Heterophile antibodies are typically indicative of which disease?

Prepare for USMLE Step 1 Pathology Exam with comprehensive quizzes, flashcards, and detailed explanations. Enhance your understanding and be exam-ready!

Heterophile antibodies are primarily associated with infectious mononucleosis, a condition often caused by the Epstein-Barr virus (EBV). The presence of these antibodies in the blood is a hallmark of this disease and serves as a key diagnostic indicator. Heterophile antibodies can agglutinate red blood cells from certain animal species, which is the basis for the monospot test, a rapid screening tool for infectious mononucleosis.

Infectious mononucleosis typically presents with symptoms such as fever, sore throat, lymphadenopathy, and fatigue, aligning with the immune response triggered by the infection. The production of heterophile antibodies is part of the body's response to the viral etiology, specifically relating to the B-lymphocyte activation and subsequent humoral immunity.

The other conditions listed—like rheumatic fever, DVT, and megaloblastic anemia—do not have heterophile antibodies as a defining characteristic. Rheumatic fever is associated with antibodies against streptococcal antigens, DVT involves thrombus formation and has no autoimmune component that would give rise to heterophile antibodies, and megaloblastic anemia is linked to deficiencies in vitamin B12 or folate, which does not involve the presence

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