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Untitled - D Ank Unlimited

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hypogammaglobulinemia of infancy 348 H-Y system<br />

disease, a congenital type, and an acquired type such as<br />

in chronic lymphocytic leukemia. Human γ globulin is<br />

used for treatment.<br />

hypogammaglobulinemia of infancy<br />

A temporary delay in immunoglobulin synthesis during<br />

the first 12 or even 24 months of life. This delay leads only<br />

to a transient physiologic immunodeficiency following<br />

catabolism of maternal immunoglobulins passed to the<br />

infant.<br />

hyposensitization<br />

A technique to decrease responsiveness to antigens acting<br />

as allergens in individuals with immediate (type I) hypersensitivity<br />

to them. Because the reaction is mediated by<br />

immunoglobulin E (IgE) antibodies specific for the allergen<br />

becoming fixed to the surface of the patient’s mast cells, the<br />

aim of this mode of therapy is to stimulate the production of<br />

IgG-blocking antibodies that will combine with the allergen<br />

before it reaches the mast cell-bound IgE antibodies. This is<br />

accomplished by graded administration of an altered form<br />

of the allergen that favors the production of IgG rather than<br />

IgE antibodies. In addition to intercepting allergen prior to<br />

its interaction with IgE, the IgG antibodies may also inhibit<br />

further production of IgE. The subcutaneous inoculation<br />

of progressively increasing quantities of purified allergen<br />

on a regular basis for 3 to 5 years leads to the synthesis<br />

of allergen-specific IgG4, which fails to trigger mast cell<br />

degranulation instead of the production of allergen-specific<br />

IgE.<br />

hypothalamic–pituitary–adrenal (HPA) axis<br />

The neural system pathway that is responsible for the “fight<br />

or flight” acute stress response. Activation of the HPA by<br />

extreme stress leads to excessive glucocorticoid synthesis,<br />

suppressed inflammatory responses, and increased susceptibility<br />

to infections.<br />

hypothyroid<br />

Markedly diminished synthesis of thyroid hormone by the<br />

thyroid gland.<br />

H-Y antigen<br />

An epitope detected by cell-mediated and humoral immune<br />

responses of homogametic persons against heterogametic<br />

subjects of the same species, which are otherwise genetically<br />

identical. Such responses have been shown in mammals,<br />

birds, and amphibians.<br />

H-Y system<br />

Genes on the Y chromosome encode H-Y antigens that<br />

are “self” when expressed in males amd “non-self” when<br />

expressed in females who are otherwise genetically<br />

identical.

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