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|pagetitle =Autoimmune Diseases
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<categorytree mode=pages>Autoimmune Diseases</categorytree>
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==Antibody mediated autoimmune diseases==
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[[Image:ImageNeeded.png|right|thumb|150px|Myasthenia gravis]]
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===1. Immune Mediated Haemolytic Anaemia (IMHA)===
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[[Category:Immunological Disorders]]
 
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'''Pathogenesis:''' [[Type II Hypersensitivity - WikiBlood|Type II hypersensitivity]]
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* Autoantibody attack on the red blood cells causing extravascular and intravascular lysis which causes anaemia.
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* The in saline autoagglutination test and the coombes test is used to diagnose the disorder.
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===2. Immune Mediated Thrombocytopaenia (IMTP) ===
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'''Pathogenesis:''' [[Type II Hypersensitivity - WikiBlood|Type II hypersensitivity]]
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* There is an immunological attack on the platelets which reduces the ability for clotting.
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* A reduced platelet count and detection of anti-platelet antibodies in the serum are used for diagnosis of this disorder.
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===3. Myasthenia gravis===
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'''Pathogenesis:''' [[Type II Hypersensitivity - WikiBlood|Type II hypersensitivity]]
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===4. Bullous Pemphigoid===
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'''Pathogenesis:''' [[Type II Hypersensitivity - WikiBlood|Type II hypersensitivity]]
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===5. Pemphigus Vulgaris===
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'''Pathogenesis:''' [[Type II Hypersensitivity - WikiBlood|Type II hypersensitivity]]
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===6. Systemic Lupus Erythematosus (SLE)/Multi-systemic immune mediated disease===
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'''Pathogenesis:''' [[Type III Hypersensitivity - WikiBlood|Type III hypersensitivity]]
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==Cell mediated autoimmune diseases==
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[[Image:Rheumatoid Arthritis Type IV hypersensitivity.jpg|right|thumb|150px|Rheumatoid Arthritis-Brian Catchpole RVC 2008]]
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[[Image:Diabetes Mellitus Type IV hypersensitivity.jpg|right|thumb|150px|Diabetes Mellitus-Brian Catchpole RVC 2008]]
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===1. Rheumatoid arthritis===
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'''Pathogenesis:'''
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* [[Type IV Hypersensitivity - WikiBlood|Type IV hypersensitivity]]: CD4 Th-1 cell mediated.
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* Macrophages phagocytose self antigens and can present peptides on their MHC Class II molecules. The autoreactive TH-1 cells release IFN-gamma which activates macrophages to release prostaglandins, MMP enzymes and TNF-alpha (pro-inflammatory mediator), see diagram. These cytokines cause inflammation and tissue destruction.
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===2. Diabetes Mellitus type I===
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'''Pathogenesis:'''
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* [[Type IV Hypersensitivity - WikiBlood|Type IV hypersensitivity]]
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* The CTLs think that all the beta cells in the pancreas are infected by a virus, as it wrongly detects a self antigen presented by the MHC class I on the surface of the cell as foreign.
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* Autoreactive CD8+ CTLs are inadvertently activated, destroying the beta cells, thus preventing the secretion of insulin and causing diabetes type 1 (see diagram).
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===3. Hypothyroidism (lymphocytic throiditis)===
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'''Pathogenesis:''' [[Type IV Hypersensitivity - WikiBlood|Type IV hypersensitivity]]
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* T cell mediated
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===4. Hypoadrenocorticism (Addisons disease)===
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'''Pathogenesis:''' [[Type IV Hypersensitivity - WikiBlood|Type IV hypersensitivity]]
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[[Category:Lymphoreticular and Haemopoietic Diseases]]
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[[Category:Immunology]]
 
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