immunology and disorders Flashcards

1
Q

what are SPUR infections

A

serious, persistent, unusual, recurrent infections (most potent) that are signs of immune deficiency

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2
Q

which is more common primary or secondary immune deficiencies and what are they

A

secondary, PID = immune component missing

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3
Q

In PID’s, what is associetad with primary antibody deficiency and what are some examples

A

sinusitis and otitis pedia, CVID, specific AB def (SAD), X - linked agamma… (XLA)

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4
Q

who is likely to have complement system disorders

A

laryngeal angioedema

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5
Q

what can cause congenital neutropenias

A

IgG deficiency in children

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6
Q

what is kotsmann syndrome

A

neutrophils are not produced , rare autosomal dominant disease, count down, severe congenital neutropenia (SCN)

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7
Q

how can failure to produce neutrophils arise

A

failure of stem cell differentiation and failure to mature to neutrophils

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8
Q

what is leukocyte adhesion deficiency

A

PID, neutrophils can’t stick to vessels and enter to site of infection, autosomal recessive, count OK

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9
Q

what is chronic granulomatous disease (CGD)

A

failure of oxidase killing (NADPH complex) so neutrophils cannot kill, count OK, lots of pus

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10
Q

what can anti-TNF reactivate

A

latent TB

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11
Q

how o you treat PID’s

A

Ig replacement, bone marrow transplant, gene therapy

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12
Q

where do neutrophils arise

A

haematopoietic cells from bone marrow

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13
Q

what is reticular dysgenesis

A

stem cells can’t differentiate into haematopoietic cells

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14
Q

what is severe combined immune deficiency (SCID)

A

failure to produce lymphocytes

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15
Q

why does SCID only present after 3 months

A

maternal IgG boosts babies immunity until then

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16
Q

which receptor is damaged in X linked SCID

A

IL2

17
Q

what is DiGeorge syndrome

A

chromosome 22q11 deleted and thymus fails to develop = funny looking kid

18
Q

what happens if the thymus does not develop

A

T cells cannot develop

19
Q

what is CVID

A

failure to produce IgG, IgA, IgE

20
Q

what type of hypersensitivity is type 1

A

allergies, an IgE response to an allergen

21
Q

what is the role of B and T cells in allergies

A

B produce IgE and T aid this

22
Q

what do mast cells do in allergic reactions

A

express Fc receptors for IgE and produce inflammatory mediators

23
Q

what can you give to people with allergies such as hayfever

A

antihistamines

24
Q

what can be done to identify allergies

A

skin prick test and challenge testing

25
Q

what drug should be discontinued 48 hours before skin prick test

A

antihistamines

26
Q

what drugs stop mast cells degranulating

A

sodium chromoglycate

27
Q

what is type II hypersensitivity

A

antiBodies, bind to cell antigens and cause complement pathway

28
Q

what is a syndrome caused by type II hypersensitivity

A

Goodpasture’s syndrome

29
Q

what antibody is a pentagon

A

IgM

30
Q

what is type III hypersensitivity

A

immune complexes are in areas they are not wanted and cause complement pathways and inflammation

31
Q

give an example of type III hypersensitivity

A

EEA, eg farmers lung

32
Q

what mediates type IV hypersensitivity

A

T cells

33
Q

what does type IV lead to the formation of

A

granulomas

34
Q

give examples of non-autoimmune type IV hypersensitivity

A

TB, sarcoidosis, leprosy

35
Q

what type of sensitivity is anaphyaxis

A

type I (IgE)

36
Q

what are the symptoms of anaphlyacis

A

flushing, itchy, hives, angioedema (swelling), vomiting and abdo pain, hypotension and resp failure

37
Q

how do you treat anaphylaxis

A

IM epinephrine (adrenaline), antihistamine, corticosteroid, high flow O2, allergy avoidance