Autoimmune Disorders
Autoimmune disorders are a large group of diseases in which the immune system mistakenly attacks the body's own cells. There are over 80 recognized autoimmune conditions; together they affect roughly 5–10% of the population.
Table of Contents
Quick Facts
- Number of types: >80 recognized
- Affected: ~5–10% of people
- More common in: Women
Overview
Normally, the immune system distinguishes self from non-self. In autoimmune disease, this regulation breaks down. The result can be inflammation and damage to one organ system (organ-specific) or many (systemic).
Common Autoimmune Conditions
- Rheumatoid arthritis — joints
- Lupus (SLE) — multiple organs
- Multiple sclerosis — central nervous system
- Inflammatory bowel disease — intestines
- Type 1 diabetes — pancreatic beta cells
- Hashimoto's thyroiditis — thyroid
- Graves' disease — thyroid
- Celiac disease — small intestine
- Psoriasis — skin
- Sjögren's syndrome — moisture-producing glands
Common Features
- Fatigue (almost universal)
- Joint pain or stiffness
- Skin rashes
- Recurrent fevers
- Hair loss
- Tingling or numbness
- Flares and remissions
Diagnosis
- Detailed history and physical exam
- Autoantibody panels (ANA, RF, anti-CCP, specific antibodies)
- Inflammatory markers (ESR, CRP)
- Imaging and organ-specific testing
- Biopsies when needed
Treatment
- Anti-inflammatory medications (NSAIDs, steroids)
- Disease-modifying antirheumatic drugs (DMARDs)
- Biologic therapies (anti-TNF, anti-IL-17, anti-CD20, others)
- Small-molecule targeted therapies (JAK inhibitors)
- Treatment of specific organ involvement
- Lifestyle: stress management, exercise, sleep, smoking cessation
When to See a Doctor
See a doctor for persistent unexplained fatigue, joint pain, rashes, or other symptoms that come and go. Rheumatologists, endocrinologists, gastroenterologists, and neurologists manage different autoimmune conditions depending on the organ affected.
Frequently Asked Questions
Most are chronic and not curable, but many can be controlled in long-term remission with modern treatments.
Diet can support overall health and reduce some symptoms, but it does not replace medical treatment. Specific elimination diets are sometimes helpful (e.g., gluten-free for celiac disease).
The reasons are not fully understood but include hormonal influences, X-chromosome effects on immune genes, and environmental factors.
References
- National Institute of Allergy and Infectious Diseases. Autoimmune Diseases.