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    Exposure to

    Entry of

    Sensitization of bronchial mucosa of tissue specific

    antibodies (immunoglobulin E)

    IgE mediators are affixed to mast cells of tracheobronchial tree

    Activation of mucosal mast

    Release of different inflammatory chemical

    Release of

    Release of

    eosinophils to

    Release of T-

    lymphocytes

    Regulates release of

    numerous cytokines

    prostaglandins

    Opens mucosal

    intracellular junction

    Surface

    epithelial cells

    Inflammatory

    rocess

    Secretes

    glycoproteins

    Formation of

    mucous plugs

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    Airway

    Increase vascular

    Mucosal edema

    Occludes

    airway lumen

    Airwall

    becomes

    edematous

    Further release of leukocytes,

    neutrophils, eosinophils, basophils

    Decrease number of mucus

    by goblet cells in mucosa

    Hypertrophy ofsubmandibular glands

    Excessive mucous

    roduction

    Intense inflammation of bronchial

    Bronchoconstriction

    Decrease ciliary functionInvasion of pathogens in the

    respiratory tract

    Triggers immune system to

    send neutrophils

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    phagocytosis

    Bacteria releases

    Release ofc tokines

    Invasion of alveolar

    epithelium

    Irritates the walls of the

    Inflammation of pulmonary

    tissue

    Edema of the alveolar

    Gases cannot cross

    edematous alveolar

    Dilatation of blood

    Reduced blood

    Alveoli fill with exudates from

    inflammation

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    Impaired gas

    Air cannot enter fluid filled

    alveoli

    Hypoxia occurs with retention

    of CO2

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