स्वप्रतिरक्षित रोग

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स्वप्रतिरक्षित रोग
वर्गीकरण एवं बाह्य साधन
आईसीडी-१० D84.9, M35.9
आईसीडी-९ 279.4
ओएमआईएम 109100
डिज़ीज़-डीबी 28805
मेडलाइन प्लस 000816
एम.ईएसएच D001327

वे रोग स्वप्रतिरक्षित रोग (Autoimmune diseases) कहलाते हैं जिनके होने पर किसी जीव की प्रतिरक्षा प्रणाली अपने ही ऊतकों या शरीर में उपस्थित अन्य पदार्थों को रोगजनक (pathogen) समझने की गलती कर बैठती है और उन्हें समाप्त करने के लिये उन पर हमला कर देती है। इस प्रकार का रोग शरीर के किसी एक अंग में सीमित हो सकता है (जैसे स्वप्रतिरक्षित थॉयराय शोथ (autoimmune thyroiditis) या शरीर के विभिन्न स्थानों पर एक विशेष प्रकार के ऊतक को प्रभावित कर सकता है।

स्वप्रतिरक्षित रोगों की चिकित्सा में प्रायः दवाओं का उपयोग करके प्रतिरक्षा प्रणाली की सक्रियता को कम किया जाता है जिसे प्रतिरक्षादमन (immunosuppression) कहते हैं।

मानदण्ड (क्राइटेरिया)

