Micro & Immunology · single question

A patient develops a delayed (days-later) allergic skin reaction to celecoxib. This reaction is mediated by:

  1. T cells (Type IV, delayed hypersensitivity)
  2. IgE (Type I, immediate)
  3. IgM and complement (Type II)
  4. Immune complexes (Type III)
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Correct answer: A. T cells (Type IV, delayed hypersensitivity)

  • A. Correct. A delayed reaction appearing days later is T-cell-mediated (Type IV) hypersensitivity.
  • B. IgE-mediated (Type I) reactions are immediate (minutes), e.g., anaphylaxis/urticaria.
  • C. Type II involves antibody-mediated cytotoxicity against cells.
  • D. Type III involves circulating immune-complex deposition (e.g., serum sickness).

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