User:Fuse809/sandbox6
Disease name | Aetiology | Pathophysiology | Epidemiology | Tissues affected | Treatment | Prognosis |
---|---|---|---|---|---|---|
Acute disseminated encephalomyelitis[1] | Unknown | Disturbance of the blood-brain barrier and | Children tend to be most often affected. Incidence is <1/100,000. | Brain and spinal cord. | Corticosteroids and intravenous immunoglobulin . |
Generally favourable; 1.5% mortality rate. |
Antiphospholipid syndrome[2] | Unknown | Antiphospholipid antibody-mediated assault on phospholipids that make up blood cells.[3] | Female predominance, more common in Hispanics and African Americans, it is more common in young-middle aged patients. | Blood and foetus | Anticoagulants, hydroxychloroquine, cyclophosphamide, prednisone, rituximab and intravenous immunoglobulin.[4][5][6][7][8][9][10][11][12][13][14][15][16] | Highly fatal, due to venous thromboembolisms. |
Atopic dermatitis | Unknown, genes and environment contribute. People with a family or personal history of atopic dermatitis, asthma, food allergies and hay fever are at a heightened risk for the condition. | Predominantly TH2-mediated pathology.[17][18][19][20] | 15-30% of children are affected. Only 1-3% of adults are affected, although.[21][22] | Skin | Lukewarm baths, moisturisers, corticosteroids, tacrolimus, ciclosporin, azathioprine, methotrexate, rituximab, infliximab and pimecrolimus.[22][23][24][25][26][27] | Generally favourable, although relapses are common. |
Autoimmune haemolytic anaemia[28] |
Unknown; infectious and malignant expected. | Immunoglobulin G and Immunoglobulin M involved. | Annual incidence is about 1/100,000.[29] | Red blood cells. | Corticosteroid, | Generally favourable. 10% fatality rate overall. |
Autoimmune hepatitis | Unknown; genetics and environment likely play a role.[30] | T-cell mediated destruction of hepatocytes. | Frequency is about 0.015-1.2/100,000.[30][31] | Liver | Corticosteroids, | Generally unfavourable; cirrhosis is present in 30% of cases at the time of diagnosis.[30] |
Autoimmune inner ear disease[34] | Unknown; infectious agents believed to contribute. | Unknown | Most commonly affects people between the ages of 20-50, especially females with other autoimmune conditions.[34] | Inner ear | Corticosteroids, | Unknown |
Autoimmune lymphoproliferative syndrome [36][37][38][39][40] |
Genetic; mutations in the Fas signalling pathway. | Mutations in the fas signalling pathway allows for the accumulation of malfunctioning lymphocytes in the tissues. | Most commonly presents in childhood and runs in over 300 families worldwide. | Haematopoietic, liver and lymphatics (including spleen). | Corticosteroids, immunoglobulins . |
Favourable. Mortality usually occurs as a result of cytopenias or malignancies. |
Autoimmune pancreatitis[41][42] | Unknown | Type I is mediated by immunoglobulin G produced by plasma cells and increased production of T cells. Type II is mediated by granulocytes. | Type I is more common in Asia; type II in Europe/North America. Type I usually occurs in one's 60s or 70s. Type I is 2.85 times more common in men than in women. Type II has no such sexual predilection. Type I has a prevalence of 0.82/100,000 in Japan. | Pancreas. | Corticosteroids (both types); type I with mycophenolate mofetil and rituximab . |
Favourable for type II; unfavourable for type I. Type I has a high rate of re-occurrence. |
Autoimmune polyglandular syndrome[43] |
Genetic | Inflammation, destroying the various exocrine and endocrine glands of the body. | Type I: <1/100,000. Type II: 5/100,000. Type I is more common in Iranian Jews (prevalence: 1:600-9,000) and Finns (prevalence: 1:25,000) and usually first presents in children, it has no sexual predilection. Type II occurs predominantly in women, and is more frequent than type I with an incidence of 5/100,000. |
Various endocrine glands including the pancreas, parathyroid, gonads, pituitary and thyroid; and the exocrine glands, the parotids. | Supportive care with hormone replacement therapy. | Favourable. With hormone replacement therapy to help with the various symptoms. |
Unknown | Immunoglobulin G-mediated platelet lysis. | It is more common in males than females when it comes to children, whereas in adults it is more common in females than males, the peak age for it is 1-6 years and 30-40 years. | Brain and bone marrow. | Corticosteroids, thrombopoietin receptor agonists (e.g. eltrombopag, romiplostim), platelet transfusions, intravenous immunoglobulin G, azathioprine, cyclophosphamide, danazol (mostly postmenopausal women) and rituximab. | Haemorrhage is the major cause of death. About 0.9% of kids with it die at presentation; overall >80% of patients will respond favourably to treatment. | |
