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HYPERSENSITIVITY I
GROUP SEVEN
1
GROUP MEMBERS
• MICHAEL MENSAH
• DEKYI REUBEN
• NYARKO PRINCE
• EDEM KOJO JOHN
• BUABENG ISAAC KOJO
• CARR JEREMIAH
2
OBJECTIVES
• Facts and what hypersensitivity I is.
• What is its pathophysiology or mode of work?
• Who is susceptible to the disease ?
• Treatment and prognosis.
• Examples of diseases under hypersensitivity I.
3
FACTS ON HYPERSENSITIVITY I
• Hypersensitivity I has no cure, but can be managed.
• The cost of treatment and management of hypersensitive
patients costs over $18 billion dollars annually.
• With food allergy treatment alone costing about $25 billion
dollars annually.
• In the US, 50 million people experience various types of
allergies under hypersensitivity I each year.
• It is also known as immediate hypersensitivity.
• It is an immune allergic response.
4
PATHOPHYSIOLOGY OF HYPERSENSITIVITY
I
• The difference between hypersensitivity I and other
immune response is the production of IGE instead of
IGM, IGG or IGA.
• In hypersensitivity I or immediate hypersensitivity,
there is an antibody-antigen reaction where B-cells are
made to produce immunoglobulin-E (IGE) antibodies
by CD4+ and TH2 cells.
• In this antibody-antigen reaction, Immunoglobulin-E
antibodies bind to FCᵋRI receptors on the surface of
tissue mast cells and blood basophils.
5
PATHOPHYSIOLOGY OF HYPERSENSITIVITY
I
• Antigens found in this particular
reaction are known as Allergens.
• These allergens may enter the body by
injection, ingestion, inhalation or
through direct contact or exposure.
• After these allergens have binded to the
receptors, the body becomes ‘sensitized’
upon the first exposure.
6
PATHOPHYSIOLOGY OF HYPERSENSITIVITY
I
• Upon second exposure after sensitization has occurred,
there is the cross-linking of the IGE bounded on the
sensitized cells and the resulting effect being
anaphylactic degranulation.
• Where pre-formed active mediators from storage
granules are released immediately and explosively.
• There is the concurrent synthesis of lipid mediators
from arachidonic acid.
7
PATHOPHYSIOLOGY OF HYPERSENSITIVITY
I
• The release of these mediators are to cause smooth-
muscle contraction and vasodilation.
• They include histamine, leukotriene (LTD4, LTB4 and
LTC4) and prostaglandin ( which acts on proteins
located in surrounding tissue)
• Hypersensitivity I is classified into two phases of
response being the immediate phase and late phase.
8
PATHOPHYSIOLOGY OF HYPERSENSITIVITY
I
• The Immediate phase being the release of vasoactive
amines and lipid mediators within a matter of minutes
or seconds.
• And the late phase being the release of the mediators as
well as cytokines within 2-4 hours.
9
PATHOPHYSIOLOGY OF HYPERSENSITIVITY
I 10
SUSCEPTIBILITY OF DISEASE CONDITION
• There is actually no age limit for susceptibility for
hypersensitivity I.
• It is estimated that children between the ages of 0-4
years are more prone to developing diseases involving
hypersensitivity I.
• It also estimated that elderly people or persons are also
susceptible to diseases involving hypersensitivity I.
• Generally persons with somewhat weak immunologic
response are susceptible to developing such disease
conditions.
11
TREATMENT AND PROGNOSIS
• The treatment or otherwise management of the
condition includes the use of
corticosteroids,antihistamine and adrenaline in
controlled doses.
• In prognosis, hypersensitivity can lead the body to
reactive negatively to certain actions and substances. It
can lead to severe allergic reactions in a form of
response. Such responses include,
12
ASTHMA 13
ALLERGIC CONJUCVITIS 14
ANGIOEDEMA 15
OTHER ALLERGIC RESPONSES 16
OTHER ALLERGIC RESPONSES 17
REFERENCES
• 2011, Shiv Pillai MD, Abdul K. Abbas MBBS; Andrew Wilson.
“Cellular and Molecular Immunology: with STUDENT
CONSULT online access. Philadelphia
• 2018, Article- CDC National Centre for Health Statistics.
