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| Autoimmune Tendency |
Last updated: Nov 05, 2009 |
Signs, symptoms and indicators | Conditions that suggest it | Contributing risk factors | Other conditions that may be present | It can lead to... | Recommendations
Signs, symptoms & indicators of Autoimmune Tendency: | |  | | | | Lab Values - Chemistries | (Mildly/highly) elevated ANA levels | Up to 5% of healthy older people have a positive ANA. Some infections can also cause a positive ANA as can many drugs. Drugs definetely associated with a positive ANA and lupus include chlopromazine, methyldopa, hydralazine, procainamide, and isoniazid. Drugs that are possibly associated with a positive ANA include, dilantin, penicillamine, and quinidine. There is a questionable association with a wide variety of drug including gold, a number of antibiotics, and griseofulvin. The number of false positives increases with age. |
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Conditions that suggest Autoimmune Tendency: | |  | | | | Autoimmune | Multiple Sclerosis / Risk
Sjogren's Syndrome
Lupus, SLE (Systemic Lupus Erythromatosis)
Chronic Thyroiditis | Hashimoto's disease may rarely be associated with other endocrine disorders caused by the immune system. When Hashimoto's disease occurs with adrenal insufficiency and type 1 diabetes mellitus, the condition is called type 2 polyglandular autoimmune syndrome (PGA II).
Less commonly, Hashimoto's disease occurs with hypoparathyroidism, adrenal insufficiency, and fungal infections of the mouth and nails in a condition called type 1 polyglandular autoimmune syndrome (PGA I). |
Hyperthyroidism
Sarcoidosis
Crohn's Disease
Dermatomyositis
Microscopic Colitis | Microscopic colitis appears to be in the family of autoimmune syndromes, all of which are more common in women. |
Dermatitis Herpetiformis
Amyotrophic Lateral Sclerosis (ALS) | Autoimmunity may play a role in ALS. Researchers have proposed that ALS may have an autoimmune basis. The following are the bases for their hypotheses:
Analyses of ALS patient sera have identified circulating antibodies secreted by denervated muscle. These antibodies inhibit the stimulation of the sprouting of axons, the long arms of neurons which conduct nervous impulses to other neurons throughout the body.
Researchers have found an immunoglobulin that affects the conductance of neuronal voltage-activated calcium channels which may induce an excessive release of glutamate from nerve endings.
Several studies of ALS patients found the presence of antibodies that interact with motor neurons. Immune complexes have been found in spinal cords of patients with ALS.
It has been proposed that T cells, activated microglia, and immunoglobulin G (IgG) within the spinal cord lesions may be the primary event that leads to tissue destruction in ALS. |
Diabetes Type I
Ulcerative Colitis
Scleroderma | There is an increased incidence of certain types of other autoimmune diseases and cancer among scleroderma patients. |
Vitiligo
Stiff Man Syndrome
Gluten Sensitivity / Celiac Disease
Addison's Disease
Myasthenia Gravis
Periarteritis | Circulation |
Anemia, Megaloblastic | Hormones |
Hypothyroidism | A positive test result for the thyroid autoantibodies antithyroglobulin and antiperoxidase will confirm the diagnosis of Hashimoto's thyroiditis.
Autoimmune hypothyroidism is the most common organ-specific autoimmune disorder. Two specific forms of autoimmune hypothyroidism exist:
1) chronic autoimmune thyroiditis, which is also known as Hashimoto's thyroiditis or Hashimoto's disease, and its variants, postpartum and sporadic thyroiditis
2) autoimmune atrophic thyroiditis, which is also known as primary myxedema. Myxedema is an older term referring to the skin changes characterized by pitting and swelling (water-logged appearance) associated with hypothyroidism. |
| Inflammation |
Episcleritis | Musculo-Skeletal |
Polymyalgia Rheumatica
Rheumatoid Arthritis | Organ Health |
Uveitis | Respiratory |
Pulmonary Fibrosis / Interstitial Lung Disease | There may be an autoimmune link with a few conditions that can cause Interstitial Lung Disease. |
| Skin-Hair-Nails |
Erythema Nodosum
Hives | Some forms of chronic hives have an autoimmune origin which means, in about 30% of patients, that the immune system is producing antibodies against normal substances in the body and triggering the release of histamine by mast cells. [Journal of the American Academy of Dermatology, March 1999, 40(3); pp.443-450] |
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Risk factors for Autoimmune Tendency:
Autoimmune Tendency suggests the following may be present:
Autoimmune Tendency can lead to: | |  | | | | Autoimmune | Chronic Thyroiditis | Hashimoto's disease may rarely be associated with other endocrine disorders caused by the immune system. When Hashimoto's disease occurs with adrenal insufficiency and type 1 diabetes mellitus, the condition is called type 2 polyglandular autoimmune syndrome (PGA II).