वर्गीकरण

नाम Accepted/
suspected 		Hypersensitivity

I, II, III, IV

आटोएन्टीबॉडी टिप्पणी
Acute disseminated encephalomyelitis (ADEM) Accepted[१]
Addison's disease interferon omega; transglutaminase; aromatic acid carboxylase; GAD; HAI; 17 hydroxylase; 21 hydroxylase
Agammaglobulinemia IGHM; IGLL1: CD79A; CD79B; BLNK; LRRC8A
Alopecia areata Accepted[२][३] T-cells
Amyotrophic Lateral Sclerosis
Ankylosing Spondylitis Accepted[४][५][६] ANCA? CD8; HLA-B27
Antiphospholipid syndrome Accepted[१] anti-cardiolipin;anti pyruvate dehydrogenase; β2 glycoprotein I; phosphatidylserine; anti apoH; Annexin A5 HLA-DR7, HLA-B8, HLA-DR2, HLA-DR3
Antisynthetase syndrome
Atopic allergy I
Atopic dermatitis I
Autoimmune aplastic anemia
Autoimmune cardiomyopathy Accepted
Autoimmune enteropathy
Autoimmune hemolytic anemia Accepted II complement activation
Autoimmune hepatitis Accepted cell-mediated anti-mitochondrial antibodies; ANA; anti-smooth muscle antibodies, LKM-1; soluble liver antigen
Autoimmune inner ear disease Accepted [७]
Autoimmune lymphoproliferative syndrome Accepted TNFRSF6; defective Fas-CD95 apoptosis
Autoimmune peripheral neuropathy Accepted
Autoimmune pancreatitis Accepted ANA; anti-lactoferrin antibodiesanti-carbonic anhydrase antibodies; rheumatoid factor
Autoimmune polyendocrine syndrome Accepted Unknown or multiple APS-1 see Addison's disease
Autoimmune progesterone dermatitis Accepted
Autoimmune thrombocytopenic purpura Accepted anti gpIIb-IIIa or 1b-IX
Autoimmune urticaria Accepted [८]
Autoimmune uveitis Accepted HLAB-27?
Balo disease/Balo concentric sclerosis
Behçet's disease immune-mediated systemic vasculitis; linkage to HLA-B51 (HLA-B27); very different manifestations with ulcers as common symptom; also called Morbus Adamandiades-Behçet
Berger's disease IgA (elevated in 50% of patients), IgA (in mesangial deposits on kidney biopsy)
Bickerstaff's encephalitis Anti-GQ1b 2/3 patients similar to Guillain-Barré syndrome
Blau syndrome overlaps both sarcoidosis and granuloma annulare
Bullous pemphigoid IgG autoantibodies targeting the type XVII collagen component of hemidesmosomes [९]
Cancer
Castleman's disease Over expression of IL-6
सीलिएक रोग Accepted[१०][११][१२] IV?? Anti-tissue transglutaminase antibodies HLA-DQ8 and DQ2.5
Chagas disease Suspected[१३]
Chronic inflammatory demyelinating polyneuropathy Anti-ganglioside antibodies:anti-GM1, anti-GD1a, anti-GQ1b similar to Guillain-Barré syndrome
Chronic recurrent multifocal osteomyelitis LPIN2, D18S60,similar to Majeed syndrome
Chronic obstructive pulmonary disease Suspected[१४][१५]
Churg-Strauss syndrome p-ANCA
Cicatricial pemphigoid anti-BP-1, anti BP-2 precipitates C3
Cogan syndrome
Cold agglutinin disease Accepted II IgM idiopathic or secondary to leukemia or infection
Complement component 2 deficiency
Contact dermatitis III
Cranial arteritis aka Temporal arteritis; involves giant cells
CREST syndrome Anti-centromere antibodies Anti-nuclear antibodies
Crohn's disease (one of two types of idiopathic inflammatory bowel disease "IBD") Accepted[१] IV Innate immunity; Th17; Th1; ATG16L1; CARD15;XBP1;
Cushing's Syndrome cortisol binding globulin?
Cutaneous leukocytoclastic angiitis neutrophils
Dego's disease Vasculopathy
Dercum's disease Suspected Lipoid tissue.[१६]
Dermatitis herpetiformis IgA; anti-epidermal transglutaminase antibodies
Dermatomyositis Accepted[१७] histidine-tRNA anti-signal recognition peptide Anti-Mi-2 Anti-Jo1.[१८] B- and T-cell perivascular inflammatory infiltrate on muscle biopsy
टाइप 1 डायबिटीज मेलेटस Accepted[१] IV Glutamic acid decarboxylase antibodies (GADA), islet cell antibodies (ICA), and insulinoma-associated autoantibodies (IA-2), anti-insulin antibodies
Diffuse cutaneous systemic sclerosis anti-nuclear antibodies, anti-centromere and anti-scl70/anti-topoisomerase antibodies[१९] COL1A2 and TGF-β1
Dressler's syndrome myocardial neo-antigens formed as a result of the MI
Drug-induced lupus anti-histone
Discoid lupus erythematosus III IL-2 and IFN-gamma>[२०]
Eczema LEKTI, SPINK5,[२१] filaggrin.,[२२] Brain-derived neurotrophic factor (BDNF) and Substance P.[२३]
Endometriosis Suspected[२४]
Enthesitis-related arthritis[२५] . MMP3[२६] TRLR2, TLR4,[२७] ERAP1[२८]