FastStats: Allergies and Hay fever.
• GETTY IMAGES
• 2018, Article- American College of Allergy, Asthma and
Immunology. Allergy Facts.
• immunology-kuby, pg. 20, introduction.
18

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Hypersensitivity i

  • 2. GROUP MEMBERS • MICHAEL MENSAH • DEKYI REUBEN • NYARKO PRINCE • EDEM KOJO JOHN • BUABENG ISAAC KOJO • CARR JEREMIAH 2
  • 3. OBJECTIVES • Facts and what hypersensitivity I is. • What is its pathophysiology or mode of work? • Who is susceptible to the disease ? • Treatment and prognosis. • Examples of diseases under hypersensitivity I. 3
  • 4. FACTS ON HYPERSENSITIVITY I • Hypersensitivity I has no cure, but can be managed. • The cost of treatment and management of hypersensitive patients costs over $18 billion dollars annually. • With food allergy treatment alone costing about $25 billion dollars annually. • In the US, 50 million people experience various types of allergies under hypersensitivity I each year. • It is also known as immediate hypersensitivity. • It is an immune allergic response. 4
  • 5. PATHOPHYSIOLOGY OF HYPERSENSITIVITY I • The difference between hypersensitivity I and other immune response is the production of IGE instead of IGM, IGG or IGA. • In hypersensitivity I or immediate hypersensitivity, there is an antibody-antigen reaction where B-cells are made to produce immunoglobulin-E (IGE) antibodies by CD4+ and TH2 cells. • In this antibody-antigen reaction, Immunoglobulin-E antibodies bind to FCᵋRI receptors on the surface of tissue mast cells and blood basophils. 5
  • 6. PATHOPHYSIOLOGY OF HYPERSENSITIVITY I • Antigens found in this particular reaction are known as Allergens. • These allergens may enter the body by injection, ingestion, inhalation or through direct contact or exposure. • After these allergens have binded to the receptors, the body becomes ‘sensitized’ upon the first exposure. 6
  • 7. PATHOPHYSIOLOGY OF HYPERSENSITIVITY I • Upon second exposure after sensitization has occurred, there is the cross-linking of the IGE bounded on the sensitized cells and the resulting effect being anaphylactic degranulation. • Where pre-formed active mediators from storage granules are released immediately and explosively. • There is the concurrent synthesis of lipid mediators from arachidonic acid. 7
  • 8. PATHOPHYSIOLOGY OF HYPERSENSITIVITY I • The release of these mediators are to cause smooth- muscle contraction and vasodilation. • They include histamine, leukotriene (LTD4, LTB4 and LTC4) and prostaglandin ( which acts on proteins located in surrounding tissue) • Hypersensitivity I is classified into two phases of response being the immediate phase and late phase. 8
  • 9. PATHOPHYSIOLOGY OF HYPERSENSITIVITY I • The Immediate phase being the release of vasoactive amines and lipid mediators within a matter of minutes or seconds. • And the late phase being the release of the mediators as well as cytokines within 2-4 hours. 9
  • 11. SUSCEPTIBILITY OF DISEASE CONDITION • There is actually no age limit for susceptibility for hypersensitivity I. • It is estimated that children between the ages of 0-4 years are more prone to developing diseases involving hypersensitivity I. • It also estimated that elderly people or persons are also susceptible to diseases involving hypersensitivity I. • Generally persons with somewhat weak immunologic response are susceptible to developing such disease conditions. 11
  • 12. TREATMENT AND PROGNOSIS • The treatment or otherwise management of the condition includes the use of corticosteroids,antihistamine and adrenaline in controlled doses. • In prognosis, hypersensitivity can lead the body to reactive negatively to certain actions and substances. It can lead to severe allergic reactions in a form of response. Such responses include, 12
  • 18. REFERENCES • 2011, Shiv Pillai MD, Abdul K. Abbas MBBS; Andrew Wilson. “Cellular and Molecular Immunology: with STUDENT CONSULT online access. Philadelphia • 2018, Article- CDC National Centre for Health Statistics. FastStats: Allergies and Hay fever. • GETTY IMAGES • 2018, Article- American College of Allergy, Asthma and Immunology. Allergy Facts. • immunology-kuby, pg. 20, introduction. 18