Lymphoid system

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Contents

Hypersensitivity Reaction

Components of the immune system

  • White blood cells
  • tissue lymphocytes, macrophages and mast cells
  • human major histocompatibility complex


Origin of the immune cells

Sequence of maturation of immune cells

Final destination of immune cells

Know and understand the histology/components of normal lymph nodes, thymus gland, spleen, and mucosa associated lymphoid tissue

Know and understand the histological changes in the lymphoid organs upon stimulation by an antigen

Know the different types of the hypersensitivity reactions and understand why they are classified into four groups

Anaphylactic (Type I)

  • aka immediate or allergic
  • First exposure is usually silent
  • Antigen activates T-H2 cells, which leads to the formation of IgE-secreting cells
  • On the second exposure, the IgE binds explosively, and leads to a powerful reaction
  • Reaction is immediate when the antigen is introduced
  • Could be localized (hives, hay fever, asthma) or generalized (anaphylactic syndrome)


Cytotoxic (Type II)

  • Usually a humoral reaction
  • Caused by cytotoxic antibodies (IgG, IgM)
  • Complement mediated cytotoxicity also plays a role
    • this is best exemplified with wrong bloodtype transfrusions

Immune Complex (Type III)

Cell-mediated (Type IV)

  • All cellular
  • No immunoglobulins

Understand the mechanism of each reaction

Be familiar with the classic examples / diseases of each subtype

Know the complications related to suppression of the immune system

Caselets

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