Eosinophilic fasciitis Accepted
Eosinophilic gastroenteritis IgE IL-3, IL-5, GM-CSF, eotaxin
Epidermolysis bullosa acquisita COL7A1
Erythema nodosum
Erythroblastosis fetalis II ABO, Rh, Kell antibodies mother's immune system attacks fetus
Essential mixed cryoglobulinemia
Evan's syndrome
Fibrodysplasia ossificans progressiva ACVR1 Lymphocytes express increased BMP4
Fibrosing alveolitis (or Idiopathic pulmonary fibrosis) SFTPA1, SFTPA2, TERT, and TERC.[२९]
Gastritis serum antiparietal and anti-IF antibodies
Gastrointestinal pemphigoid Accepted
Giant cell arteritis macrophage giant cells
Glomerulonephritis Sometimes IgA see Buerger's disease for IgA; Membranous glomerulonephritis for IgG; Membranoproliferative/mesangiocapillary GN (Complement activation); Goodpasture's syndrome; Wegener's granulomatosis
Goodpasture's syndrome Accepted[१] II Anti-Basement Membrane Collagen Type IV Protein
Graves' disease Accepted[१] II thyroid autoantibodies (TSHR-Ab) that activate the TSH-receptor (TSHR)
Guillain-Barré syndrome (GBS) Accepted[१] IV Anti-ganglioside
Hashimoto's encephalopathy Accepted[१] IV alpha-enolase[३०]
Hashimoto's thyroiditis Accepted[१] IV antibodies against thyroid peroxidase and/or thyroglobulin HLADR5, CTLA-4
Henoch-Schonlein purpura immunoglobulin A (IgA) and complement component 3 (C3)
Herpes gestationis aka Gestational Pemphigoid IgG and C3 misdirected antibodies intended to protect the placenta
Hidradenitis suppurativa Suspected[३१]
Hughes-Stovin syndrome
Hypogammaglobulinemia IGHM, IGLL1, CD79A, BLNK, LRRC8A, CD79B
Idiopathic inflammatory demyelinating diseases a variant of multiple sclerosis
Idiopathic pulmonary fibrosis SFTPA1, SFTPA2, TERT, and TERC.[२९]
Idiopathic thrombocytopenic purpura (See Autoimmune thrombocytopenic purpura) Accepted[१] II glycoproteins IIb-IIIa or Ib-IX, immunoglobulin G
IgA nephropathy III? IgA produced from marrow rather than MALT
Inclusion body myositis similar to polymyositis but does not respond to steroid therapy-activated T8 cells
Chronic inflammatory demyelinating polyneuropathy anti-ganglioside antibodies similar to Guillain–Barré syndrome
Interstitial cystitis Suspected[३२] Mast cells
Juvenile idiopathic arthritis aka Juvenile rheumatoid arthritis inconsistent ANA Rheumatoid factor
Kawasaki's disease Suspected ITPKC HLA-B51
Lambert-Eaton myasthenic syndrome voltage-gated calcium channels; Q-type calcium channel, synaptogagmin, muscarinic acetylcholine receptor M1 HLA-DR3-B8
Leukocytoclastic vasculitis
Lichen planus
Lichen sclerosus
Linear IgA disease (LAD)
Lou Gehrig's disease (Also Amyotrophic lateral sclerosis) VCP, ATXN2, OPTN, FIG4, TARDBP, ANG, VAPB, FUS, SETX, ALS2, SOD1
Lupoid hepatitis aka Autoimmune hepatitis ANA and SMA,[३३] LKM-1, LKM-2 or LKM-3; antibodies against soluble liver antigen[३४][३५](anti-SLA, anti-LP) no autoantibodies detected (~20%)साँचा:category handler[<span title="स्क्रिप्ट त्रुटि: "string" ऐसा कोई मॉड्यूल नहीं है।">citation needed]
Lupus erythematosus Accepted[१] III Anti-nuclear antibodies[३६] anti-Ro.[३७] Also, they are often present in Sjögren's syndrome.[३८][३९]
Majeed syndrome LPIN2
Ménière's disease III? major peripheral myelin protein P0[४०]
Microscopic polyangiitis p-ANCA myeloperoxidase binds to neutrophils causing them to degranulate and damages endothelium
Miller-Fisher syndrome see Guillain-Barre Syndrome Accepted anti-GQ1b
Mixed connective tissue disease Accepted[१] anti-nuclear antibody anti-U1-RNP HLA-DR4
Morphea Suspected[४१]
Mucha-Habermann disease aka Pityriasis lichenoides et varioliformis acuta T-cells
Multiple sclerosis Suspected IV PECAM-1[४२] Anti-Myelin Basic Protein
Myasthenia gravis Accepted[१] II nicotinic acetylcholine receptor MuSK protein HA-B8 HLA-DR3 HLA-DR1
Myositis see Dermatomyositis and Polymyositis see Inclusion-body-myositis
Narcolepsy[४३][४४] Suspected[४५] II? hypocretin or orexin[४६] HLA-DQB1*0602[४७]
Neuromyelitis optica (also Devic's disease) II? NMO-IgG aquaporin 4.[४८][४९]
Neuromyotonia Suspected[५०] II? voltage-gated potassium channels.[५०]
Occular cicatricial pemphigoid II? BP-1, BP-2 C3 deposition
Opsoclonus myoclonus syndrome Suspected IV? Lymphocyte recruitment to CSF[५१]
