skin immunology Flashcards

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1
Q

what function does the keratin layer/ epidermis have in skin defence and what proteins

A

physical lipid barrier, proteins: filaggrin, involucrin, keratin

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2
Q

what function does the keratinocytes have in skin defence, where are they, how do they initiate immune response

A

in epidermis activated by UV or pathogens and produce AMP’s, cytokines and chemokines

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3
Q

what function does the langerhans have in skin defence, where are they, how do they initiate immune response

A

prickle cell layer, they are main immune cells and are dendritic APC’s that produce Ag and present to effector T cells

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4
Q

what do langerhans have that make them identifiable

A

birbeck granules

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5
Q

what T cells are mainly in epidermis vs dermis

A

epidermis = CD8, dermis = CD4 and CD8 (NK’s also in both)

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6
Q

what CD4 T cell is associated with psoriasis

A

TH1

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7
Q

what CD4 T cell is associated with atopic dermatitis

A

TH2

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8
Q

what CD4 T cell is associated with psoriasis and atopic dermatitis

A

TH17

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9
Q

what do Th1 cells do and what are they activated by

A

activated by IL2, cause cellular disease (autoimunne) –> produces mainly macrophages

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10
Q

what do TH2 cells do and what are they activated by

A

activated by IL4, humeral response (allergies) –> activate B cells

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11
Q

what action does CD4+ have

A

once activated can become either Th1 or Th2 (activates B cells)

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12
Q

what action does CD8+ have

A

cytotoxic, direct cell killing

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13
Q

what immune cells are present in epidermis

A

Langerhans and T cells

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14
Q

what immune cells are present in dermis

A

dendritic (dermal and plasmacytoid), macrophages, NCK’s, T cells

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15
Q

where is MHC I present and what does it present to

A

on all cells CD8+T

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16
Q

where is MHC II present and what does it present to

A

on APC cells to CD4+T

17
Q

what are the first immune steps in psoriasis

A

stressed keratinocytes produce IFNa and TNF, T cells attracted and secrete IL 17

18
Q

after IL17 in psoriasis is released what happens to keratinocytes

A

proliferation, AMP release, attract neutrophils, dermal fibroblasts release growth factor

19
Q

what is an example of a derm type I allergic reactions

A

anaphylaxis, food allergies, hay-fever, eczema

20
Q

what is an example of a derm type II allergic reactions

A

blood transfusion reactions

21
Q

what is an example of a derm type III allergic reactions

A

Arthurs, SLE, RA

22
Q

what is an example of a derm type IV allergic reactions

A

allergic contact dermatitis

23
Q

what are the symptoms of a type 1 reaction

A

urticaria (itchy hives, oedema in dermis, appear quickly), angioedema (non-pitting), wheezing, anaphylaxis

24
Q

what is the test for type 1 hypersensitivity

A

skin prik test, challange test, serum mast cell

25
Q

what is the test for type IV hypersensitivity

A

patch test

26
Q

what is the management for type 1 hypersensitivity

A

1) antihistamines 2) prednisilone 3) adrenaline