Type III Hypersensitivity

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Introduction

Type III hypersensitivity antibody excess-Brian Catchpole RVC 2008
Type III hypersensitivity antigen excess-Brian Catchpole RVC 2008


In the normal animal, immune complexes (lattice of soluble antigen and antibodies) are formed and removed all the time. They are broken up by complement, transported to the spleen by RBC's and phagocytosed. When the amount of immune complexes formed (due to rapid influx of antigen) does not equal the amount that are being cleared it causes type III hypersensitivity (an excess of immune complexes).

Location of the immune complexes:

Locally:

1. Inhaled antigen leads to hypersensitivity pneumonitis

  • Farmers lung (humans) - inhalation of fungal spores
  • Pigeon fancier's disease - repeated inhalation of dried pigeon faeces
  • Mouldy hay containing Micropolyspora felis

2. Intradermal and subcutaneous injection of antigen (with high levels of circulating antibody) leads to localised immune complexes which cause acute inflammation.

3. Vasculitis - due to antigen deposition in blood vessels.

4. Arthritis

5. Glomerulonephritis


Systemically:

Due to increased quantities of antigen systemically.


Generalised effects:

  • Vasculitis
  • Erythema
  • Oedema
  • Neutropaenia
  • Proteinuria (caused by of kidney damage)


1. Drug reactions (eg. penicillins and sulphonamides)

2. Systemic lupus erythematous (SLE)- antigen is a self antigen (autoimmune disease of dogs and cats)


From Pathology