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| Hypersensitivity Classification and external resources |
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| ICD-10 | T78.4 |
|---|---|
| ICD-9 | 995.3 |
| DiseasesDB | 28827 |
| MeSH | D006967 |
Hypersensitivity (also called hypersensitivity reaction) refers to undesirable (damaging, discomfort-producing and sometimes fatal) reactions produced by the normal immune system. Hypersensitivity reactions require a pre-sensitized (immune) state of the host. The four-group classification was expounded by P. H. G. Gell and Robin Coombs in 1963.[1]
Coombs and Gell classification
| Type | Alternative names [2] | Often mentioned disorders[2] | Mediators[2] |
|---|---|---|---|
| 1 | Allergy (immediate) | ||
| 2 | Cytotoxic, antibody-dependent |
|
|
| 3 | Immune complex disease | ||
| 4 | Delayed-type hypersensitivity[3] (DTH), Cell-mediated immune memory response, antibody-independent |
Type 5
This is an additional type that is sometimes (often in Britain) used as a distinction from Type 2.[4]
Instead of binding to cell surface components, the antibodies recognize and bind to the cell surface receptors, which either prevents the intended ligand binding with the receptor or mimics the effects of the ligand, thus impairing cell signalling.
Some clinical examples:
The use of "Type 5" is rare. These conditions are more frequently classified as Type 2, though sometimes they are specifically segregated into its own subcategory of Type 2.
References
- ^ Gell PGH, Coombs RRA, eds. Clinical Aspects of Immunology. 1st ed. Oxford, England: Blackwell; 1963.
- ^ a b c Unless else specified in boxes, then ref is: Lippincott's Illustrated Reviews: Immunology. Paperback: 384 pages. Publisher: Lippincott Williams & Wilkins; (July 1, 2007). Language: English. ISBN-10: 0781795435. ISBN-13: 978-0781795432. Page 195
- ^ Black, CA. Delayed Type Hypersensitivity: Current Theories with an Historic Perspective Dermatol. Online J. (May 1999) 5(1):7 at http://dermatology.cdlib.org/DOJvol5num1/reviews/black.html
- ^ Rajan TV (July 2003). "The Gell-Coombs classification of hypersensitivity reactions: a re-interpretation". Trends Immunol. 24 (7): 376–9. PMID 12860528.
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Wikipedia content modification information:
- This page was last modified on 1 October 2008, at 00:02.
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