FIFTH EDITION

Figures from the case studies

Chapter 2: Infection
Case 2.1 The lymphocytes showing atypical morphology ('atypical lymphocytosis')
Case 2.2 Herpes Zoster
Case 2.8 Pseudohyphae
Case 2.9 Heavy infestation with Plasmodium falciparum
Case 2.10 Characteristic ova of Schistosoma mansoni

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Chapter 3: Immunodeficiency
Case 3.5 Bacterial killing and sit of abnormalities in chronic granulomatous
Case 3.5 Nitroblue tetrazolium (NBT) test
Case 3.6 CH 50 plates
Case 3.7 Oral hairy leucoplakia
Case 3.7 Kaposi's sarcoma
Case 3.7 Leucocyte adhesion deficiency disease
Case 3.10 Acquired immune deficiency syndrome: Kaposi’s sarcoma

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Chapter 4: Anaphylaxis and Allergy
Case 4.1 Injections
Case 4.2a Medic Alert™ bracelet
Case 4.2b Self-injectable form of epinephrine
Case 4.3 Angioedema
Case 4.4 Acute conjunctivitis
Case 4.5 Skin testing with dilutions of grass pollen
Case 4.8a A medical alert bracelet
Case 4.8b A self-injectable form of adrenaline
Case 4.10 Nettle rash
Case 4.11 Typical urticaria
Case 4.12 Extensive atopic eczema

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Chapter 5: Autoimmunity
Case 5.3 Family study of autoimmue disease
Case 5.6 Lupus band test

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Chapter 6: Lymphoproliferative Disorders
Case 6.1 Blood film showed that most leucocytes were blasts
Case 6.1 Acute lymphoblastic leukaemia
Case 6.2 Chronic lymphocytic leukaemia
Case 6.3 Sézary syndrome
Case 6.5 Enlarged hilar lymph nodes, unlike case
Case 6.5 Stage 2 Hodgkin's disease
Case 6.7 Multiple myeloma
Case 6.7 Myeloma cells.
Case 6.7 IgG of kappa type.
Case 6.7 Atypical plasma cells
Case 6.7 Myeloma of bone

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Chapter 7: Immune Manipulation
Case 7.2 Chest X-ray
Case 7.2 Antineutrophil antibody (cytoplasmic pattern): weakly positive at a titre of 1:40 (>1:640 at disease diagnosis).
Case 7.3 Hands in RA and Histology of pannus
Case 7.4 Development of coronary artery aneurysms

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Chapter 8: Transplantation
Case 8.1 Lymphocytic infiltration
Case 8.2 Primary CMV infection
Case 8.3 Acute myeloid leukaemia
Case 8.4 Widespread erythematous maculopapular rash

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Chapter 9: Kidney Diseases
Case 9.2 Characteristics of membranous nephropathy
Case 9.2 Sites of immune-complex deposition in humans.
Case 9.4 Linear staining with IgG
Case 9.5 Classical antineutrophil cytoplasmic antibodies
Case 9.5 Renal histological appearance in microscopic polyangiitis
Case 9.5 ANCA-associated, necrotizing crescentic glomerulonephritis.
Case 9.7 Purpura
Case 9.11 Serum electrophoresis showed a decreased gamma fraction with a monoclonal band
Case 9.11 Immunofixation
Case 9.11 Serum and urine showed an IgA
Case 9.11 Monoclonal free lambda light chains in the urine
Case 9.11 A bone marrow aspirate showed marked infiltration
Case 9.11 Atypical plasma
Case 9.11 Osteolytic lesions in the pelvis and skull
Case 9.11 Myeloma kidney

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Chapter 10: Joints and Muscles
Case 10.2 Rheumatoid arthritis
Case 10.2 Both hands were swollen and tender
Case 10.2 Two subcutaneous nodules on the left elbow
Case 10.2 Pannus
Case 10.2 Rheumatoid arthritis
Case 10.3 His joints were tender and he had subluxation of the metacarpophalangeal joints of both hands
Case 10.3 Swan-neck deformities
Case 10.3 X-rays showed erosions
Case 10.4 Ankylosing spondylitis
Case 10.4 Bony ankylosis between the lumbar vertabrae
Case 10.5 Keratoderma blenorrhagica
Case 10.5 Conjunctivitis
Case 10.6 Behcet's syndrome
Case 10.8 Bilateral, blotchy rash on her hands and thighs
Case 10.8 Raynaud's phenomenon concurrently became much worse
Case 10.8 Lupus band test
Case 10.9 Facial rash
Case 10.10 Hands
Case 10.10 ANA (titre 1/160; speckled pattern)
Case 10.10 Raynaud's phenomenon
Case 10.10 Sclerodactyly
Case 10.11 Sjögren's syndrome
Case 10.12 Biopsy of an affected calf muscle
Case 10.12 Histology of three types of vasculitis
Case 10.13 Temporal artery

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Chapter 11: Skin Diseases
Case 11.2 Itchy rash
Case 11.3 Contact dermatitis
Case 11.3 Nickel dermatitis
Case 11.4 Pempigus vulgaris
Case 11.5 Swelling of his lips, eyes
Case 11.6 Urticarial vasculitis
Case 11.7 Papular rash
Case 11.7 A warm sample of her serum contained a mixed cryoglobulin
Case 11.7 Monoclonal IgM and polyclonal IgG.
Case 11.7 Histology of a renal biopsy
Case 11.7 Immunofluorescence
Case 11.8 Chronic discoid lupus erythematosus
Case 11.9 Raynaud's phenomenon
Case 11.9 'Tiny pieces of chalk'
Case 11.9 Atonic oesophagus
Case 11.9 Sclerodactyly
Case 11.9 Typical skin changes of scleroderma

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Chapter 12: Eye Diseases

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Chapter 13: Chest Diseases
Case 13.1 Bilateral lower-lobe pneumonia
Case 13.2 Chest X-ray
Case 13.2 Mantoux test
Case 13.3 Bilateral hilar lymphadenopathy
Case 13.4 Pulmonary Fibrosis in Rheumatoid Arthritis: Bamboo lumbar spine in ankylosing spondylitis
Case 13.5 X-ray changes gradually improved
Case 13.7 Pulmonary Fibrosis in Rheumatoid Arthritis: High-resolution computed tomography scan
Case 13.8 Echocardiogram which demonstrated aneurysms of the right and left anterior descending coronary arteries

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Chapter 14: Gastrointestinal and Liver Diseases
Case 14.2 Gastric parietal cell antibodies
Case 14.8 Antimitochondrial antibodies

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Chapter 15: Endocrinology and Diabetes
Case 15.1 Exophthalmos

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Chapter 16: Haematological Diseases
Case 16.1 Yellow eyes
Case 16.1 Blood film showed gross polychromasia
Case 16.1 Reticulocyte count
Case 16.1 Urinary haemosiderin
Case 16.2 Blood film showed rouleaux formation
Case 16.3 Cephalosporin-induced haemolytic anaemia
Case 16.4 Spontaneous bruising
Case 16.4 Scattered petechiae
Case 16.4 Low platelet count

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Chapter 17: Neuroimmunology
Case 17.2 Perivenricular white matter lesions in MS

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Chapter 18: Pregnancy
Case 18.5 Low haemoglobin

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