Autoimmune disease
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| Autoimmune diseases Classification and external resources | |
| ICD-9 | 279.4 |
|---|---|
| OMIM | 109100 |
| DiseasesDB | 28805 |
| MedlinePlus | 000816 |
| MeSH | D001327 |
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Overview
Autoimmune diseases arise from an overactive immune response of the body against substances and tissues normally present in the body. In other words, the body attacks its own cells. This may be restricted to certain organs (e.g. in thyroiditis) or involve a particular tissue in different places (e.g. Goodpasture's disease which may affect the basement membrane in both the lung and the kidney). The treatment of autoimmune diseases is typically with immunosuppression—medication which decreases the immune response.
Occurrence and onset
Hormone levels have been shown to affect the severity of some autoimmune diseases such as multiple sclerosis.[1] Other causes may include the presence of fetal cells in the maternal bloodstream, i.e. microchimerism. [2]
Autoimmune diseases
It is possible to classify autoimmune diseases by corresponding type of hypersensitivity: type II, type III, or type IV. (No type of autoimmune disease mimics type I hypersensitivity.)[3]
Development of therapies
In both autoimmune and inflammatory diseases the condition arises through aberrant reactions of the human adaptive or innate immune systems. In autoimmunity, the patient’s immune system is activated against the body's own proteins. In inflammatory diseases, it is the overreaction of the immune system, and its subsequent downstream signaling (TNF, IFN, etc), which causes problems.
A substantial minority of the population suffers from these diseases, which are often chronic, debilitating, and life-threatening. There are more than eighty illnesses caused by autoimmunity. It has been estimated that autoimmune diseases are among the ten leading causes of death among women in all age groups up to 65 years.[30]
Currently, a considerable amount of research is being conducted into treatment of these conditions. According to a report from Frost & Sullivan, the total alliance payouts in the autoimmune/inflammation segment from 1997 to 2002 totaled $489.8 million, where Eli Lilly, Suntory, Procter & Gamble, Encysive, and Novartis together account for 98.6 percent of alliance payouts.[31]
References
- ↑ A Gender Gap in Autoimmunity. Retrieved on 2007-10-19.
- ↑ JAMA -- Abstract: Microchimerism: An Investigative Frontier in Autoimmunity and Transplantation, March 3, 2004, Adams and Nelson 291 (9): 1127. Retrieved on 2007-10-19.
- ↑ Parham, Peter (2005). The immune system. New York: Garland Science, 344. ISBN 0-8153-4093-1.
- ↑ 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 4.11 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 MeSH Autoimmune+Diseases
- ↑ 5.0 5.1 5.2 Autoimmune Disorders: Immune Disorders: Merck Manual Home Edition.
- ↑ Autoimmune Inner Ear Disease, Baylor College of Medicine (1993).
- ↑ Celiac Disease.
- ↑ Meize-Grochowski R (2005). "Celiac disease: a multisystem autoimmune disorder". Gastroenterol Nurs 28 (5): 394–402; quiz 403–4. doi:10.1097/00001610-200509000-00005. PMID 16234635.
- ↑ Sollid LM, Jabri B (December 2005). "Is celiac disease an autoimmune disorder?". Curr. Opin. Immunol. 17 (6): 595–600. doi:10.1016/j.coi.2005.09.015. PMID 16214317.
- ↑ Hyland KV, Engman DM (2006). "Further thoughts on where we stand on the autoimmunity hypothesis of Chagas disease". Trends Parasitol. 22 (3): 101–2; author reply 103. doi:10.1016/j.pt.2006.01.001. PMID 16446117.
- ↑ Agustí A, MacNee W, Donaldson K, Cosio M. (2003). "Hypothesis: does COPD have an autoimmune component?". Thorax 58 (10): 832–834. doi:10.1136/thorax.58.10.832. PMID 14514931.
- ↑ Lee SH, Goswami S, Grudo A, et al (2007). "Antielastin autoimmunity in tobacco smoking-induced emphysema". Nat. Med. 13 (5): 567–9. doi:10.1038/nm1583. PMID 17450149.
- ↑ 13.0 13.1 Polymyositis and Dermatomyositis: Autoimmune Disorders of Connective Tissue: Merck Manual Home Edition.
