


There are more than 80 types of autoimmune diseases including type 1 diabetes, coeliac disease, autoimmune hepatitis and rheumatoid arthritis). This makes an accurate diagnosis problematic. Getting one can be frustrating and stressful. Often, the first symptoms are fatigue, muscle aches and a fever. The tell-tale sign of an autoimmune disease is inflammation, which can cause redness, pain and swelling.
Each autoimmune disease is associated with a specific pattern of autoantibodies and their symptoms and vary accordingly. The symptoms can be multiple, because they are varied diseases, although arthralgias and skin lesions are common. The specificity of the autoantibodies produced will define the symptomatology of the disease. The diseases may also have flare-ups, when they get worse, and remissions, when symptoms get better or disappear.
In many cases, drugs are used to minimise the immune response. Nowadays there are multiple treatments aimed at suppressing the production of autoantibodies and modulating their activity, or even suppressing, if necessary, excessive activity of the immune system. These treatments will depend on the specific diagnosis of the disease. The treatment’s main objective is to suppress the activity. Once this is achieved, the dose can be lowered or even switched to less potent immunosuppressants in order to maintain the correct level.