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Chapter 15 Hypersensitivity Reactions. Mast cell. Although the word “ hypersensitivity ” implies an increased response, the immune response of a hypersensitivity reaction is not necessarily heightened but instead, an inappropriate response to an antigen. Portier and Richet :
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Chapter 15 Hypersensitivity Reactions Mast cell
Although the word “hypersensitivity”implies an increased response, the immune response of a hypersensitivity reaction is not necessarily heightened but instead, an inappropriate response to an antigen.
Portier and Richet : Anaphylaxis 過敏反應 ↕ Prophylaxis 預防 Richet was awarded the Nobel Prize in 1913 for the discovery of anaphylaxis. Portuguese man-of-war
Four Types of Hypersensitive Responses Immediate Hypersensitivity: Type I IgE-mediated hypersensitivity Type II IgG- or IgM-mediated cytotoxic hypersensitivity Type III Immune complex-mediated hypersensitivity Delayed-type Hypersensitivity: Type IV Cell-mediated hypersensitivity
Type I Hypersensitivity - IgE-mediated hypersensitivity
allergen (過敏原), allergic (過敏的) atopy (過敏體質), atopic (具有過敏體質的)
Hemolytic Disease of the New Born is Caused by Type II Reactions
Type III Hypersensitivity Localized Type III Reaction - Arthus Reaction tissue damage
Generalized Type III Reaction – Serum Sickness fever, weakness, rashes, edema, erythema, arthritis, glomerulonephritis
Type IV Hypersensitivity Some populations of activated TH cells encounter certain types of antigens, they secrete cytokines that induce a localized inflammatory reaction called delayed-type hypersensitivity (DTH). The term “hypersensitivity” is misleading, since it suggests that a DTH response is detrimental. Although a DTH response can cause extensive tissue damage in some cases, DTH plays an important role in defense against intracellular pathogens .
Granuloma Formation - Caused by a prolonged DTH response
Contact Dermatitis Is A Type of DTH formaldehype, trinitrophenol, nickel, turpentine, detergents, poison ivy, poison oak, and active agents in various cosmetics and hair dyes