This document discusses hypersensitivity reactions of types III and IV. Type III reactions are immune complex-mediated, where immune complexes form in circulation and deposit in tissues, activating the classical complement pathway and causing damage. They can cause conditions like serum sickness, arthritis, and glomerulonephritis. Type IV reactions are cell-mediated, initiated by sensitized T lymphocytes, and involve delayed-type hypersensitivity to intracellular pathogens mediated by CD4 T cells or cytotoxic CD8 T cell responses. Treatment involves symptom relief with antihistamines or corticosteroids, exposure prevention, and sometimes desensitization or immunoregulation.