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Pathophysiology
Chapter 8: Alterations in Immunity/Inflammation
38
Nursing
Undergraduate 3
09/10/2011

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Cards

Term

 

Allergy

Definition
The deleterious effects of hypersensitivity to environmental antigens.
Term

 

Autoimmunity

Definition

disturbance in the immunologic tolerance of self-antigens

 

Term

 

Autoimmune Diseases 

Definition
occur when the immune system reacts against self-antigens to such a degree that the person's own tissues are damaged.
Term
Hypersensitivity
Definition
Altered Immunologic response to an antigen that results in disease or damage to the host.
Term

Alloimmunity

(Isoimmunity)

Definition
Immune system produces an immunologic reaction against tissues of another individual. (transfusions, organ transplant, or fetus during pregnancy)
Term

Autoimmune Disorders

Endocrine System

Definition

Hyperthyroidism (Graves Disease), Addison Disease,

Autoimmune Thyroiditis,  Premature Gonadal Failure

Primary myxedema,  Male infertility, Orchitis, Female infertility, Idiopathic hypoparathyroidism, Partial pituitary deficiency 

Insulin-dependent diabetes 

Term

Autoimmunity Disorders

Skin

Definition
Pemphigus vulgaris, Bullous pemphigoid, Dermatitis herpetaformis, Vitiligo
Term

Autoimmunity Disorders

Neuromuscular Tissues

Definition
Polymyositis, multiple sclerosis, Myasthenia gravis, Polyneuritis, Rheumatic fever, Cardiomyopathy, Postvaccinal or postinfectious encephalitis.
Term

Autoimmunity Disorders

GI system

Definition
Celiac disease (gluten-sensitive enteropathy), ulcerative colitis, crohn disease, pernicious anemia, atrophic gastritis, Primary biliary cirrhosis, Chronic active hepatitis
Term

Autoimmune disorders

Eye

Definition
Sjogen syndrome, Uveitis
Term

Autoimmune disorders

Connective Tissue

Definition
Anklyosing spondylitis, Rheumatoid Arthritis, Systemic lupus erythematosus, Mixed connective tissue disease, Polyarteritis nodosa (necrotizing vasculitis), scleroderma, Felty syndrome, Antiphospholipid antibody syndrome.
Term

Autoimmune Disorders

Renal system

Definition
Immune complex glomuleronephritis, Goodpasture disease
Term

Autoimmune Disorders

Hematologic System

Definition
Idiopathic Neutropenia, Idiopathic lymphopenia, Autoimmune hemolytic anemia, Autoimmune thrombocytopenic purpura
Term

Autoimmune Disorders

Respiratory System

Definition
Goodpasture Disease
Term
Type I Hypersensitivity
Definition
Mediated by antigen specific IgE and the products of tissue mast cells. Most common allergies(seasonal allergies) are in this category. Reaction: immediate. Cell involved: mast cells
Term
Type II Hypersensitivity
Definition
Tissue-specific reaction. Antibodies: IgG, IgM. Immediate Reaction. Cells involved: Macrophages in tissues. Complement participation. Examples: Graves disease, Autoimmune hemolytic anemia. Antibody binds to antigen on cell surface.
Term
Type III Hypersensitivity
Definition
Immune-complex mediated reaction. Reaction: Immediate. Antibody: IgG, IgM. Cells involved: neutrophils. Complement involved. Example: Systemic lupus erythematosus. Antibody binds to soluble antigen in bloodstream and tissues are affected.
Term
Type IV Hypersensitivity
Definition
Cell-mediated Reaction, Delayed reaction. Antibody: None - mediated by T-lymphocytes. Cells effected:Lymphocytes, Macrophages. No Complement activation. Contact sensitivity to poison ivy and jewelry. TB antigen test is an example of this response.
Term
Atopic
Definition
The tendency of some people to be genetically predisposed to allergies
Term
Urticaria
Definition

 

Hives- wheal and flare reaction usually accompanied by itching.

Term

 

Desensitization

Definition
Can be achieved in some individuals by injecting minute quantities of the allergen into the individual over a prolonged period.
Term

 

Contact Dermatitis

Definition
Occurs with Type IV delayed reactions and consists of lesions at the point of contact with the allergen.
Term

 

Atopic Dermatitis

Definition
Immediate hypersensitivity reactions and are characterized by widespread lesions
Term
Graves disease
Definition
Maternal antibody against the receptor for TSH causes neonatal hyperthyroidism
Term

 

Myasthenia gravis

Definition
Maternal antibody binds witg receptors for neural transmitters on muscle cells causing neonatal muscle weakness.
Term

 

Systemic lupus erythematosus

(SLE)

Definition

 

Chronic, multisystem, inflammatory disease. One of the most common, complex and serious autoimmune disorders. Characterized by production of a lot of autoantibodies against many self-components.

Term

 

Clinical Manifestations of SLE

Definition
Facial Rash on cheeks, Photosensitivity, oral and/or nasopharyngeal ulcers, renal disorder, arthritis in at least two peripheral joints, presence of antinuclear antibody (ANA)
Term

 

Hyperacute rejection

Definition

 

Immediate and rare rejection of a transplanted organ

Term

 

Acute rejection

Definition

 

Cell-mediated immune response that occurs days to months from date of transplant. Recipient develops and immune response against unmatched HLAs.

Term

 

Chronic Rejection

Definition

 

May occur after months or years of normal function. Characterized by slow, progressive organ failure.

Term

 

Immune Deficiency

Definition
Failure of mechanisms of self-defense to function at their normal capacity, resulting in increased susceptibility to infections.
Term
Primary (congenital) immune deficiency
Definition
Caused by a genetic anomaly
Term
Secondary (acquired) immune deficiency
Definition
Caused by another disease, such as cancer or a virus, or by normal physiologic changes such as aging.
Term

 

DiGeorge Syndrome

Definition

 

Partial or complete absence of T-cell immunity due to lack or partial lack of a thymus. Characterized by severe congenital, structural defects of the heart and low levels of calcium (which may cause seizures). Deletions on Chromosome 22. Wide set eyes, low set ears and shortened structure of upper lip.

Term
5 Types of Primary Immune deficiencies
Definition

B-lymphocyte deficiencies

T-lympocyte deficiencies

Combined B and T lymphocyte deficiencies

Complement deficiencies, phagocytic deficiencies

Term

 

T-lymphocyte function

Definition
T cells or T lymphocytes belong to a group of white blood cells known as lymphocytes, and play a central role in cell-mediated immunity. They can be distinguished from other lymphocyte types, such as B cells and natural killer cells (NK cells) by the presence of a special receptor on their cell surface called T cell receptors (TCR). The abbreviation T, in T cell, stands for thymus, since this is the principal organ responsible for the T cell's maturation.
Term

 

B-lymphocyte function

Definition
B cells are lymphocytes that play a large role in the humoral immune response (as opposed to the cell-mediated immune response, which is governed by T cells). The principal functions of B cells are to make antibodies against antigens, perform the role of antigen-presenting cells (APCs) and eventually develop into memory B cells after activation by antigen interaction. Manufactured in bone marrow.
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