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lecture 26 ansari

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Question
Answer
adaptive immune system   show
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show is non-specific and uses germline receptors like PAMPs and TLRs to catch invading pathogens --> NK cells, dendritic cells, phagocytes, etc. Responsible for the short-lived acute inflammation response  
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conductor vs executor of adaptive immunity   show
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type I hypersensitivity reactions   show
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show describes the tendency of an individual to be prone to type I hypersensitivity reactions, that is mast cell degranulation causing urticaria, etc when exposed to various Ags in environment  
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examples of type I hypersensitivity reactions   show
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show antibody-mediated; Abs bind to EC matrix or RBCs (in hemolytic anemia) with subsequent destruction by opsonization (phagocytosis) or complement activation/lysis  
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examples of type II hypersensitivity reactions   show
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show antiglomerular BM and lung alveolar antibody deposition causes rapidly progressive glomerulonephritis and pulmonary hemorrhage. remember LINEAR PATTERN OF AB AND COMPLEMENT DEPOSITION  
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show mediated by deposition of immune complexes in extravascular sites or vessel walls. injury through complement activation or recruitment of neutrophils or monocytes. formation of immune complexes in the blood is not necessarily abnormal!!  
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show polyarteritis nodosa: Hep B virus antigens; SLE: Abs against DNA and nuclear proteins; serum sickness (horse antithymocyte globulin) and arthus rxns  
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remember LUMPY-BUMPY pattern of Ab and complement deposition   show
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type IV hypersensitivity reactions   show
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examples of type IV hypersensitivity reactions   show
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systemic lupus erythematosus (SLE)   show
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screening for presence of _______ is the first step to diagnosis SLE   show
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show anti-dsDNA antibody and anti-Smith antibody  
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screening for presence of _______ leads to dx of Sjogren's syndrome   show
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show anti-Scl-70  
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pathogenesis of SLE   show
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show renal manifestations - deposition of DNA-anti-DNA complexes in glomerulus (class IV, diffuse proliferative GN is worst prognosis)  
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show lymphocytic infiltration and fibrosis of salivary glands and lacrimal glands causing chronic dry eyes and xerostomia; usually associated with other autoimmune dz like SLE or RA (secondary form); ANA usually (+)  
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show abnormal accumulation of fibrous tissue in skin and other organs, either diffuse or limited type; anti-DNA topoisomerase I antibodies (Scl-70) or anti-centromere antibodies  
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