Micro & Immunology · single question

Systemic lupus erythematosus is mediated primarily by which hypersensitivity type?

  1. Type III (immune-complex)
  2. Type I (immediate/IgE)
  3. Type II (cytotoxic)
  4. Type IV (delayed/cell-mediated)
Show answer and explanation

Correct answer: A. Type III (immune-complex)

  • A. Correct. SLE is a prototypical type III (immune-complex) hypersensitivity — antigen–antibody complexes deposit in tissues and activate complement.
  • B. Type I (IgE-mediated) underlies anaphylaxis and allergies.
  • C. Type II involves antibodies against cell-surface antigens (e.g., autoimmune hemolytic anemia).
  • D. Type IV is delayed, T-cell mediated (e.g., contact dermatitis, TB skin test).

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