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Table 1 Hypersensitivity reactions

From: Understanding immune-mediated cobalt/chromium allergy to orthopaedic implants: a meta-synthetic review

 

Mediator

Physiological function

Condition examples

Type I

IgE

Response against parasites via mast cells and basophil activation

Asthma

Anaphylaxis

Type II

IgG/IgM

Cytotoxicity—targets antigens expressed on infected cells

Heparin-induced thrombocytopenia

Type III

Immune complex

Accumulation of antigen–antibody complex formation

Systemic lupus erythematosus

Type IV

Cell-mediated

Four subtype activations: macrophages, eosinophils, cytotoxic CD8 + cells, neutrophils

Contact dermatitis

Behcet’s disease

  1. Modified from Gell and Combs [10]