- ↑ Gleicher N, el-Roeiy A, Confino E, Friberg J (1987). "Is endometriosis an autoimmune disease?". Obstetrics and gynecology 70 (1): 115–22. PMID 3110710.
- ↑ Clinical Trial: Etanercept in Hidradenitis Suppurativa. Retrieved on 2007-07-08.
- ↑ Kárpáti F, Dénes L, Büttner K (1975). "[Interstitial cystitis=autoimmune cyatitis? Interstitial as a participating disease in lupus erythematosus]" (in German). Zeitschrift für Urologie und Nephrologie 68 (9): 633–9. PMID 1227191.
- ↑ 17.0 17.1 Takehara K, Sato S (2005). "Localized scleroderma is an autoimmune disorder". Rheumatology (Oxford, England) 44 (3): 274–9. doi:10.1093/rheumatology/keh487. PMID 15561734.
- ↑ Carlander, B., Eliaou J.F., Billiard M. (1993). "Autoimmune hypothesis in narcolepsy.". Neurophysiol. Clin. 23: 15. doi:10.1016/S0987-7053(05)80279-5.
- ↑ Maddison P (2006). "Neuromyotonia". Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology 117 (10): 2118–27. doi:10.1016/j.clinph.2006.03.008. PMID 16843723.
- ↑ MedlinePlus Medical Encyclopedia: Pernicious anemia. Retrieved on 2008-04-05.
- ↑ National Psoriasis Foundation, http://www.psoriasis.org/home/learn01.php
- ↑ National Psoriasis Foundation, http://www.psoriasis.org/home/learn02.php
- ↑ Primary Biliary Cirrhosis: Fatty Liver, Cirrhosis, and Related Disorders: Merck Manual Home Edition. Retrieved on 2008-04-05.
- ↑ Eaton WW, Byrne M, Ewald H, et al (2006). "Association of schizophrenia and autoimmune diseases: linkage of Danish national registers". The American journal of psychiatry 163 (3): 521–8. doi:10.1176/appi.ajp.163.3.521. PMID 16513876.
- ↑ Jones AL, Mowry BJ, Pender MP, Greer JM (2005). "Immune dysregulation and self-reactivity in schizophrenia: do some cases of schizophrenia have an autoimmune basis?". Immunol. Cell Biol. 83 (1): 9–17. doi:10.1111/j.1440-1711.2005.01305.x. PMID 15661036.
- ↑ Strous RD, Shoenfeld Y (2006). "Schizophrenia, autoimmunity and immune system dysregulation: a comprehensive model updated and revisited". J. Autoimmun. 27 (2): 71–80. doi:10.1016/j.jaut.2006.07.006. PMID 16997531.
- ↑ Questions and Answers about Vitiligo. Retrieved on 2007-08-06.
- ↑ A New Gene Linked to Vitiligo and Susceptibility to Autoimmune Disorders - Journal Watch Dermatology. Retrieved on 2007-08-06.
- ↑ Sánchez-Cano D, Callejas-Rubio JL, Ortego-Centeno N (April 2008). "Effect of rituximab on refractory Wegener granulomatosis with predominant granulomatous disease". J Clin Rheumatol 14 (2): 92–3. doi:10.1097/RHU.0b013e31816b4487. PMID 18391678.
