Types of Hypersensitivity

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Types of

Hypersensitivity
Reactions
Hypersensitivity..
 Refer to an antigen response beyond that which is
considered normal.
 The term allergy is more familiar and is essentially
synonymous.
 Hypersensitivity responses occur in individuals who
have been sensitized by previous exposure to an
antigen or sometimes called allergen.
Type I (Anaphylactic) Reactions

 Anaphylaxis means ‘the opposite of protected’,


from the prefix ana-, meaning against, and the
Greek phylaxis, meaning protection.
 It is an inclusive term for the reactions caused
when certain antigens combine with IgE antibodies.
 Often occur within 2 or 30 minutes
Type I
Systemic Reactions
- can result when an individual sensitized to
an antigen is exposed to it again.
- it can produce shock and breathing
difficulties and are sometimes fatal.
Localized Reactions
- is usually associated with antigens that are
ingested (foods) or inhaled (pollen).
- examples of which, include common allergic
conditions such as hay fever, asthma, and
hives.
Type II (Cytotoxic) Reactions

 Generally involve the activation of complement by


the combination of IgG or IgM antibodies with an
antigenic cell.
 Additional cellular damage may be caused within 5
to 8 hours by the action of macrophages and other
cells that attack antibody-coated cells.
Type II
 The most familiar cytotoxic hypersensitivity
reactions are transfusion reactions, in which red
blood cells are destroyed as a result of reacting
with circulatory antibodies.
 These involve blood group systems that include the
ABO and Rh antigens.
Type III (Immune Complex) Reactions
 Involve antibodies against soluble antigens
circulating in the serum.
 The antigen-antibody complexes are deposited in
organs and cause inflammatory damage.
 Immune complexes form only when certain ratios
of antigen and antibody occur. The antibodies
involved are usually IgG.
Type III
 Examples of which, include Arthus reactions and
serum sickness.
 Glomerulonephritis is an immune complex
condition, usually resulting from an infection, hat
causes inflammatory damage to the kidney
glomeruli, which are sites of blood filtration.
Type IV (Delayed Cell-Mediated)
Reactions

 Involve cell-mediated immune responses and are


caused mainly by T cells.
 Instead of occurring within a few minutes or hours
after a sensitized individual is again exposed to an
antigen, these delayed cell-mediated reactions, are
not apparent for a day or more.
Type IV
 A major factor in the delay is the time required for
the participating T cells and macrophages to
migrate to accumulate near the foreign antigens.
 Examples of which, include rejection of
transplanted tissues; contact dermatitis such as
poison ivy; certain chronic diseases, such as
tuberculosis.

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