Ord's thyroiditis
Palindromic rheumatism anti-cyclic citrullinated peptide antibodies (anti-CCP) and antikeratin antibodies (AKA)[५२]
PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcus) Suspected II? antibodies against streptococcal infection serve as auto-antibodies
Paraneoplastic cerebellar degeneration IV?[५३] II? anti-Yo[५४] (anti-cdr-2[५५] in purkinje fibers) anti-Hu, anti-Tr, antiglutamate receptor
Paroxysmal nocturnal hemoglobinuria (PNH) Sometimes(?) complement attacks RBCs
Parry Romberg syndrome ANA
Parsonage-Turner syndrome
Pars planitis
Pemphigus vulgaris Accepted[१] II Anti-Desmoglein 3
Pernicious anaemia Accepted[५६] II anti-parietal cell antibody
Perivenous encephalomyelitis
POEMS syndrome interleukin 1β, interleukin 6 and TNFα. vascular endothelial growth factor (VEGF), given the .[५७]
Polyarteritis nodosa
Polymyalgia rheumatica
Polymyositis Accepted[१७] IFN-gamma, IL-1, TNF-alpha
Primary biliary cirrhosis Accepted[५८] Anti-p62, Anti-sp100, Anti-Mitochondrial(M2)Anti-Ro aka SSA.[३७] Also, they are often present in Sjögren's syndrome.[३८][३९]
Primary sclerosing cholangitis overlap with primary biliary cirrhosis?
Progressive inflammatory neuropathy Suspected
Psoriasis Accepted[५९] IV? CD-8 T-cells, HLA-Cw6, IL-12b, IL-23b, TNFalpha, NF-κB
Psoriatic arthritis Accepted[६०] IV? HLA=B27
Pyoderma gangrenosum Can occur in conjunction with other immune-related disorders
Pure red cell aplasia
Rasmussen's encephalitis anti-NR2A antibodies
Raynaud phenomenon Suspected Can occur in conjunction with other immune-related disorders
Relapsing polychondritis Accepted[६१]
Reiter's syndrome
Restless leg syndrome Suspected May occur in Sjögren's syndrome, celiac disease, and rheumatoid arthritis or in derangements of iron metabolism
Retroperitoneal fibrosis
Rheumatoid arthritis Accepted[१] III Rheumatoid factor (anti-IgGFc), Anti-MCV, ACPAs(Vimentin HLA-DR4, PTPN22, depleted B cells, TNF alpha, IL-17, (also maybe IL-1, 6, and 15)
Rheumatic fever II streptococcal M protein cross reacts with human myosin,[६२] anti-DNase B, ASO
Sarcoidosis Suspected IV[६३][६४] BTNL2; HLA-B7-DR15; HLA DR3-DQ2.[६५]
Schizophrenia Suspected[६६][६७][६८]
Schmidt syndrome another form of APS anti-21 hydroxylase, anti-17 hydroxylase[६९] DQ2, DQ8 and DRB1*0404
Schnitzler syndrome IgM?
Scleritis
Scleroderma Suspected[४१] IV? Scl-70 Anti-topoisomerase dysregulated apoptosis?
Serum Sickness III
Sjögren's syndrome Accepted[१] Anti-ro.[३७] Also, they are often present in Sjögren's syndrome.[३८][३९]
Spondyloarthropathy HLA-B27
Still's disease see Juvenile Rheumatoid Arthritis ANA macrophage migration inhibitory factor[७०]
Stiff person syndrome Suspected glutamic acid decarboxylase (GAD),[७१] GLRA1 (glycine receptor
Subacute bacterial endocarditis (SBE) III[७२] essential mixed cryoglobulinemia
Susac's syndrome
Sweet's syndrome GCSF
Sydenham chorea see PANDAS
Sympathetic ophthalmia ocular antigens following trauma
Systemic lupus erythematosis see Lupus erythematosis III
Takayasu's arteritis
Temporal arteritis (also known as "giant cell arteritis") Accepted[१] IV
Thrombocytopenia II glycoproteins IIb-IIIa or Ib-IX in ITP anti-ADAMTS13 in TTP.[७३] and HUS anti-cardiolipin (anti-cardiolipin antibodies) and β2 glycoprotein I in Antiphospholipid syndrome anti-HPA-1a, anti-HPA-5b, and others[७४] in NAIT multiple mechanisms
Tolosa-Hunt syndrome
Transverse myelitis Accepted Transverse Myelitis is a rare neurological disorder that is part of a spectrum of neuroimmunologic diseases of the central nervous system. https://web.archive.org/web/20120623100725/http://www.myelitis.org/
Ulcerative colitis (one of two types of idiopathic inflammatory bowel disease "IBD") Accepted[१] IV
Undifferentiated connective tissue disease different from Mixed connective tissue disease Accepted anti-nuclear antibody HLA-DR4
Undifferentiated spondyloarthropathy
Urticarial vasculitis II? anti C1q antibodies[७५] clinically may resemble type I hypersensitivity!
Vasculitis Accepted[९] III sometimes ANCA
Vitiligo Suspected[७६][७७] NALP-1 RERE, PTPN22, LPP, IL2RA, GZMB, UBASH3A and C1QTNF6
Wegener's granulomatosis Accepted[७८] Anti-neutrophil cytoplasmic(cANCA)

