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Immediate/ Allergic/ Atopy hypersensitivity IgE, cytokine, and Mast Cell mediated Vascular and Smooth muscle reaction (Th2 activation causes production of IgE antibodies) |
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Antibody (non-IgE) mediated hypersensitivity that produces antibodies against cell or tissue. IgM and IgG mediated ANTIBODIES TO CD20 CAUSES B-CELL INACTIVATION |
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Antibodies against soluble antigens, with immune complexes depositing in blood vessels, causing inflammation and tissue damage. IgM and IgG mediated ANTIBODIES TO CD20 CAUSES B-CELL INACTIVATION |
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T-lymphocyte driven response against self-antigens in tissues. CD4+ and CD8+ T cells USUALLY NOT SYSTEMIC Disorders are usually chronic and progressive TREAT WITH CYCLOSPORINE, CORTICOSTEROIDS AND CYTOKINE ANTAGONISTS |
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Secrete IL-4 and IL-13 to cause B-cell switching to IgE antibodies. |
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Secrete IL-4 and TNF to promote neutrophil and eosinophil rich inflammation |
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Causes: Vascular dilation Smooth Muscle Contraction |
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Causes eosinophil activation |
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Smooth muscle contraction Bronchial constriction |
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Inhibits mast cell degranulation |
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Phosphodiesterase Inhibitors |
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Definition
Relax bronchial smooth muscles |
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Definition
Smooth Muscle contraction Increases Cardiac Output Inhibits Mast Cell degranulation |
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Autoimmune Hemolytic Anemia |
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Definition
Target:Erythrocyte membrane proteins (Rh blood group and I antigens) Mech: Opsonization and phagocytosis of erythrocytes Path: Hemolysis and Anmeia |
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Autoimmune thrombocytopenic purpura |
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Definition
Target: Platelet membrane proteins (GPIIb/IIIa) Mech:Opsonization and phagocytosis Path: Bleeding |
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Target: Epidermal cadherin Mech: Activation of proteases by antibodies Path: Skin vesicles (bullae) |
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Target: Protein in basement membrane of kidney glomeruli and lung alveoli Mech:Complement and Fc receptor-mediated inflammation Path: Nephritis and lung hemorrhages |
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Target: Streptococcal cell wall antigen Mech: Inflammation and macrophage activation Path: Myocarditis and arthritis |
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Target: Acetylicholine receptor Mech: Antibody inhibits acetylcholine binding Path: Muscle weakness and paralysis |
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Target: TSH receptor Mech: Antibody mediated stimulation Path: Hyperthyroidism |
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Target: Intrinsic factor of gastric parietal cells Mech: Neutralization of intrinsic factor, decreased absorption of vitamin B12 Path: Abnormal erythropoiesis and anemia |
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Systemic lupus erythematosus |
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Definition
Type III AB: DNA, nucleoproteins, others Path: Nephritis, arthritis, and vasculitis |
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Definition
Type III AB: Hepatitis B virus surface antigen Path: Vasculitis |
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Post-streptococcal glomerulonephritis |
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Definition
Type III AB: Streptococcal wall antigen Path: Nephritis |
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Type III Clinical and Experimental AB: Various proteins Path: Systemic vasculitis, nephritis, and arthritis |
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Type III experimental AB: Various proteins Path: Cutaneous vasculitis |
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Target: Unknown Genetic: PTPN22 Path:Inflammation of synovium and erosion of cartilage and bone |
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Definition
Target: Myelin proteins Genetic: CD25 Path: Demyelination of neurons in CNS with sensory and motor deficits |
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Inflammatory Bowel Syndrome |
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Target: Unknown (Microbes?) Genetic: NOD2 |
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Definition
Target: Modified Skin proteins Genetic: None Path: DTH reaction in skin, rash |
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Target: EBNA (viral protein) Path: CD8+ CTL-mediated hepatocyte death, liver dysfunction, and fibrosis |
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Super antigen mediated diseases (Toxic Shock Syndrome) |
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Definition
Target: Polyclonal (microbial super antigens activate many T-cells (many self-reactive)) Path: Fever, systemic cytokine release |
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