Behcet's disease[49] |
Unknown; genes and infectious agents are believed to contribute. | T cells (especially IFN-γ.[50] |
Turks and Asians appear to be a high-risk group. Turks have an incidence of 420/100,000; Asians 13.5-22/100,000. North American and European frequency is estimated to be 0.2-7/100,000. Mean age is between 20 and 40; most commonly affects males (3-6 times more frequently than females). | Joints, eyes and skin are most commonly affected; although, the central nervous system, cardiovascular system, GI tract and genitourinary system may also be affected.[51][52][53] | Corticosteroids, azathioprine, cyclophosphamide, methotrexate, chlorambucil, thalidomide, colchicine, ciclosporin, infliximab and adalimumab.[54][55] | 5% die; more are permanently disabled by either eye or CNS involvement. |
Coeliac disease [56][57][58] [59] |
Genes contribute, including HLA-DQ2 and HLA-DQ8.[60] | Immunoglobulin A and T cell-mediated response to gluten.[61][62][63] | Incidence is fairly constant across the races with a prevalence of about 0.15-1%.[64] | Intestines | Corticosteroids and gluten avoidance.[65][66][67][68][69][70] | Excellent, if gluten is avoided. Increased incidence of cavities, |
Cold agglutinin disease[75][76][77] | Idiophathic or infection/cancer. | Unknown | Annual incidence: 1/300,000. | Blood and liver. | Prednisone, cyclophosphamide, rituximab and interferon alfa-2b. | Generally favourable. Few have complete remissions, however. |
Crohn disease |
Unknown. Genes, diet, microbial and environment (especially cigarette smoking, contraception and NSAIDs) contribute.[78][79] | Th1-mediated chronic assault on the GI tract, | Annual incidence is about 10-150/100,000 in the Europe, with a prevalence of 322/100,000. The prevalence is about 320-511/100,000 in the US, and the annual incidence is about 43/100,000 for children and 201/100,000 for adults. In Asia the annual incidence is about 0.5-4.2/100,000, whereas in South Africa the prevalence is 0.3-2.6/100,000 and in Latin America its prevalence is about 0-0.03/100,000. It is more common in Ashkenazi Jews.[82] | GI tract | Corticosteroids, aminosalicylates, | Generally favourable, although it causes significant disability in 25% of patients during the year when the diagnosis is made. Increased risk of lung and colorectal cancers, COPD, liver, genitourinary and GI disease.[93] |
Dermatomyositis | Unknown, genes are believed to contribute. | Humoural assault on the skin. TNF-alfa appears to contribute too.[94][95][96][97][98] | Annual incidence is estimated to be 9.63/1,000,000. Peak ages for onset are 5-10 years and 50 years. | Lung, skin, joints, skeletal muscle and heart. | Glucocorticoid, mycophenolate mofetil, tacrolimus, ciclosporin, hydroxychloroquine,cyclophosphamide and intravenous immunoglobulins.[99][100][101][102] |
Generally unfavourable, only 20-40% of affected individuals achieve a remission and 5% die. 60-80% of persons suffer chronic disease.[103] Malignancies are more common in persons with dermatomyositis than in the general population.[104] |
Diabetes mellitus type I |
Genetic and environmental factors involved.[105] 2-3% of children who's mother has the disease will develop it and 5-6% of children who's father has it will develop it.[106] | 85% have antibody-mediated destruction of the islet cells.[106] | Fewer than 1% of Chinese/Japanese individuals with diabetes mellitus have type I. Whereas 20% of Scandinavians with diabetes mellitus have type II. In the US the annual incidence is 15-20/100,000.[106] | Pancreas | Regular insulin injections and dietary changes. | Generally positive; irreversible and deadly if ignored. Increased risk of various malignancies has been observed, particularly bladder, gastric and pancreatic cancer.[107][108][109] |
IgA nephropathy [110][111][112][113][114][115] [116] |
Unknown | Immunoglobulin A-mediated reaction.[117] | It is significantly more common in Asia and Europe than in North America. The annual incidence is about 0.5-1/100,000 in the US, whereas the incidence in Japan the incidence is about 5-10/100,000. | Kidney. | Symptomatic (with ACE inhibitors), corticosteroids, | The 10-year progression rate to end-stage kidney disease is about 15%, whereas the 20-year progression rate is 20%. |
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