ABSTRACT

This book presents case histories to illustrate in a clinical context essential points about the mechanisms of immunity. It includes cases that illustrate both recently discovered genetic immunodeficiencies and some more familiar and common diseases with interesting immunology.

chapter |6 pages

CASE 1 Congenital Asplenia

The role of the spleen in immunity.

chapter |6 pages

CASE 2 Chronic Granulomatous Disease

A specific failure of phagocytes to produce H and superoxide.

chapter |6 pages

CASE 3 Leukocyte Adhesion Deficiency

The traffic of white blood cells.

chapter |6 pages

CASE 4 Hereditary Angioneurotic Edema

Regulation of complement activation.

chapter |6 pages

CASE 5 Factor I Deficiency

The alternative pathway of complement activation is important in innate immunity.

chapter |6 pages

CASE 6 Deficiency of the C8 Complement Component

A loss of the lytic function of complement.

chapter |8 pages

CASE 7 Hereditary Periodic Fever Syndromes

Defects in innate immunity leading to an uncontrolled inflammatory response.

chapter |6 pages

CASE 8 Interleukin 1 Receptor-Associated Kinase 4 Deficiency

An inability of the innate immune system to detect the presence of pathogens.

chapter |6 pages

CASE 9 X-linked Hypohydrotic Ectodermal Dysplasia and Immunodeficiency

Immunodeficiency due to a defective component in an intracellular signaling pathway required for both innate and adaptive immunity.

chapter |8 pages

CASE 10 X-linked Agammaglobulinemia

An absence of B lymphocytes.

chapter |6 pages

CASE 11 X-linked Hyper IgM Syndrome

Failure of immunoglobulin isotype switching.

chapter |4 pages

CASE 12 Activation-induced Cytidine Deaminase (AID) Deficiency

An intrinsic B-cell defect prevents immunoglobulin isotype switching.

chapter |6 pages

CASE 13 Common Variable Immunodeficiency

A failure to produce antibodies against particular antigens.

chapter |8 pages

CASE 14 X-linked Severe Combined Immunodeficiency

The maturation of T lymphocytes.

chapter |6 pages

Case 15 Adenosine Deaminase Deficiency 95

The purine degradation pathway and lymphocytes.

chapter |6 pages

CASE 16 Omenn Syndrome

A defect in V(D)J recombination results in severe immunodeficiency.

chapter |6 pages

CASE 17 MHC Class I Deficiency

chapter |6 pages

CASE 18 MHC Class II Deficiency

chapter |6 pages

Case 19 Multiple Myeloma 119

A malignancy of terminally differentiated B lymphocytes.

chapter |6 pages

CASE 20 T-Cell Lymphoma

A malignancy of functional T lymphocytes.

chapter |4 pages

Case 21 Interferon-g Receptor Deficiency 129

The destruction of intracellular microorganisms in macrophages.

chapter |8 pages

CASE 22 Wiskott–Aldrich Syndrome

Role of the actin cytoskeleton in T-cell function.

chapter |8 pages

CASE 23 X-linked Lymphoproliferative Syndrome

A defect in the immune response to a virus.

chapter |6 pages

CASE 24 Autoimmune Lymphoproliferative Syndrome (ALPS)

Increased survival of lymphocytes as a result of a mutation in Fas.

chapter |6 pages

CASE 25 Immune Dysregulation, Polyendocrinopathy, Enteropathy X-linked Disease

A failure of peripheral tolerance due to defective

chapter |6 pages

CASE 26 Toxic Shock Syndrome

Superantigens cause excessive stimulation of T cells and macrophages.

chapter |8 pages

CASE 27 Acute Infectious Mononucleosis

Cytotoxic T cells terminate viral infection.

chapter |4 pages

CASE 28 Mixed Essential Cryoglobulinemia

Chronic infection can lead to immune-complex disease.

chapter |6 pages

CASE 29 Rheumatic Fever

A streptococcal infection triggers an autoimmune disease of the heart.

chapter |6 pages

CASE 30 Lepromatous Leprosy

1 versus T 2 responses in the outcome of infection.

chapter |6 pages

CASE 31 Acquired Immune Deficiency Syndrome (AIDS)

Infection can suppress adaptive immunity.

chapter |6 pages

CASE 32 Acute Systemic Anaphylaxis

A life-threatening immediate hypersensitivity reaction to peanuts.

chapter |8 pages

CASE 33 Allergic Asthma

Chronic allergic disease caused by an adaptive immune response to inhaled antigen.

chapter |6 pages

CASE 34 Atopic Dermatitis

Skin as a target organ for allergy.

chapter |6 pages

CASE 35 Drug-Induced Serum Sickness

An adverse immune reaction to an antibiotic.

chapter |6 pages

CASE 36 Celiac Disease

Chronic tissue damage in the gut caused by hypersensitivity to a common food antigen.

chapter |6 pages

CASE 37 Contact Sensitivity to Poison Ivy

A delayed hypersensitivity reaction to a hapten.

chapter |6 pages

CASE 38 Autoimmune Polyendocrinopathy-Candidiasis-Ectodermal Dystrophy

Role of the thymus in the negative selection of T lymphocytes.

chapter |6 pages

Case 39 Autoimmune Hemolytic Anemia 243

Autoimmune disease triggered by infection.

chapter |4 pages

CASE 40 Myasthenia Gravis

The immune response turns against the host.

chapter |6 pages

CASE 41 Pemphigus Vulgaris

Autoimmune attack on the integrity of the skin.

chapter |4 pages

CASE 42 Rheumatoid Arthritis

A common, severe inflammatory disease of unknown cause.

chapter |4 pages

CASE 43 Systemic Lupus Erythematosus

A disease caused by immune complexes.

chapter |4 pages

CASE 44 Multiple Sclerosis

Autoimmune attack on the integrity of the central nervous system.

chapter |4 pages

CASE 45 Hemolytic Disease of the Newborn

The adaptive immune response distinguishes different individuals within a species.

chapter |6 pages

CASE 46 A Kidney Graft for Complications of Autoimmune Insulin-Dependent Diabetes Mellitus

Mechanisms of graft rejection and HLA associations

chapter |4 pages

CASE 47 Graft-Versus-Host Disease

Alien T cells react against their new host.

chapter |50 pages

Answers

chapter |2 pages

Figure Acknowledgments