months
Type of Rejection
- chronic low-grade immune response refractory to immunosuppression
- mixed cell mediated and humoral
Chronic Rejection
occurs months to years
Type of Rejection
- can cause obliterative vascular fibrosis
Chronic Rejection
Name the associated disorder that goes with this autoantibody:
- Antinuclear autoantibodies (ANA)
SLE
Name the associated disorder that goes with this autoantibody:
- Anti-ds DNA
- Anti-Smith
Specific for SLE
Name the associated disorder that goes with this autoantibody:
- Antihistone Antibodies
Drug-Induced Lupus
Name the associated disorder that goes with this autoantibody:
- Anticentromere
Scleroderma (CREST)
Name the associated disorder that goes with this autoantibody:
- Anti-Scl-70
- Anti-Topoisomerase I
Scleroderma (diffuse)
Name the associated disorder that goes with this autoantibody:
- Antimitochondrial
Primary biliary cholangitis
Name the associated disorder that goes with this autoantibody:
- Anti-Gliadin
Celiac Disease
Name the associated disorder that goes with this autoantibody:
- Anti- glomerular Basement Membrane
Goodpasture’s Syndrome
(Type II Hypersensitivity)
Name the associated disorder that goes with this autoantibody:
- Anti-desmoglein
Pemphigus vulgaris
Name the associated disorder that goes with this autoantibody:
- Anti-hemidesmosome
Bullous pemphigoid
Name the associated disorder that goes with this autoantibody:
- Anti-Ro/SSA
- Anti-La/SSB
Sjogren Syndrome
Name the associated disorder that goes with this autoantibody:
- Anti-Jo
Dermatomyositis
Polymyositis
Name the Cytokine
- secreted by macrophages
- acute inflammation
IL-1
Name the Cytokine
- Stimulates T cells
IL-2
Name the Cytokine
- stimulates Bone Marrow
IL-3
Name the Cytokine
- stimulates IgE, IgG production
IL-4
Name the Cytokine
- stimulates IgA production
IL-5
Name the Cytokine
- “reaction” fever
IL-6
Name the Cytokine
- clears up infections
- recruits neutrophils
IL-8
Name the Cytokine
- Anti-inflammatory
IL-10
Name the Disorder (B cell vs. T cell)
- BTK gene defect
- no B cell maturation (agammaglobulinimia)
- failure to thrive
X-Linked (Bruton) Agammaglobulinimia
(B-cell Disorder)
Name the Disorder (B cell vs. T cell)
- most common
- mucosal issue
- involved in celiac dz
- can cause false + B-hCG
Selective IgA deficiency
(B-Cell Disorder)
Name the Disorder (B cell vs. T cell)
- older patients
- B cells present
- decrease IgM
Common Variable Immunodeficiency
(B-cell Disorder)
Name the Disorder (B cell vs. T cell)
- 3rd and 4th branchial cleft development failure
- absent thyroid and parathyroid
- hypocalcemia
DiGeorge Syndrome (22q11 deletion)
- CATCH
(T-cell Disorder)
Name the Disorder (B cell vs. T cell)
- decrease TH1 response
- can present after BCG vaccine
- increased susceptibility to mycobacterium
IL-12 receptor deficiency
(T-cell Disorder)
Name the Disorder (B cell vs. T cell)
- defects in AIRE
- causes candida (thrush/diaper rash)
Chronic Mucocutaneous Candidiasis
(T-cell Disorder)
Name the Disorder (B cell vs. T cell)
- deficiency of TH17 due to STAT3 mutation
- decreased IFN-gamma
Hyper IgE (Job Syndrome)
ABCDEF’s (abscesses, baby teeth, coarse facies, derm issues, IgE, fractures)
(T-cell Disorder)
Name the Disorder (B cell vs. T cell)
- defective IL-2R gamma chain
- ADA deficiency
SCID
(Both T and B cell disorder)
Name the Disorder (B cell vs. T cell)
- defects in ATM gene
- failure to detect DNA damage
- Increased AFP
- Decreased IgA, IgG, and IgE
Ataxia - telangiectasisa
(Both T and B cell disorder)
Name the Disorder (B cell vs. T cell)
- mutation in WAS gene
- causes thrombocytopenia, eczema, and recurrent infections
Wiskott-Aldrich Syndrome
(Both T and B cell disorder)
Name the Disorder (B cell vs. T cell)
- defective CD40L on Th cells
- causes defective class switching
Hyper-IgM Syndrome
(Both T and B cell disorder)
Name the Fungus
- Mississippi/Ohio River valleys
- Bird/Bat droppings
- Tiny Yeasts inside Macrophages
Histoplasmosis
Name the Fungus
- Central America/East of MS river
- Broad, Based Budding
- can cause Granulomatous nodules
Blastomycosis
Name the Fungus
- Southwestern US
- can cause pneumonia and meningitis
Coccidiomycosis
Name the Fungus
- Latin America
- Captains Wheel Shape
Paracoccidiomycosis
Name the Fungus
- Germ tube (diagnostic)
- can have pseudohyphae + budding yeasts
- can cause thrush
Candida Albicans
Name the Fungus
- allergic bronchopulmonary aspergillosis
- “Fungus ball”
- mold with septate hyphae that branch at a V-shaped (45 degrees) angle
Aspergillosis
Name the Fungus
- encapsulated yeast, not dimorphic
- pigeon droppings
- stains with india ink/latex agglutination test
Cryptococcus neoformans
Name the Fungus
- irregular nonseptate hyphae branching at wide angles (> 90)
- infarction and necrosis of distal tissue
Mucormycosis
Name the Disease
- gingivostomatitis
- keratoconjunctivitis
- temporal lobe encephalitis
HSV-1
Name the Disease
- Herpes genitalis
- neonatal herpes
- Kaposi’s Sarcoma (HIV)
HSV-2
Name the Disease
- Shingles
- Encephalitis
VZV
Name the Disease
- Heterophile (+)
- infectious mononucleosis
- Burkitt’s Lymphoma
EBV
Name the Disease
- congenital infection
- mononucleosis (monospot -)
- pneumonia
- “owl’s eye” cells
CMV
Name the Disease
- Roseola
- exanthem subitum
HSV-6
What cytokines are needed for granuloma formation?
- IL-2
- IF-gamma
- TNF alpha
Name the Hypersensitivity
- Mast Cell (Histamine)
- Basophils
- Atopic Dermatitis [Flare/Wheel]
Type I Hypersensitivity
(Anaphylaxis)
Name the Hypersensitivity
- Cytotoxic - IgG/IgM
- Attack/Against Enemy activates MAC “Destroy)
Type II Hypersensitivity
(Cytotoxic)
Name the Hypersensitivity
- Goodpasture’s
- ITP
- Graves Dz.
- Autoimune (RHO)
- Myasthenia Gravis
Type II
GIGAM
Name the Hypersensitivity
- Deposits of Complex on Tissues or Blood Vessels
- Activated Complement consumed (decreased C3)
Type III Hypersensitivity
(Immune Complex)
Name the Hypersensitivity
- Macrophages
- > 72 H
- T cell mediated
Type IV Hypersensitivity
(Delayed)
Name the Hypersensitivity
- PPD
- TB
- Contact Dermatitis (Poison Ivy)
Type IV Hypersensitivity
(Delayed)