Immunological Diseases Flashcards
DiGeorge
Microdeletions in 22q11.2
RA
Rheumatoid factor (IgM or IgG to Fc reigon of IgG)
anti-cyclic citrullinated peptide
Anti-TNF, methotrexate,-hydroxychloroquine
Hyper IgM
CD40L deficiency
Tx = IVIG + antibiotics
MHC1 deficiency
TAP1/2/Tapasin deficiency == No CD8
CGD
NADPH oxidase deficiency
Test - Nitroblue Tetrazolium test
Pyogenic bacteria
Acute inflammatory polyneuropathy
(similar to GBS)
Poison ivy (contact sensitivity)
Th1 cells activate MQ in skin
Pernicious anemia
Anti-intrinsic factor or anti-parietal cells
Test - Anti-Intrinsic Factor ELISA
GVHD
Prevention via stem cells depleted of T cells
IDDM
Type 2 or 4 reaction
Allergic asthma
PEFR test, RAST, ELISA, Total serum IgE
Tx - Epi (short) and glucocorticoids (long)
SLE
Prednisone + Aleve
Serum sickness
Prednisone + antihistamine
Interferon gamma deficiency
susceptible to mycobacteria or intracellular bacteria
Immune thrombocytopenic purpura
Type 2 response to platelet membrane glycoproteins
Atopic dermatitis
Corticosteroid +
Atopic dermatitis
Corticosteroid + Tacrolimus + Methotrexate
Hashimotos
HLA-DR5 / CTLA4 polymorphism
ADA deficiency
SCID
low T and B cells
MHC2 deficiency
BLS / SCID
CD4 T cell deficiency
Leukocyte Adhesion Deficiency
Beta-2 integrin (CD18) deficiency
(neutrophils)
= Deficient LFA-1 and CR3 (CD11b/CD18)
TSS
Polyclonal activation of CD4+ T cells
X linked agammaglobulinemia
BTK deficiency
Males more affected
C5-c9 deficiency
Properdin / factor D deficiency
Susceptibility to neisseria