- ↑ Noel R. Rose and Ian R. MacKay, “The Autoimmune Diseases” fourth edition
- ↑ Frost & Sullivan Report, “Antibody Technology Developments” September 2005
External links
- Auto-immune disorders at the Open Directory Project
- Links to pictures of Autoimmune Diseases (Hardin MD) at University of Iowa
See also
Immune disorders: Hypersensitivity and autoimmune diseases | |
|---|---|
| I/allergy/atopy (IgE) | Atopic dermatitis · Allergic urticaria · Hay fever · Allergic asthma · Anaphylaxis · Food allergy |
| II/ADCC (IgM, IgG) | Pernicious anemia · Hemolytic disease of the newborn · Penicillin allergy
autoimmune, cytotoxic: Autoimmune hemolytic anemia · Idiopathic thrombocytopenic purpura · Bullous pemphigoid · Pemphigus vulgaris · Rheumatic fever · Goodpasture's syndrome autoimmune, "type 5"/receptor: Graves' disease · Myasthenia gravis |
| III (Immune complex) | Henoch-Schönlein purpura · Hypersensitivity vasculitis · Reactive arthritis · Rheumatoid arthritis · Farmer's lung · Post-streptococcal glomerulonephritis · Serum sickness · Arthus reaction autoimmune: Systemic lupus erythematosus · Subacute bacterial endocarditis |
| IV/cell-mediated (T-cells) | Contact dermatitis · Mantoux test · Graft-versus-host disease autoimmune: Diabetes mellitus type 1 · Hashimoto's thyroiditis · Guillain-Barré syndrome · Multiple sclerosis · Coeliac disease · Temporal arteritis |
| Unknown/ multiple | Sjögren's syndrome · Hypersensitivity pneumonitis (Allergic bronchopulmonary aspergillosis) · Autoimmune hepatitis · Transplant rejection |
WikiDoc Research Resources for Autoimmune disease | |
|---|---|
| Articles on Autoimmune disease | Most recent articles on Autoimmune disease • Most cited articles on Autoimmune disease • Review articles on Autoimmune disease • Articles on Autoimmune disease in N Eng J Med, Lancet, BMJ |
| Media (Slides, Video, Images, MP3) on Autoimmune disease | Powerpoint slides on Autoimmune disease • Images of Autoimmune disease • Photos of Autoimmune disease • Podcasts & MP3s on Autoimmune disease • Videos on Autoimmune disease |
| Evidence Based Medicine Regarding Autoimmune disease | Cochrane Collaboration on Autoimmune disease • Bandolier on Autoimmune disease • TRIP on Autoimmune disease |
| Cost Effectiveness of Autoimmune disease | Cost Effectiveness of Autoimmune disease |
| Clinical Trials Involving Autoimmune disease | Ongoing Trials on Autoimmune disease at Clinical Trials.gov • Trial results on Autoimmune disease • Clinical Trials on Autoimmune disease at Google |
| Guidelines / Policies / Government Resources (FDA/CDC) Regarding Autoimmune disease | US National Guidelines Clearinghouse on Autoimmune disease • NICE Guidance on Autoimmune disease • NHS PRODIGY Guidance • FDA on Autoimmune disease • CDC on Autoimmune disease |
| Textbook Information on Autoimmune disease | Books and Textbook Information on Autoimmune disease |
| Pharmacology Resources on Autoimmune disease | Dosing of Autoimmune disease • Drug interactions with Autoimmune disease • Side effects of Autoimmune disease • Allergic reactions to Autoimmune disease • Overdose information on Autoimmune disease • Carcinogenicity information on Autoimmune disease • Autoimmune disease in pregnancy • Pharmacokinetics of Autoimmune disease • |
| Genetics, Pharmacogenomics, and Proteinomics of Autoimmune disease | Genetics of Autoimmune disease • Pharmacogenomics of Autoimmune disease • Proteomics of Autoimmune disease |
| Newstories on Autoimmune disease | Autoimmune disease in the news • Be alerted to news on Autoimmune disease • News trends on Autoimmune disease |
| Commentary on Autoimmune disease | Blogs on Autoimmune disease |
| Patient Resources on Autoimmune disease | Patient resources on Autoimmune disease • Discussion groups on Autoimmune disease • Patient Handouts on Autoimmune disease • Directions to Hospitals Treating Autoimmune disease • Risk calculators and risk factors for Autoimmune disease |
| Healthcare Provider Resources on Autoimmune disease | Symptoms of Autoimmune disease • Causes & Risk Factors for Autoimmune disease • Diagnostic studies for Autoimmune disease • Treatment of Autoimmune disease |
| Continuing Medical Education (CME) Programs on Autoimmune disease | CME Programs on Autoimmune disease |
| International Resources on Autoimmune disease | Autoimmune disease en Espanol • Autoimmune disease en Francais |
| Business Resources on Autoimmune disease | Autoimmune disease in the Marketplace • Patents on Autoimmune disease |
| Informatics Resources on Autoimmune disease | List of terms related to Autoimmune disease |
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Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