चिकित्सा-विकास

इन्हें भी देखें

अन्य पठनीय सामग्री

  • Vinay Kumar, Abul K. Abbas, Nelson Fausto, Jon Aster, Robbins and Cotran Pathologic Basis of Disease, Elsevier, 8th edition, 2010, 1464 pp., ISBN 978-1-4160-3121-5
  • Handbook of Systemic Autoimmune Diseases, edited by Ronald Asherson, Elsevier, in 10 Volumes [१] :
    • Ronald Asherson, Andrea Doria, Paolo Pauletto, The Heart in Systemic Autoimmune Diseases, Volume 1, 2004, ISBN 978-0-444-51398-4, ISBN 0-444-51398-1
    • Ronald Asherson, Andrea Doria, Paolo Pauletto, Pulmonary Involvement in Systemic Autoimmune Diseases, Volume 2, 2005, ISBN 978-0-444-51652-7, ISBN 0-444-51652-2
    • Ronald Asherson, Doruk Erkan, Steven Levine, The Neurologic Involvement in Systemic Autoimmune Diseases, Volume 3, 2005, ISBN 978-0-444-51651-0, ISBN 0-444-51651-4
    • Michael Lockshin, Ware Branch (eds), Reproductive and Hormonal Aspects of Systemic Autoimmune Diseases, Volume 4, 2006, ISBN 978-0-444-51801-9, ISBN 0-444-51801-0
    • Piercarlo Sarzi-Puttini, Ronald Asherson, Andrea Doria, Annegret Kuhn, Giampietro Girolomoni (eds), The Skin in Systemic Autoimmune Diseases, Volume Volume 5, 2006, ISBN 978-0-444-52158-3, ISBN 0-444-52158-5
    • Rolando Cimaz, Ronald Asherson, Thomas Lehman (eds), Pediatrics in Systemic Autoimmune Diseases, Volume 6, 2008, ISBN 978-0-444-52971-8, ISBN 0-444-52971-3
    • Justin Mason, Ronald Asherson, Charles Pusey (eds), The Kidney in Systemic Autoimmune Diseases, Volume 7, 2008, ISBN 978-0-444-52972-5, ISBN 0-444-52972-1
    • Ronald Asherson, Manel Ramos-Casals, Joan Rodes, Josep Font, Digestive Involvement in Systemic Autoimmune Diseases, Volume 8, 2008, ISBN 978-0-444-53168-1, ISBN 0-444-53168-8
    • Ronald Asherson, Sara Walker, Luis Jara, Endocrine Manifestations of Systemic Autoimmune Diseases, Volume 9, 2008, ISBN 978-0-444-53172-8, ISBN 0-444-53172-6
    • R. Cervera, Ronald Asherson, Munther Khamashta, Joan Carles Reverter (eds), Antiphospholipid Syndrome in Systemic Autoimmune Diseases, Volume 10, 2009, ISBN 978-0-444-53169-8, ISBN 0-444-53169-6

