Paper I
2023 January (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

Type-I hyper sensitivity reaction.

Q104 marksShort Answers

Answer

Type I hypersensitivity is an immediate, IgE-mediated hypersensitivity reaction.

Mechanism

  • On first exposure to an allergen, B cells (with T helper cell assistance) produce IgE antibodies, which bind Fc receptors on mast cells/basophils (sensitization)
  • On re-exposure, allergen cross-links the bound IgE, triggering degranulation and release of mediators (histamine, prostaglandins, leukotrienes)
  • These mediators cause vasodilatation, increased vascular permeability, smooth muscle contraction, and mucus secretion

Phases

  • Immediate reaction (minutes) and late-phase reaction (2–24 hours, involving eosinophils and newly synthesized mediators)

Examples

  • Anaphylaxis, allergic rhinitis, bronchial asthma, urticaria

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