Less commonly, Hashimoto's disease occurs with hypoparathyroidism, adrenal insufficiency, and fungal infections of the mouth and nails in a condition called type 1 polyglandular autoimmune syndrome (PGA I). |
Multiple Sclerosis / Risk
Sjogren's Syndrome
Diabetes Type I
Ulcerative Colitis
Crohn's Disease
Dermatomyositis
Lupus, SLE (Systemic Lupus Erythromatosis)
Scleroderma | There is an increased incidence of certain types of other autoimmune diseases and cancer among scleroderma patients. |
Vitiligo
Dermatitis Herpetiformis
Sarcoidosis
Amyotrophic Lateral Sclerosis (ALS) | Autoimmunity may play a role in ALS. Researchers have proposed that ALS may have an autoimmune basis. The following are the bases for their hypotheses:
Analyses of ALS patient sera have identified circulating antibodies secreted by denervated muscle. These antibodies inhibit the stimulation of the sprouting of axons, the long arms of neurons which conduct nervous impulses to other neurons throughout the body.
Researchers have found an immunoglobulin that affects the conductance of neuronal voltage-activated calcium channels which may induce an excessive release of glutamate from nerve endings.
Several studies of ALS patients found the presence of antibodies that interact with motor neurons. Immune complexes have been found in spinal cords of patients with ALS.
It has been proposed that T cells, activated microglia, and immunoglobulin G (IgG) within the spinal cord lesions may be the primary event that leads to tissue destruction in ALS. |
Stiff Man Syndrome | Circulation |
Anemia, Megaloblastic | Hormones |
Hypothyroidism | A positive test result for the thyroid autoantibodies antithyroglobulin and antiperoxidase will confirm the diagnosis of Hashimoto's thyroiditis.
Autoimmune hypothyroidism is the most common organ-specific autoimmune disorder. Two specific forms of autoimmune hypothyroidism exist:
1) chronic autoimmune thyroiditis, which is also known as Hashimoto's thyroiditis or Hashimoto's disease, and its variants, postpartum and sporadic thyroiditis
2) autoimmune atrophic thyroiditis, which is also known as primary myxedema. Myxedema is an older term referring to the skin changes characterized by pitting and swelling (water-logged appearance) associated with hypothyroidism. |
| Skin-Hair-Nails |
Hives | Some forms of chronic hives have an autoimmune origin which means, in about 30% of patients, that the immune system is producing antibodies against normal substances in the body and triggering the release of histamine by mast cells. [Journal of the American Academy of Dermatology, March 1999, 40(3); pp.443-450] |
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Recommendations for Autoimmune Tendency: | |  | | | | Animal-based | Urine Therapy
Cetyl-myristoleate | Botanical |
Nettle (Urtica urens) | German researchers discovered that a traditional European herbal remedy for rheumatism, nettle leaf extract, inhibits TNF-alpha and IL-1 beta. [Arzneimittelforschung. 1996 Apr;46(4): pp.389-94] Nettle “may inhibit the inflammatory cascade in autoimmune diseases and rheumatoid arthritis,” concluded a team of researchers. [J Rheumatol. 1999; 26(12): pp.2517-2522]
It is interesting to note that the prescription drug Enbrel®, approved for the treatment of rheumatoid arthritis, acts by suppressing TNF-alpha. |
| Diet |
Therapeutic Fasting | Dr. Joel Fuhrman, M.D. has spent much of his professional life treating disease by fasting his patients. He has an entire chapter in his book, Fasting and Eating for Health, dedicated to the subject of autoimmune disease. He is convinced that fasting with subsequent dietary changes is a much superior approach to autoimmune disease than conventional treatments. |
Gluten-free Diet | Some doctors have found that a higher than normal percentage of patients with autoimmune disorders are allergic to gluten/gliadin and dairy products. Complete avoidance should be tried for at least one month to see if benefits will occur. |
Dairy Products Avoidance
Vegetarian/Vegan Diet | Dr. Joel Fuhrman, M.D. reports that for the benefits of a fast to be maintained, a vegan diet is required. Switching to a vegan diet before the water fast sometimes improves patients' symptoms. |
| Drug |
Conventional Drugs / Information | Natural compounds derived from a sea anemone extract and a shrub plant have been found to block the autoimmune disease response in type-1 diabetes and rheumatoid arthritis, according to University of California, Irvine researchers.
The study shows both in human and animal tests how these compounds work to deter the effect of autoimmune T-cells, white blood cells that attack the body. The goal, according to UCI researchers, is to develop new treatments from these compounds that will target these destructive T-cells while allowing other white blood cells to fight disease and infection.
The study, led by UC Irvine School of Medicine researchers George Chandy and Christine Beeton, identifies how these compounds work against a type of white blood cells called effector memory T lymphocytes, which play a major role in autoimmunity. Both compounds block an ion channel in these cells that prevents the cells from proliferating and producing chemicals called cytokines that attack the body during autoimmune disease states.
"Autoimmune diseases affect millions of Americans, and any new therapies that can aid them will have great significance," Chandy said. "What's promising about this study is that we identified a protein target on the T-cells that promote autoimmune activity and the compounds that can selectively block the target and shut down the destructive cells."
