Immunology

Question 1

Latex fruit allergy

- which foods high risk (BACK)

Answer 1

Banana 🍌
Avocado 🥑
Chestnut 🌰
Kiwi 🥝

Question 2

Thyroid antibodies

• hashimotos
• graves

Answer 2

• Anti thyroglobulin and anti-TPO

- anti-TSH

Question 3

Salad bar syndrome

Answer 3

Sulphite intolerance

Can precipitate Asthma attack or D&V

Question 4

Autoimmune encephalitis

- antibodies

Answer 4

Anti-LGI1 (VGKC) - memory loss, confusion

Anti-NMDA - psychiatric presentation

Question 5

Hereditary angiooedema
A) Cause and inheritance
B) Presentation
C) Diagnosis

Answer 5

A) C1 esterase deficiency - autosomal dominant

B) Recurrent episodes of angioedema. Usually absence of urticaria or itch (unlike allergy) as bradykinin not histamine-related

C) C1 esterase deficiency or dysfunction
Low C4 between attacks

Question 6

Antibodies in hyper acute rejection eg kidney transplant

Answer 6

HLA-C IgG