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Autoimmune Disorders

Modified on Sun, Mar 12, 2023 at 3:09 PM

Autoimmune Disorder

Symptoms

Testing Examples

Treatment

Rheumatoid Arthritis

Joint pain, stiffness, and swelling, fatigue, fever

Rheumatoid factor (RF), anti-cyclic citrullinated peptide (anti-CCP) antibody, erythrocyte sedimentation rate (ESR)

Nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying anti-rheumatic drugs (DMARDs), biologic agents

Systemic Lupus Erythematosus

Joint pain, skin rashes, fever, fatigue, chest pain, shortness of breath

Antinuclear antibody (ANA), anti-dsDNA antibody, complement levels

Corticosteroids, antimalarials, immunosuppressants

Multiple Sclerosis

Fatigue, numbness or weakness in limbs, vision problems, trouble with coordination and balance

Magnetic resonance imaging (MRI), evoked potentials (EP)

Corticosteroids, disease-modifying therapies, physical therapy

Type 1 Diabetes

Increased thirst and urination, hunger, fatigue, blurred vision

Blood glucose test, A1C test, insulin autoantibodies

Insulin therapy, blood glucose monitoring, lifestyle changes

Celiac Disease

Abdominal pain, bloating, diarrhea, constipation, weight loss

Serologic tests for antibodies to tissue transglutaminase (tTG) and deamidated gliadin peptides (DGP)

Gluten-free diet, nutritional supplements

Inflammatory Bowel Disease

Abdominal pain, diarrhea, bloody stools, weight loss, fatigue

Colonoscopy, biopsy, fecal calprotectin test

Anti-inflammatory drugs, immunosuppressants, biologic agents

 

 

Autoimmune Disorder

Symptoms

Testing Examples

Treatment

Hashimoto's Thyroiditis

Fatigue, weight gain, sensitivity to cold, dry skin, hair loss

Thyroid stimulating hormone (TSH), free thyroxine (T4), anti-thyroid peroxidase (anti-TPO) antibodies

Hormone replacement therapy

Psoriasis

Red, scaly patches on the skin, itching, nail changes

Physical exam, skin biopsy

Topical treatments, phototherapy, systemic medications

Sjögren's Syndrome

Dry eyes and mouth, joint pain, fatigue

Schirmer's test, salivary gland biopsy, anti-SSA and anti-SSB antibodies

Artificial tears, saliva substitutes, immunosuppressants

Myasthenia Gravis

Muscle weakness, fatigue, difficulty speaking or swallowing

Acetylcholine receptor (AChR) antibodies, repetitive nerve stimulation (RNS) test

Medications that enhance acetylcholine, immunosuppressants, thymectomy

Vitiligo

Loss of skin color in patches, hair color may also change

Physical exam, skin biopsy

Topical treatments, phototherapy, depigmentation therapy

Addison's Disease

Fatigue, muscle weakness, weight loss, low blood pressure, darkening of the skin

Blood tests for cortisol and adrenocorticotropic hormone (ACTH), ACTH stimulation test

Hormone replacement therapy

 

 

Autoimmune Disorder

Symptoms

Testing Examples

Treatment

Pemphigus Vulgaris

Blisters and sores on the skin and mucous membranes, pain in the mouth or throat

Skin biopsy, direct immunofluorescence (DIF) test

Corticosteroids, immunosuppressants, intravenous immunoglobulin (IVIG)

Polymyositis/Dermatomyositis

Muscle weakness and wasting, skin rash

Blood tests for muscle enzymes, electromyography (EMG), muscle biopsy

Corticosteroids, immunosuppressants, physical therapy

Guillain-Barré Syndrome

Muscle weakness and tingling sensations that start in the feet and hands and spread upwards

Nerve conduction studies, lumbar puncture

Intravenous immunoglobulin (IVIG), plasma exchange, supportive care

Goodpasture Syndrome

Lung and kidney damage, fatigue, shortness of breath

Blood tests for anti-glomerular basement membrane (GBM) antibodies, kidney biopsy

Immunosuppressants, plasmapheresis, dialysis

Ankylosing Spondylitis

Back pain and stiffness, joint pain, fatigue

Physical exam, blood tests for HLA-B27 antigen, X-rays or MRI

Nonsteroidal anti-inflammatory drugs (NSAIDs), biologic agents, physical therapy

Pernicious Anemia

Fatigue, weakness, shortness of breath, tingling or numbness in the hands and feet

Blood tests for vitamin B12 levels, intrinsic factor antibodies

Vitamin B12 injections, dietary changes

As always, please note that this is not an exhaustive list and that diagnosis and treatment can vary depending on the individual case. It is important to consult a healthcare professional if you have concerns about your health.

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