White blood cells patrol the body to fight against cancer and infections, but if some of these cells turn against the body they are meant to protect, they cause autoimmune diseases. Millions of people worldwide are afflicted with disabling autoimmune disorders. Two examples of this large class of diseases are type 1 diabetes, in which white blood cells attack the pancreas, and rheumatoid arthritis, in which the joints are attacked.
In their study, the UCI researchers used modified compounds derived from the rue plant (PAP-1) and a Cuban sea anemone extract (SL5), both of which block the ion channel in the destructive T-cells. [Early Online Edition of the Proceedings of the National Academy of Sciences. Nov 6-10, 2006 |
LDN - Low Dose Naltrexone | The experience of people who have autoimmune diseases and who have begun LDN treatment has been remarkable, according to Dr. Bihari. Patients with diagnoses such as systemic lupus, rheumatoid arthritis, Behcet's syndrome, Wegener's granulomatosis, bullous pemphigoid, psoriasis, and Crohn's disease have all benefited. |
| Extract |
Plant Sterols / Sterolins (Phytosterols) | Plant sterols and sterolins “modulate” or balance the immune system and have been shown to decrease the auto-antibody production. |
| Lab Tests/Rule-Outs |
Hydrochloric Acid (Trial) | Clinicians report that 50% of patients with autoimmune disease are also hypochlorhydric (have low stomach acid). |
Test Copper Levels | In cases of autoimmune disease, where therapy is often less than satisfactory, copper insufficiency should be investigated until additional studies confirm any link. The following quote is by John Johnson (iThyroid.com):
"There is very little scientific evidence that copper is involved in immune system function, but it is my belief that copper deficiency is the principal nutritional deficiency involved in autoimmune diseases. Approximately 80% of the people who suffer from autoimmune diseases are women. The most important nutrient that women need more of than men is copper. Any nutritional detective who is trying to find the culprit in autoimmune diseases should first suspect copper. Women need more copper and get autoimmune diseases more frequently. Men need less copper and generally don’t get autoimmune disease. Copper deficiency is the obvious suspect." |
Test for DHEA | Some doctors report finding that a high percentage of patients with autoimmune disorders are also deficient in DHEA, and should be tested. |
| Miscellaneous |
Reading List | The Promise Of Low Dose Naltrexone Therapy: Potential Benefits in Cancer, Autoimmune, Neurological and Infectious Disorders. By Elaine Moore, co-author SammyJo Wilkinson Foreword by Dr. Yash Agrawal, MD, PhD.
The book is highly recommended for other health care practitioners who wish to get quickly up to speed in this new area of medicine which is destined to become the medical paradigm of the 21st century, casting a giant shadow over the rest of mainstream medicine.[ Comments on the LDN book by Jeffrey Dach MD] |
| Nutrient |
Essential Fatty Acids | Supplementation with omega-3 essential fatty acids (EFAs) along with the essential omega-6 fatty acid gamma-linolenic acid (GLA) from borage oil, evening primrose oil, or black currant seed oil, can alleviate many symptoms of autoimmune disease through their anti-inflammatory activity. |
| Oxygen / Oxidative Therapies |
Ozone / Oxidative Therapy | Vitamins |
Vitamin D | A variety of data, from epidemiology, animal experiments, immunological investigations, genetics and small clinical trials indicates that vitamin D can have a suppressant effect on autoimmune reactions and help to slow autoimmune disease. In recent years there has been an effort to understand possible noncalcemic roles of vitamin D, including its role in the immune system and, in particular, on T cell-medicated immunity. The vitamin D receptor is found in significant concentrations in the T lymphocyte and macrophage populations. However, its highest concentration is in the immature immune cells of the thymus and the mature CD-8 T lymphocytes. The significant role of vitamin D compounds as selective immunosuppressants is illustrated by their ability to either prevent or markedly suppress animal models of autoimmune disease. Results show that 1,25-dihydroxyvitamin D3 can either prevent or markedly suppress experimental autoimmune encephalomyelitis, rheumatoid arthritis, systemic lupus erythematosus, type I diabetes, and inflammatory bowel disease. In almost every case, the action of the vitamin D hormone requires that the animals be maintained on a normal or high calcium diet.
It must be stressed that adequate calcium and magnesium intake must accompany vitamin D supplementation. [Medical Hypotheses 1986 (21): pp. 193-200] Calcium levels strongly affect the action of vitamin D for suppressing EAE (animal MS) in mice. Calcium intake should be in the range of 600-900mg per day with magnesium intake being about the same as this. [Journal of Nutrition, 1999 (129): pp. 1966-1971]
Although the use of vitamin D and vitamin D analogs in the therapy of certain autoimmune diseases holds promise, further research is required before their safety and efficacy can be determined. |
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KEY |  | Weak or unproven link |  |  | Strong or generally accepted link |  |  | Proven definite or direct link |  |  | May do some good |  |  | Likely to help |  |  | Highly recommended |
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