Type III Hypersensitivity Flashcards

1
Q

Immune (Antigen-Antibody) Complex Disease is

A

Antigen is typically from a pathogen.
Complexes filtered out or precipitate
Complement activation – classical pathway.
Attracts neutrophils.
Promotes inflammation

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2
Q

Type III Hypersensitivity is

A

The presence of immune complexes leads to damage of the host tissue.
Immune (Antigen-Antibody) Complex Disease

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3
Q

Mechanism by which hyper type 3 happens

A

Antibody binds to antigen
All of this can be normal and help destroy the antigen
Large amounts of complexes cause excessive activation and disease.
May cause local or systemic effects

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4
Q

How does antibody bind to antigen in hyper type 3

A

Some antibodies then bind and activate complement.
Attracts neutrophils
Bind macrophages and mast cells
Release molecules that stimulate inflammation
Release of variety of mediators that damage blood vessels and tissue

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5
Q

Sites most commonly affected by hyper 3

A

Lungs (local)
Kidneys, joints (systemic)

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6
Q

Hyper pnumotitis is caused by

A

Inhaled antigen
Heat tolerant bacteria growing on damp hay produce small spores that are inhaled into lungs.

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7
Q

Hypersensitivity Pneumonitis causes and treatment

A

Antigen-antibody complexes deposited into the lungs.
Whole lung is affected
-5-10 hours after exposure to moldy hay
Inflammation
-Fibrosis in chronic cases
Steroids may be beneficial.

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8
Q

Difference of type i and type iii

A

Differences from asthma in cats?
Type of inflammatory cell?
Eosinophils in asthma
Neutrophils in type III hypersensitivity
Response to bronchodilators?
Both respond.

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9
Q

Examples of type iii reactions

A

Recurrent Airway Obstruction (RAO or Heaves) and Inflammatory airway disease (IAD) of horses
Allergic Pneumonitis of cattle (Atypical Interstitial Pneumonia of Cattle, Hypersensitivity Pneumonitis) and people (Farmer’s Lung)

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10
Q

Clinical signs of type iii hyper Pneumonitis and treatment

A

Cough
Increased RR
Wheezing
Treatment?
Remove contact with allergen
Corticosteroids
Bronchodilators

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11
Q

Blue eyes in dogs is

A

Corneal edema and uveitis following infection of canine herpes (Canine Adenovirus 1)
Disease
Vaccination (older types) – modified live vaccine.

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12
Q

Blue eyes is caused by

A

Immune Complexes deposited in capillaries around iris – Neutrophils are attracted to the area.
Clinical signs occur 1-3 weeks following infection
Self-resolution once the virus has been cleared.

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13
Q

Glomerulonephritis is

A

Immune complexes are deposited in the glomeruli
Get trapped in glomerular capillaries.
Kidney damage occurs.
Need a continuous source of antigen.
See proteinuria without evidence of UTI.
Biopsy required to confirm diagnosis.

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14
Q

Glomerulonephritis disease that causes it

A

Chronic viral or bacterial disease
EIA of horses
Pyometra in dogs
Heartworm in dogs
Lyme disease
Feline leukemia virus

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15
Q

Glomerulonephritis treatments

A

Treat primary cause
Corticosteroids?
ACE inhibitors?

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16
Q

Purpura Hemorrhagica in Horses is caused by

A

Skin Hypersensitivity
Seen 2-4 weeks after S. Equi infection (strangles/pneumonia) or vaccination
Immune complexes deposited in blood vessels of skin.

17
Q

Signs of purpura homorrhagica in horses skin

A

Immune complexes deposited in blood vessels of skin.
Patchy, symmetrical, skin inflammation
Urticaria
Severe SQ edema (especially of limbs) - heat, swelling, pain.
May ooze serum
Skin may slough
Hemorrhages of mucosa and SQ tissues
Sometimes GI signs

18
Q

C/S and treatment of Purpura Hemorrhagica in Horses

A

Treat with corticosteroids
Clinical signs
Anorexia
Depression
Fever
Tachycardia
Tachypnea

19
Q

Hyper iii affect on joints

A

Rheumatoid arthritis
Osteoarthritis
Swollen joints
Mild or moderate lameness

20
Q

Type III is caused by

A

Antigen
Antibody (IgG or IgM)
Followed by activation of complement
Activation of neutrophils

21
Q

Important mechanism of disease for hyper iii

A

Important mechanism of disease
chronic exposure
Local exposure – problems in:
Lungs e.g. heaves
Systemic circulation
Deposition in capillary bed
Problems in eyes, kidneys, skin, joints
Treatment, remove source, corticosteroids