Module 8: Immune Deficiency Disorders Flashcards
5 categories of primary immune deficiencies
Cellular immune deficiencies Humoral immune deficiencies Combined immune deficiencies Phagocytic deficiencies Complement deficiencies
Lab tests for cellular immune deficiency
Peripheral lymphocyte count
T cell count and CD4:CD8 ratio
Delayed hypersensitivity skin testing (decreased or absent reaction)
Measurement of lymphokine production (decreased)
Lymph node biopsy (decreased size)
Lab tests for humoral immune deficiency
Immunoglobulin quantification and typing
Isohemagglutinin titers (Anti-A and Anti-B)
Antibody titers before and after immunization
B cell count (flow cyto)
Bone marrow and lymph node biopsies (absent or reduced follicles and germinal centres)
Peripheral lymphocyte count tests for which type of immune deficiency?
Cellular immune deficiency
T cell count and CD4:CD8 ratio tests for which type of immune deficiency?
Cellular immune deficiency
Delayed hypersensitivity skin testing tests for which type of immune deficiency? What would the reaction be if deficient?
Cellular immune deficiency
Decreased or absent reaction
Measurement of lymphokine production tests for which type of immune deficiency? What would the results show if deficient?
Decreased
Lymph node biopsy tests for which type of immune deficiency? What would the results show if deficient?
Cellular - decreased size
Humoral - absent or reduced follicles or germinal centres
Immunoglobulin quantification and typing tests for which type of immune deficiency?
Humoral immune deficiency
Isohemagglutinin titers (Anti-A and Anti-B) tests for which type of immune deficiency?
Humoral immune deficiency
Antibody titers before and after immunization tests for which type of immune deficiency?
Humoral immune deficiency
Bone marrow and lymph node biopsies tests for which type of immune deficiency? What would it show if deficient?
Humoral immune deficiency
Absent or reduced follicles or germinal centres
What is Thymic Hypoplasia (DiGeorge Anomaly)? What type of immune deficiency?
Cellular immune deficiency
Abnormal thymus and parathyroid development
Hypocalcemia due to lack of PTH
What are the lab findings in Thymic Hypoplasia (DiGeorge Anomaly)?
Decreased T cells
Lymphopenia
Ig levels normal or decreased
Patients requite CMV negative irradiated blood
CMV negative irradiated blood is required by patients with what disorder?
Thymic Hypoplasia (DiGeorge Anomaly)