Farmer's lung pathophysiology: Difference between revisions
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== Overview == | == Overview == | ||
The | The pathogenesis of the Farmer's lung disease is type 3 or type 4 hypersensitivity reaction. | ||
== Pathophysiology == | == Pathophysiology == | ||
=== | === Pathogenesis: === | ||
Hypersensitivity reaction because of the many immunologic phnomenon present and antibodies of organism invasion into tissues. | |||
=== | ===== Acute- ===== | ||
* | * Type 3 hypersensitivity | ||
* When moldy hay antigens complex with antibodies, to bind complements and attract neutrophils, causing inflammation by release of their toxic enzymes and radicals. | |||
===== Chronic- ===== | |||
* | * Type 4 hypersensitivity | ||
* | * mononuclear cell inflammation and granuloma. | ||
===== Unifying hypothesis- ===== | |||
Sensitised pulmonary alveolar macrophages activated by antigen attract neutrophils and also modulate T cell activity leading to appearance of mononuclear cells and granuloma. | |||
<br /> | |||
== Genetics == | == Genetics == | ||
There are no established genetic predispositions. | |||
== Associated Conditions == | |||
There are no associated conditions. | |||
== Gross Pathology == | |||
===== Acute phase- ===== | |||
* Pulmonary alveolar wall and interstitial accumulation of neutrophils, mononuclear cells and edema. | |||
* obstructive bronchiolitis and capillary inflammation is present. | |||
===== Late phase- ===== | |||
* mononuclear cell predominant | |||
* presence of noncaseating granuloma | |||
* | |||
* | |||
== Microscopic Pathology == | == Microscopic Pathology == | ||
<br /> | |||
== References == | == References == | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 01:06, 28 July 2020
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Overview
The pathogenesis of the Farmer's lung disease is type 3 or type 4 hypersensitivity reaction.
Pathophysiology
Pathogenesis:
Hypersensitivity reaction because of the many immunologic phnomenon present and antibodies of organism invasion into tissues.
Acute-
- Type 3 hypersensitivity
- When moldy hay antigens complex with antibodies, to bind complements and attract neutrophils, causing inflammation by release of their toxic enzymes and radicals.
Chronic-
- Type 4 hypersensitivity
- mononuclear cell inflammation and granuloma.
Unifying hypothesis-
Sensitised pulmonary alveolar macrophages activated by antigen attract neutrophils and also modulate T cell activity leading to appearance of mononuclear cells and granuloma.
Genetics
There are no established genetic predispositions.
Associated Conditions
There are no associated conditions.
Gross Pathology
Acute phase-
- Pulmonary alveolar wall and interstitial accumulation of neutrophils, mononuclear cells and edema.
- obstructive bronchiolitis and capillary inflammation is present.
Late phase-
- mononuclear cell predominant
- presence of noncaseating granuloma
Microscopic Pathology