Immunology and biochemistry Flashcards

1
Q

What are Langerhans cells in the epidermis?

A

Antigen presenting cells that intersperse with keratinocytes

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2
Q

What are epidermal Langerhans cells characterised by?

A

Birbeck granules

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3
Q

What underlying mechanism is responsible for urticaria?

A

IgE / mast cell activation

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4
Q

What underlying mechanism is responsible for skin tumours?

A

Immunosuppression

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5
Q

What underlying mechanism is responsible for psoriasis?

A

Environmental factors in genetically susceptible individuals

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6
Q

What three cytokines can be targeted to help treat psoriasis?

A

TNF alpha

IL17

IL23

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7
Q

What two cytokines can be targeted in the treatment of eczema?

A

IL4

IL13

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8
Q

What often leads to severe / early onset eczema?

A

Mutations in fillagrin gene

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9
Q

What is type I hypersensitivity reactions mediated by?

A

IgE antibodies

It is a response that causes degranulation of mast cells

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10
Q

What is type II hypersensitivity mediated by?

A

IgG and IgM antibodies

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11
Q

What is type III hypersensitivity mediated by?

A

Immune complexes

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12
Q

What is type IV hypersensitivity mediated by?

A

TH1 cells

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13
Q

Which type of hypersensitivity reaction has the most rapid response time?

A

Type I hypersensitivity - allergy

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14
Q

Which type of hypersensitivity typically occurs 24-48 hours after contact with allergen?

A

Type IV hypersensitivity

Delayed-type hypersensitivity response

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15
Q

Which type of T cells are found mainly in the epidermis?

A

CD8+ T cells

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16
Q

Which type of T cells are found mainly in the dermis?

A

CD4+ T cells