allergic reactions
hypersensitivity
type 1 hypersensitivity An immediate, abnormal reaction occurring when an antigen reacts with an antibody (e.g. immunoglobulin E (IgE)) attached to a mast cell or basophil. This leads to the release of specific chemical mediators of allergy (e.g. histamine) that react with target organs throughout the body. Systemic signs include: itching, lacrimation, skin rash and possibly haemodynamic collapse and shock. Allergic conjunctivitis is an example of this type of hypersensitivity.
Type 2 h . (cytotoxic h.) is caused by an interaction of antibody and antigens on cell surfaces. Examples: Graves' disease, myasthenia gravis. Type 3 h. (immune-complex mediated h.) is mediated by a combination of antigen-antibody. Example: systemic lupus erythematosus. Type 4 h. (T cell-mediated h.) is a delayed reaction (several days to develop) mediated by T lymphocytes. Example: rheumatoid arthritis. See antihistamine; mast cell stabilizers.