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Hypersensitivity and Autoimmunity
Ch. 22
7
Nursing
Undergraduate 1
10/10/2014

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Term
Hypersensitivity or Allergy
Definition
An increased or excessive response to the presence of an antigen to which the patient has been previously exposed.
Term
Type 1: Immediate or Atopic Allergy
Definition
-Most common type.
-EX: Anaphylaxis and Allergic Asthma, latex
Term
Anaphylaxis
Definition
Causes widespread blood vessel dilation leading to decreased CO and bronchoconstriction.
Term
Type II: Cytotoxic
Definition
-Body makes special autoantibodies directed against self cells that have some form of foreign protein attached to them. Destroying both cells.
-EX: Hemolytic anemia, thrombocytopenic purpura, hemolytic trasfusion reactions (receipt of wrong blood type), Good pastures syndrome and drug induced hemolytic anemia.
-TX: discontinue product, followed by symptomatic treatment.
Term
Type III: Immune Complex Reactions
Definition
-Excess antigens cause immune complexes to form in the blood. They then lodge in small blood vessels walls which triggers inflammation and tissue or vessel damage results.
-EX: Common locations kidneys, joints and skin. RA, SLE
-Serum sickness caused by penicillin and other drugs.
Term
Type IV: Delayed Hypersensitivity Reactions.
Definition
-Antibodies and complement are not involved.
-Sensitized T-cell from previous exposures respond to an antigen by releasing chemical mediators and triggering macrophages to destroy the antigen.
-reaction Occurs hours to days later, and its local.
-EX: PPD, contact dermatitis, poison ivy, insect stings, tissue transplant rejection and sarcoidosis.
Term
Type V: stimulatory reaction
Definition
-caused by excessive stimulation of a normal cell surface receptor by an autoantibody, resulting in a continuous "turned-on" state of the cell.
-EX: Graves or hyperthyroidism
-goal is to remove the cause of over secretion or stimulation.
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