सन्दर्भ

  1. ↑ अ आ इ ई उ ऊ ए ऐ ओ औ क ख ग घ ङ च छ ज MeSH Autoimmune+Diseases
  2. ↑ American Academy of Dermatology, http://www.aad.org/public/publications/pamphlets/common_alopecia.html स्क्रिप्ट त्रुटि: "webarchive" ऐसा कोई मॉड्यूल नहीं है।
  3. ↑ htmlThe University of Texas MD Anderson Cancer Center, http://www.mdanderson.org/patient-and-cancer-information/cancer-information/cancer-types/alopecia-areata/index.html स्क्रिप्ट त्रुटि: "webarchive" ऐसा कोई मॉड्यूल नहीं है।
  4. ↑ HLA-B27 and Ankylosing Spondylitis, http://www.hlab27.com स्क्रिप्ट त्रुटि: "webarchive" ऐसा कोई मॉड्यूल नहीं है।
  5. ↑ Inflammatory Diseases of Immune Dysregulation, http://www.idid.us स्क्रिप्ट त्रुटि: "webarchive" ऐसा कोई मॉड्यूल नहीं है।
  6. ↑ साँचा:cite journal
  7. ↑ साँचा:cite web
  8. ↑ साँचा:cite journal
  9. ↑ अ आ साँचा:cite web
  10. ↑ साँचा:cite web
  11. ↑ साँचा:cite journal
  12. ↑ साँचा:cite journal
  13. ↑ साँचा:cite journal
  14. ↑ साँचा:cite journal
  15. ↑ साँचा:cite journal
  16. ↑ साँचा:cite journal
  17. ↑ अ आ साँचा:cite web
  18. ↑ साँचा:cite journal
  19. ↑ साँचा:cite journal
  20. ↑ साँचा:cite journal
  21. ↑ साँचा:cite journal
  22. ↑ साँचा:cite journal
  23. ↑ साँचा:cite news
  24. ↑ साँचा:cite journal
  25. ↑ साँचा:cite journal
  26. ↑ साँचा:cite journal
  27. ↑ साँचा:cite journal
  28. ↑ साँचा:cite journal
  29. ↑ अ आ Online 'Mendelian Inheritance in Man' (OMIM) 178500
  30. ↑ साँचा:cite journal
  31. ↑ साँचा:cite web
  32. ↑ साँचा:cite journal
  33. ↑ साँचा:cite journal
  34. ↑ साँचा:cite web
  35. ↑ साँचा:cite web
  36. ↑ साँचा:cite journal
  37. ↑ अ आ इ साँचा:cite pmid
  38. ↑ अ आ इ साँचा:cite journal
  39. ↑ अ आ इ साँचा:cite journal
  40. ↑ साँचा:cite journal
  41. ↑ अ आ साँचा:cite journal
  42. ↑ साँचा:cite journal
  43. ↑ साँचा:cite journal
  44. ↑ साँचा:cite web
  45. ↑ साँचा:cite journal
  46. ↑ साँचा:cite journal
  47. ↑ साँचा:cite journal
  48. ↑ साँचा:cite journal
  49. ↑ साँचा:cite journal
  50. ↑ अ आ साँचा:cite journal
  51. ↑ साँचा:cite journal
  52. ↑ साँचा:cite journal
  53. ↑ साँचा:citation
  54. ↑ साँचा:citation
  55. ↑ साँचा:citation
  56. ↑ साँचा:cite web
  57. ↑ साँचा:cite journal
  58. ↑ National Psoriasis Foundation, http://www.psoriasis.org/home/learn01.php स्क्रिप्ट त्रुटि: "webarchive" ऐसा कोई मॉड्यूल नहीं है।
  59. ↑ National Psoriasis Foundation, http://www.psoriasis.org/home/learn02.php स्क्रिप्ट त्रुटि: "webarchive" ऐसा कोई मॉड्यूल नहीं है।
  60. ↑ साँचा:cite web
  61. ↑ साँचा:cite journal
  62. ↑ साँचा:cite web
  63. ↑ साँचा:cite journal
  64. ↑ साँचा:cite journal
  65. ↑ साँचा:cite journal
  66. ↑ साँचा:cite journal
  67. ↑ साँचा:cite journal
  68. ↑ साँचा:cite journal
  69. ↑ साँचा:cite journal
  70. ↑ साँचा:cite journal
  71. ↑ साँचा:citation
  72. ↑ साँचा:cite journal
  73. ↑ साँचा:cite journal
  74. ↑ साँचा:cite journal
  75. ↑ साँचा:cite web
  76. ↑ साँचा:cite web
  77. ↑ साँचा:cite journal

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साँचा:स्वप्रतिरक्षित रोग

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