Immunosuppression Flashcards

1
Q

Increasing numbers of organ transplants
Disease might lead to decreased immunity
Increased number of patients on immune supppresants

Explosion in medical therapy needed for these patients

A
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2
Q

Immunodeficient definition

A

Any state where immune system is below optimum level

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3
Q

Immunosuppression definition

A

Art of artificially depressing the immune system

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4
Q

Immunocompromised definition

A

Those at risk due to reduced immune function

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5
Q

What are the two types of immune system?
What do they both do?
What are the main cells in both?

A
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6
Q

Congenital immunodeficiency

A
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7
Q

Acquired immunodeficiency

A

MORE COMMON THAN CONGENITAL IMMUNODEFICIENCY

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8
Q

What can we give to cause immunosuppression

A
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9
Q

Immunosuppression - organ transplant

A
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10
Q

Steroids

A

steroids can cause immunosuppression

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11
Q

Steroids

A
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12
Q

Side effects of steroids

A

Cushing syndrome
Infection
Delayed healing
Osteoporosis
Addisonian crisis

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13
Q

Addisonian crisis

A
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14
Q

Steroid cover in dentistry?

A

Do NOT need to give steroid cover for routine dentistry

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15
Q

Oral side effects of immunosuppression
Specific

A

Cyclosporine
Tacrolimus

Both of the above are immunosuppressant drugs and both cause GINGIVAL HYPERPLASIA because of increased collagen synthesis and decreased collagen breakdown

Treated by:
Surgical reduction
Improved OH
Modification of drug treatment

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16
Q

Generalised oral side effects of immunosuppression

A

Delayed Healing
Infection
Candida (widespread)
Herpes Simplex
Accelerated Periodontal Disease
Leukoplakia (EBV)

Malignancy

17
Q

Malignancy
Cancers associated with immunosuppression?

A

Occurs in 3 - 31 % of transplant patients

Lip squamous cell carcinoma (SCC) most common
Oral SCC
Basal Cell Carcinoma (BCC)
Kaposis Sarcoma

18
Q

Screening questions

A
19
Q

Summary

A

SEE SUMMARY PAGE