TY - CHAP M1 - Book, Section TI - Immediate Hypersensitivity A1 - Manno, Rebecca L. A1 - Yazdany, Jinoos A1 - Tarrant, Teresa K. A1 - Kwan, Mildred A2 - Papadakis, Maxine A. A2 - McPhee, Stephen J. A2 - Rabow, Michael W. A2 - McQuaid, Kenneth R. Y1 - 2023 N1 - T2 - Current Medical Diagnosis & Treatment 2023 AB - Immediate hypersensitivity reactions commonly involve IgE antibodies, which bind to Fc epsilon RI receptors on mast cells and basophils. Within minutes of exposure, the allergen crosslinks cell-bound IgE molecules, activating mast cells or basophils to degranulate. Clinical manifestations of immediate hypersensitivity result from the action of released mediators within tissues. Both preformed and newly generated mediators from released granules cause vasodilation, visceral smooth muscle contraction, mucous secretory gland stimulation, vascular permeability, and tissue inflammation. Arachidonic acid metabolites, cytokines, and other mediators (eg, chemoattractants) can induce a late-phase inflammatory response that appears several hours later as a delayed biphasic reaction or when allergen exposure is continuous (eg, pollen). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1193126178 ER -