ALLERGY: MECHANISM AND MANIFESTATIONS
Allergy is a hypersensitivity reaction towards a normally harmless substance. Whenever
we are exposed or our body is irritated by any external agent or so called allergen,
our body becomes vulnerable and reacts to get rid of it. Externally, it is reflected
in the form of known symptoms like sneezing, itching, swelling, pain, redness etc.
However, these symptoms are the resultant effect of cascade of reactions taking
place within our body. This happens because our body’s defense mechanism becomes
ready to fight with the allergen and throw it out of the body.
The mechanism initiates by the activation of IgE antibodies which tend to bind on
the surface of mast cells. This process results in releasing of various chemical
mediators that are responsible for producing local inflammation. ‘Histamine’ is
one of the many chemical mediators released and performs two important functions
to induce inflammation. Firstly, it promotes vasodilation which is relaxation of
the blood vessels to allow easy flow of the white blood cells so that they can aggregate
at the site of inflammation and fight the infection. Further, this vasodilation
of the peripheral capillaries allows the plasma to escape through its walls which
accumulates in the surrounding tissue space. These reactions results into various
symptoms of allergy depending upon the part of the body affected.
Most of the symptoms of allergy are elicited in the form of inflammation and itch.
Inflammation, denoted by suffix 'itis'. e.g. in Arthritis, Spondylitis, Tonsillitis,
Pharyngitis, Rhinitis, Gastritis etc. is manifested as pain, swelling, redness,
rise in temperature and loss of function of the affected organ.
The most common manifestations of the Allergic Disorders
are:
INFLAMMATION
We call it in medical term- "ITIS"
e.g. Allergic rhinitis, arthritis, colitis etc.
ITCH & DRYNESS
Itching anywhere in the body
e.g. dandruff, eczema, pruritus vulvae etc.
CLINICAL MANIFESTATION OF ALLERGY
Allergy mainly affects 4 systems i.e. Skin, Respiratory System, Gastrointestinal
system and Musculoskeletal System. The various manifestations of these inflammatory
reactions for each system are represented below: