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Untitled - D Ank Unlimited

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density gradient centrifugation 222 dermatographism<br />

Dense deposit disease.<br />

Dense deposit disease.<br />

as a consequence of alternate complement pathway activation.<br />

C4 is normal. Sialic acid-rich glomerular basement<br />

membrane glycoproteins increase in number. Patients<br />

may possess a serum factor, termed nephritic factor, that<br />

activates the alternate complement pathway. This factor<br />

is an immunoglobulin molecule that reacts with alternate<br />

complement pathway-activated components such as the<br />

bimolecular C3b and activated factor B complex. Nephritic<br />

factor stabilizes alternate pathway C3 convertase.<br />

density gradient centrifugation<br />

The centrifugation of relatively large molecules such as<br />

in a solution of DNA with a density gradient substance<br />

such as cesium chloride. This method permits the separation<br />

of different types of cells as they are centrifuged<br />

through a density gradient produced by a substance to<br />

which they are impermeable. A commonly used material<br />

is Ficoll–Hypaque. Separation of cells is according to size<br />

as they progress through the gradient. When they reach the<br />

level where their specific gravity is the same as that of the<br />

medium, cell bands of different density are produced. This<br />

technique is widely employed to separate hematopoietic<br />

cells.<br />

deoxyguanosine<br />

Refer to purine nucleoside phosphorylase (PNP) deficiency.<br />

deoxyribonuclease<br />

An endonuclease that catalyzes DNA hydrolysis.<br />

deoxyribonuclease I<br />

An enzyme that catalyzes DNA hydrolysis to a mono- and<br />

oligonucleotide mixture composed of fragments terminating<br />

in a 5′-phosphoryl nucleotide.<br />

deoxyribonuclease II<br />

An enzyme that catalyzes DNA hydrolysis to a mono- and<br />

oligonucleotide mixture composed of fragments terminating<br />

in a 3′-phosphoryl nucleotide.<br />

deoxyribonucleoprotein antibodies<br />

Antibodies reactive with insoluble deoxyribonucleoprotein<br />

(DNP) that occur in 60 to 70% of patients with active systemic<br />

lupus erythematosus (SLE). Immunoglobulin G (IgG)<br />

DNP antibodies, which fix complement, cause the LE cell<br />

phenomenon and yield a homogeneous staining pattern.<br />

depot-forming adjuvants<br />

Substances that facilitate an immune response by holding<br />

an antigen at the injection site following inoculation. Based<br />

on adjuvant-induced granuloma formation that facilitates<br />

the slow release of antigen over an extended time and helps<br />

attract macrophages and antigen-presenting cells to the site<br />

of antigen deposition. To be effective, the adjuvants must be<br />

administered with the antigen. Water-in-oil emulsions of the<br />

Freund type and aluminum salt (aluminum hydroxide) adjuvants<br />

are examples of depot-forming adjuvants. In the past,<br />

depot-forming and centrally acting adjuvants were distinguished.<br />

However, adjuvant action depends upon far more<br />

complicated cellular and molecular mechanisms than the<br />

simplistic views of depot formation advanced in the past.<br />

dermatitis herpetiformis (DH)<br />

A skin disease with grouped vesicles and urticaria that is<br />

related to celiac disease. Dietary gluten exacerbates the<br />

condition and should be avoided to help control it. Most<br />

patients (70%) manifest no bowel disease symptoms.<br />

Immunoglobulin A (IgA) and C3 granular immune deposits<br />

occur along dermal papillae at the dermal–epidermal<br />

junction. Groups of papules, plaques, or vesicles appear in<br />

a symmetrical distribution on knees, elbows, buttocks, posterior<br />

scalp, neck, and superior back region. The disease is<br />

chronic unless gluten is deleted from the diet. Neutrophils<br />

(PMNs) and fibrin collect at dermal papillae tips, producing<br />

microabscesses. Microscopic blisters, which ultimately<br />

develop into subepidermal blisters, may develop at the<br />

tips of these papillae. These lesions must be distinguished<br />

from those of bullous pemphigoid. DH is associated with<br />

HLA-B8, HLA-DR3, HLA-B44, and HLA-DR7 haplotypes.<br />

dermatitis venenata<br />

Refer to contact dermatitis.<br />

dermatographism<br />

Wheal-and-flare reaction of the immediate hypersensitivity<br />

type induced by scratching the skin. Thus, minor physical<br />

trauma induces degranulation of mast cells with the release

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