Micro & Immunology · patient case question
Anaphylaxis is which type of hypersensitivity reaction?
Patient case: Hypersensitivity, asthma and research design
Scenario: Three items.
Show answer and explanation
Correct answer: C. Type I
- A. Type IV is delayed and cell-mediated, taking 48 to 72 hours. Contact dermatitis to nickel or latex and the tuberculin skin test are the examples.
- B. Type II is antibody-mediated cytotoxicity — IgG or IgM directed at cell-surface antigens, as in transfusion reactions and pemphigus vulgaris.
- C. Correct. Type I is the immediate, IgE-mediated reaction. Antigen cross-links IgE on mast cells and basophils, which degranulate and release histamine within minutes.
- D. Type III is immune complex deposition, seen in serum sickness and lupus.
Note: Latex allergy is worth separating carefully: the dangerous immediate reaction is Type I, while contact dermatitis to glove chemicals is Type IV.
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