Immunology Flashcards
Which cytokines do Th cells stimulate?
Everything other than IL-1
Which cytokine do Macrphages stimulate?
IL-1
Which enlarged lymph nodes are mos likely malignant?
Supraclavicular, epitrochlear (above elbow), inguinal.
What is CD8?
Tk(killer) or Ts(suppressor) cell; responds to MCH I (self).
Which of your cells express MCH I?
All except RBC’s or platelets.
What is CD4?
Th (helper) cell, responds to MCH II (nonself)
What type of immunity does Th1 provide?
Cell mediated
What type of immunity does Th2 provide?
Humoral
What do B cell deficiency patients die of?
Bacterial infection
What is common variableHypogammaglobulinemia?
Kids w/ B cells don’t differentiate into plasma cells. Low Ab.
What is Bruton’s Agammaglobulinemia?
Young adults with defective tyrosine kinase. No Ab. X linked.
What is job-buckley syndrome?
Redheaded females, stuck in IgE stage.
What is Multiple Myeloma?
Multiple osteolytic lesions, IgG, gamma light chains, rouleux.
What is Heavy chain disease?
IgA and Multiple Myeloma of the GI tract.
What is selective IgG2 deficiency?
Recurrent encapsulated infections
What is selective IgA deficiency?
Transfusion anaphylaxis, mucuous membrane infection.
What is hairy cell leukemia?
Fried egg/ sunburst appearance, TRAP +
What is ataxia talengiectasia?
Low IgA, neuro problems
What is Hyper IgM syndrome?
High IgM, low all other Abs
What do T cell deficiency pt. die of?
Viral infection
What is DiGoerge syndrome?
No thymus/inferior parathyroids, low Ca++
What is Chronic Mucocutaneous Candidiasis?
T cell defect against Candida albicans, chronic fatigue.
What is SCID?
No thymus, frayed long bones, baby dies by 18mo.
What is Wiscott-Aldriche?
Low IgM, low platelets, high IgA, eczema, petechiae.
What does the CD4 count tell you?
Status of HIV (normal=1,000).
What does the viral load tell you?
Progression of HIV.
What organs have the most CD4 receptors?
Blood vessels, brain, testicles, cervix, rectum.
What are the 3 tests used to screen for HIV?
ELISA: detects IgG Ab to p24 Ag
Western blot: see > 2 proteins
PCR: detects virus, used in babies
What is the definition of AIDS?
CD<200?uL or clinical sx.
What are the live vaccines?
LiVe MMR BOYS Varicella Mumps Mesles Rubella Rotavirus BCG Oral polio Yellow fever Smallpox
What is primary biliary cirrhosis?
Anti mitochondrial Ab, pruritus, female
What is primary sclerosing cholangitis?
p-ANCA, bile duct inflammation, onion skinning.
What is Type I Autoimmune hepatitis?
Anti-SM Ab, young women
What is Type II Autoimmune hepatitis?
Anti-LKM Ab, kids
What is bullous pemphigoid?
Anti-hemidesmosome Ab, skin bullae
What is celiac sprue?
Anti-gliadine Ab, eating wheat, steatorrhea
What is CREST syndrome?
Anti-centrmere Ab
What is dermatitis herpetiformis?
Anti-BMZ Ab, Anti-endomysial Ab, vesicles on anterior thigh
What is dermatomyositis?
Anti-Jo-1 Ab, myositis + rash
What is DM type 1?
Anti-islet cell, Anti-GAD Ab, polyuria, polydipsia, weight loss.
What is drug induced lupus?
Anti-histone Ab, HIPPPE causes it
What is gastritis type A?
Anti-parietal cell Ab, atrophic gastritis, adenoCA
What is Goodpasture’s?
Anti-GBM Ab, attacks lung and kidney, RPGN
What is Grave’s disease?
Anti-TSHr Ab, hyperthyroid, bug eyes, peritibial myxedema.
What is Guillain-Berre?
Anti-ganglioside Ab, ascending paralysis, 2wks after URI
What is Hashimoto’s?
Anti-microsomal Ab, TPO, hypothyroid
What is ITP?
Anti-platelet Ab, Anti- GP2b/3a Ab, thrombocytopenia
What is mixed CT disease?
Anti-RNP Ab.
What is Mononucleosis?
Heterophile Ab, teenager w/ sore throat
What is MPGN type II?
Anti- c3 convertase Ab, c3 nephritic factor
What is multiple sclerosis?
Anti-myelin Ab, middle aged female w/ vision problems
What is Myasthenia Gravis?
Anti-Achr Ab, female w/ ptosis, weaker as day goes by
What is paroxysmal hemolysis?
Donath Landsteiner Ab, bleeds when cold
What is pempigus vulgaris?
Anti-desmosome Ab, skin sloughs off when touched
What is pernicious anemia?
Anti-IF Ab, Vit B12 def= Megaloblastic anemia
What is polyartheritis nodosa?
p-ANCA Ab, attacks gut and kidney, HepB
What is Post-Strep GN?
ASO Ab, nephritic w/ complement deposition
What is rheumatoid arthritis?
Rheumatoid factor, pain worse in the morning
What is Scleroderma?
Anti-Scl70= Anti-Topoisomerase, fibrosis, tight skin
What is Sjogrens?
Anti-SSA Ab, dry “sand in eyes”, dry mouth, arthritis.
What is SLE?
Anti-ds DNA/Sm/Cardiolipin, rash, photosensitivity, oral ulcers, RF.
What is vitiligo?
Anti-melanocyte Ab, white patches
What is SLE cerebritis?
Anti-neuronal Ab, Anti-ribosomal Ab.
What is warm hemolysis?
Anti-Rh Ab, bleeds at body temperature
What is Wegener’s?
c-ANCA Ab, attacks ENT, lung, kidney
What is HSP?
IgA disease 2wks after common cold
What is Berger’s?
IgA disease 2wks after vaccination= serum sickness
What is Alport’s?
IgA disease 2wks after diarrhea.