Hypersensitivity Reaction/ Allergy
Hypersensitivity Reaction/ Allergy
Hypersensitivity Reaction/ Allergy
Is an increased or excessive response to the presence of an antigen ( foreign protein or allergen) to which the client has been previously exposed. Initial responses:
Itching
Watery
eyes sneezing
BASIC TYPES
Anaphylactic hypersensitivity ORGAN SPECIFIC The most severe form of hypersensitivity reaction The most severe immune-mediated reaction results from the increased production of the Ig E antibody class
Impending
doom
BRONCHIAL ASTHMA
Dyspnea
wheezing
angioedema
CLINICAL EXAMPLES
ORGAN SPECIFIC May affect variety of organs and tisssues Reaction time is 10 to 14 mins. Primarily mediated by antibodies of Ig M and Ig G classes and phagocyte as well as T cells
Fever
Nausea
SEPSIS Fever
nausea
vomiting
diarrhea
Treatment
Autologous transfusion
CLINICAL EXAMPLES
NON-ORGAN SPECIFIC May be general (serum sickness), may involve individual organs including skin (Systemic Lupus Erythematosus), kidneys (nephritis), lung (aspergillosis), blood vessels (polyarthritis), joints (arthralgia, athritis/ rheumatoid arthritis) Reaction may take 3-10 hours after exposure of the antigen Mediated by Ig G and Ig M
Treatment
-symptomatic treatment
Antihistamines-
for
CLINICAL EXAMPLES
ORGAN SPECIFIC Delayed Hypersensitivity reaction Mediated by T cells rather than antobodies Lesions are more papular
CLINICAL EXAMPLES
- B cell Mediated HR This type of reaction involves inappropriate type of hyperthyroidism, results from excessive output of thyroid hormones caused by abnormal stimulation of thyroid glands by circulating immunoglobulins.
CLINICAL EXAMPLES
Graves disease
Treatment
Diagnostic Evaluation
Blood tests Smears of body secretions Skin tests Radioallergosorbent test (RAST) CBC differential Eosinophil count Total serum Ig E levels