Hypersensitivity
Reaction
BY :KUMAIL ABID(40052)
SAMPLE FOOTER TEXT
HYPERSENSITIVITY
• Hypersensitivity is an exaggerated reaction produced by
body's immune system in form of autoimmunity or allergy
as a response to certain stimulant which in our PBL case
was drug (penicillin).
• It occurs on selective individuals and its severity is
unrelated to concentration of stimulant or drug.
• Manifestations usually like common food allergies or
allergic reactions .
SAMPLE FOOTER TEXT
• It has 4types differentiated based on type of immunity
involved , types of immune cells involved, different
manifestations and disorders caused etc.
Types of Hypersensitivity
1. Type 1 : Anaphylactic reaction which involves IgE fixed to mast cells and basophils and reaction occurs on its
surface releasing mediators like histamine, prostaglandin, PAF, leukotrienes, resulting in urticaria(itchy rash) ,
bronchospasm, angioedema. Anaphylactic shock is severe allergic reaction in this type of hypersensitivity
which shows itchiness, swelling of lips, wheezing, syncope and palpitation.
2. Type 2: Cytolytic reaction which involves IgG and IgM which binds to cell resulting in thrombocytopenia ,
agranulocytosis, aplastic anemia, hemolysis, organ damage. Antigens bound in cell surface presented to T cells
causing immune response cause tissue specific damage.
3. Type 3: Retarded reaction involves IgG binds on endothelium cause inflammatory response. Results in
rashes ,serum sickness, fever , polyarteritis nodosa. Takes 1-2 weeks. Antigens here are soluble unlike in type
2 and activates complement chain causing local inflammation.
4. Type 4: Delayed hypersensitivity reaction involves T lymphocytes which makes lymphokines causing contact
dermatitis , rash, fever, photosensitization. Can be caused by repeated local anesthetic handling.
Summary Table
TYPE TYPE 1 TYPE 2 TYPE 3 TYPE 4
REACTANT IgE IgG and IgM IgG T effector cells
MECHANISM Mast-cell activation Antigens embedded in Antibody binds to APC activates
releases histamines and host cells cause soluble antigen, Th1/CTL. T cells
other mediators complement activation forming a circulating activation
and destruction by immune complex macrophages and
MAC. lodges in a vessel wall cause an inflammatory
and causes a local response.
inflammatory
response
TIME Minutes Days
EXAMPLE Anaphylaxis Acute Transfusion Rheumatoid Arthritis, Contact Dermatitis,
Reaction Vasculitis, Mantoux tuberculin
Glomerulonephritis test