Type II Hypersensitivity Flashcards

1
Q

A blood transfusion b/t genetically different individuals will stimulate an antibody response to the recipient due to?

A

RBC antigens

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2
Q

Ab + complement =

A

RBC destruction

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3
Q

Can animals have antibodies against foreign blood group antigens without prior exposure?

A

YES, antigens on RBCs are similar to other natural antigens so contact isn’t needed for animal to have antibodies

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4
Q

What do you expect to see in a blood sample in an affected animal?

A

decreased RBCs, urine & plasma have hemoglobin looks red

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5
Q

Human blood types

A

A, B, AB, O +/-

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6
Q

Animal donor matches recipient

A

no immune response

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7
Q

Animal donor doesn’t match recipient

A

yes, immune response

  • primary/secondary response
  • IgM antibodies (agglutination, opsonization, phagocytosis, hemolysis)
  • Hemoglobinemia, hemoglobinuria, disseminated blood coagulation, complement activation, mast cell degranulation)
  • 1st & 2nd stage
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8
Q

1st stage

A

Hypotension
bradycardia
apnea

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9
Q

2nd stage

A

Hypertension
cardiac arrhythmia
increase HR & RR

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10
Q

Before a blood transfusion we take a blood sample and put the ___ from the donor in contact with the ___ from recipient

A

RBCs from donor

Antibodies from recipients

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11
Q

If there is no reaction when testing for a transfusion then we can use the blood. The next time you do a transfusion what do you need to be careful of?

A

use a different donor

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12
Q

Neonatal Isoerythrlysis (hemolytic dz)

A

Aa-negative mare-Anti-Aa antibodies- hemolytic dz in young nursing foals
Aa-positve foal-AaRBCs

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13
Q

4 things with neonatal isoerythrlysis

A
  1. newborn w/ different blood type then mother
  2. mother must be sensitized to this RBC antigen
  3. Mother’s response must be boosted by transplacental hemorrhage or repeated pregnancies
  4. newborn animal must ingest colostrum w/ high Ab against its RBCs
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14
Q

How do the RBCs come in contact with each other?

A

usually during pregnancy

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15
Q

When foal ingests colostrum what happens?

A

the mothers antibodies target the RBCs of the foal and destroy them

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16
Q

Treatment for neonatal isoerythrlysis

A
  • do blood tests, prevent breeding b/t different blood types
  • immunosuppression in mother
  • give antibodies against RBC of foal near birth
17
Q

Type II hypersensitivity to drugs

A
  • drugs + Ab + complement
  • drugs + Ab +complement on RBCs
  • Drugs + Ab=phagocytosis
18
Q

Type II hypersensitivity in infectious dz

A

equine infectious anemia, anaplasmosis, trypanosomiasis, babesiosis–> severe anemia