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Ch. 17 - Adaptive Immunity: Specific Defenses of the Host
Chapter 13, Problem 19.4a

Explain what happens when a person develops a contact sensitivity to the poison oak plant.
a. What causes the observed symptoms?
b. How did the sensitivity develop?
c. How might this person be desensitized to poison oak?

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1
Identify the allergen: Recognize that the allergen in poison oak is urushiol, an oily organic compound that causes an allergic reaction.
Understand the immune response: Explain that when urushiol comes into contact with the skin, it binds to skin proteins, modifying them and making them appear foreign to the immune system.
Describe the sensitization process: Discuss how the first exposure to urushiol may not cause a reaction, but it sensitizes the immune system, leading to T-cell activation and memory cell formation.
Explain the allergic reaction: On subsequent exposures, the immune system recognizes the modified skin proteins as foreign, leading to an inflammatory response characterized by redness, itching, and blisters.
Discuss desensitization methods: Explore potential desensitization strategies, such as gradual exposure to increasing amounts of urushiol under medical supervision, to reduce the severity of the allergic response.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Contact Sensitivity

Contact sensitivity, or allergic contact dermatitis, occurs when the immune system reacts to a substance after initial exposure. In the case of poison oak, the plant contains an oil called urushiol, which can trigger an immune response in sensitized individuals, leading to symptoms like itching, redness, and swelling upon subsequent contact.
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Immune Response Mechanism

The immune response to poison oak involves T cells, a type of white blood cell that recognizes urushiol as a foreign substance. Upon first exposure, the immune system may not react strongly, but it 'remembers' the allergen. Upon re-exposure, T cells mount a rapid and aggressive response, resulting in the characteristic symptoms of contact dermatitis.
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Desensitization Techniques

Desensitization to poison oak can be achieved through controlled exposure to the allergen, a process known as immunotherapy. This involves gradually increasing doses of urushiol to retrain the immune system to tolerate the substance, potentially reducing the severity of allergic reactions over time.
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