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PART 15: Disorders of the Joints and Adjacent Tissues
SECTION 2   Disorders of Immune-Mediated Injury

317 Allergies, Anaphylaxis, and Systemic Mastocytosis
K. Frank Austen

Figure 317-1  Pathways for biosynthesis and release of membrane-derived lipid mediators from mast cells. In the 5-lipoxygenase pathway leukotriene A4 (LTA4) is the intermediate from which the terminal-pathway enzymes generate the distinct final products, leukotriene C4...
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Figure 317-2  Bioactive mediators of three categories generated by IgE-dependent activation of murine mast cells can elicit common but sequential target cell effects leading to acute and sustained inflammatory responses. LT, leukotriene; PAF, platelet-activating factor; PGD2, prostaglandin...
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Figure 317-3  Dermographic urticarial lesion induced by stroking the forearm lightly with the edge of a tongue blade. The photograph, taken after 2 minutes, demonstrates a prominent wheal and flare reaction in the shape of an X. (Photograph provided by Allen P. Kaplan, MD, Medical...
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Figure 317-4  Algorithm for the diagnosis and management of rhinitis. ENT, ear, nose, and throat; GERD, gastroesophageal reflux disease.
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