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Hypersensitivity Reactions: Immune-Complex Reactions01:19

Hypersensitivity Reactions: Immune-Complex Reactions

Type III hypersensitivity reactions occur when antigen–antibody complexes form and activate the complement system. Normally, these complexes help the clearance of antigens by phagocytes and red blood cells. However, when large numbers of immune complexes are present, they can deposit in tissues—particularly in the walls of blood vessels—leading to inflammation and tissue injury. These deposits trigger complement activation and neutrophil recruitment, resulting in serum sickness, a systemic...
Hypersensitivity Reactions: Delayed Hypersensitivity Reactions01:29

Hypersensitivity Reactions: Delayed Hypersensitivity Reactions

Delayed-Type Hypersensitivity (DTH), or Type IV hypersensitivity, is a cell-mediated immune response. It occurs when T cells, rather than antibodies, mediate a reaction to specific antigens. It is characterized by a delayed onset (1-2 days) and involves the recruitment of macrophages to the inflammation site.The initiation of a DTH response begins with the sensitization of T cells. During this phase, which lasts at least 1-2 weeks, antigen-specific T cells are activated, clonally expanded, and...
Acute Inflammation I: Inflammatory Response01:26

Acute Inflammation I: Inflammatory Response

Acute inflammation is a rapid, short-lived physiological response to tissue injury or infection, designed to eliminate harmful agents and initiate repair. This tightly regulated process typically lasts from minutes to several days and is triggered by factors such as microbial invasion, physical trauma, or chemical injury.Recognition and Mediator ReleaseThe inflammatory response begins when resident immune cells—such as mast cells, macrophages, and dendritic cells—detect damage-associated...
Allergic Reactions02:06

Allergic Reactions

Overview
Allergic Reactions: Anaphylaxis01:30

Allergic Reactions: Anaphylaxis

Anaphylaxis is a severe, life-threatening hypersensitivity reaction mediated by Immunoglobulin E (IgE) antibodies. When IgE binds to allergens, it triggers the release of mediators– histamine, leukotrienes, and prostaglandins from mast cells and basophils. These mediators cause vasodilation, edema, and inflammation, leading to various symptoms.The primary allergens causing anaphylaxis include food items (e.g., peanuts, shellfish), drugs (e.g., penicillin, asparaginase, corticotropin, heparin),...
Drug Toxicity: Allergic Reactions01:30

Drug Toxicity: Allergic Reactions

Drug-related allergies are immune-mediated responses triggered by the administration of pharmacological agents. These hypersensitivity reactions are classified based on the immune mechanisms involved. The four primary types—Type I, II, III, and IV—are mediated by different immunological pathways and exhibit distinct clinical manifestations.Type I Hypersensitivity/ IgE-Mediated Reactions: Immunoglobulin E (IgE) immediately mediates Type I hypersensitivity reactions. Upon initial exposure to a...

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Articles linked to this work by shared authors, journal, and citation graph.

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The International Guideline for the Definition, Classification, Diagnosis and Management of Urticaria.

Allergy·2026
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Interplay between acute phase response and coagulation/fibrinolysis in chronic spontaneous urticaria.

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Related Experiment Video

Updated: May 27, 2026

Basophil Activation Test for Allergy Diagnosis
07:22

Basophil Activation Test for Allergy Diagnosis

Published on: May 31, 2021

Acute-phase response in chronic urticaria.

A Kasperska-Zajac1

  • 1Clinical Department of Internal Diseases, Allergology and Clinical Immunology, Medical University of Silesia, Katowice, Poland. kasperska@plusnet.pl

Journal of the European Academy of Dermatology and Venereology : JEADV
|November 29, 2011
PubMed
Summary

Acute-phase response (APR) biomarkers like IL-6 and C-reactive protein (CRP) are elevated in chronic urticaria (CU), suggesting a role in disease activity and potential cardiovascular risk. Further research is needed to clarify their exact contribution.

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Last Updated: May 27, 2026

Basophil Activation Test for Allergy Diagnosis
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Published on: October 14, 2014

Area of Science:

  • Immunology
  • Dermatology
  • Clinical Medicine

Background:

  • Acute-phase response (APR) biomarkers vary with inflammatory conditions, but their role in urticaria/angio-oedema is understudied.
  • Elevated interleukin-6 (IL-6) and C-reactive protein (CRP) levels correlate with chronic urticaria (CU) severity.

Purpose of the Study:

  • To review the current understanding of APR in urticaria/angio-oedema.
  • To explore the potential role of APR in CU pathogenesis and systemic consequences.

Main Methods:

  • Literature review of studies investigating APR biomarkers in urticaria/angio-oedema.
  • Analysis of associations between APR, disease severity, and potential comorbidities.

Main Results:

  • Increased IL-6 and CRP concentrations are observed in severe CU.
  • APR in CU may be linked to coagulation/fibrinolysis activation and potentially increased cardiovascular risk.
  • CU is characterized as a mast cell/basophil-dependent inflammatory disorder with associated APR.

Conclusions:

  • Characterizing APR in CU is crucial for understanding disease activity and inflammation.
  • APR biomarker measurement may guide anti-inflammatory or immunosuppressive therapy decisions in CU patients.
  • CU might have systemic implications beyond skin symptoms, including cardiovascular risks.