Autoimmune Diseases Overview
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Questions and Answers

What primarily causes autoimmune diseases?

  • Genetic mutations in immune cells
  • Environmental toxins triggering immune responses
  • Infection from viruses
  • Erroneous attack of the immune system on self-tissues (correct)
  • Which of the following autoimmune diseases is characterized by muscle weakness?

  • Multiple sclerosis
  • Graves Disease
  • Myasthenia gravis (correct)
  • Rheumatoid arthritis
  • What demographic is most frequently affected by autoimmune diseases?

  • Young women (correct)
  • Infants and toddlers
  • Middle-aged individuals
  • Elderly men
  • Which of the following statements about treatments for autoimmune diseases is true?

    <p>Treatment options generally have side effects.</p> Signup and view all the answers

    Which of the following is estimated to be the annual cost associated with Multiple Sclerosis treatment?

    <p>$30,000/year</p> Signup and view all the answers

    What common factor is believed to contribute to the development of autoimmune diseases?

    <p>Genetic predisposition combined with environmental triggers</p> Signup and view all the answers

    What is a potential side effect of glucocorticoids like Prednisolone?

    <p>Immunosuppression</p> Signup and view all the answers

    Which of the following autoimmune diseases is NOT typically chronic?

    <p>Acute allergic reaction</p> Signup and view all the answers

    Which HLA type is associated with Multiple Sclerosis?

    <p>HLA-DR2</p> Signup and view all the answers

    Which gene is associated with Autoimmune Polyglandular Syndrome?

    <p>AIRE</p> Signup and view all the answers

    What is the common environmental factor linked to autoimmune diseases?

    <p>High salt diet</p> Signup and view all the answers

    Which autoimmune disease is most commonly associated with the HLA-DQ2 type?

    <p>Celiac Disease</p> Signup and view all the answers

    What type of autoimmune disease is Multiple Sclerosis classified as?

    <p>Cell-mediated organ-specific disease</p> Signup and view all the answers

    Which infection is linked to Guillain-Barre Syndrome?

    <p>Campylobacter jejuni</p> Signup and view all the answers

    What role does the gut microbiome play in autoimmune diseases?

    <p>It is linked to the development of autoimmune diseases.</p> Signup and view all the answers

    Which mutation is associated with the IPEX syndrome in humans?

    <p>Foxp3</p> Signup and view all the answers

    What type of autoantibodies are involved in Graves' disease?

    <p>Stimulating autoantibodies</p> Signup and view all the answers

    What is the ratio of T4 to T3 released in the blood?

    <p>20 to 1</p> Signup and view all the answers

    Which of the following symptoms is NOT typically associated with hyperthyroidism due to Graves' disease?

    <p>Progressive muscle weakness</p> Signup and view all the answers

    What triggers the hypothalamus to release TRH in the HPT axis?

    <p>Low levels of T4</p> Signup and view all the answers

    What condition can lead to a thyroid storm, a dangerous crisis for those with Graves' disease?

    <p>Emotional stress or infection</p> Signup and view all the answers

    What characterizes the autoantibodies associated with Myasthenia gravis?

    <p>Blocking antibodies against acetylcholine receptors</p> Signup and view all the answers

    Which treatment is NOT commonly used for Graves' disease?

    <p>Cholinesterase inhibitors</p> Signup and view all the answers

    What is a primary role of TSH in the HPT axis?

    <p>To stimulate the thyroid gland to produce T3 and T4</p> Signup and view all the answers

    What is a key complication of myasthenia gravis that can lead to respiratory failure?

    <p>Myasthenic crisis</p> Signup and view all the answers

    Which test is used to determine the improvement of muscle weakness after medication in myasthenia gravis?

    <p>Anticholinesterase (edrophonium) test</p> Signup and view all the answers

    Which medication is primarily used as an oral treatment for myasthenia gravis?

    <p>Pyridostigmine</p> Signup and view all the answers

    In a cholinergic crisis, which symptom indicates an exacerbation due to excess anticholinesterase medication?

    <p>Abdominal cramps</p> Signup and view all the answers

    What is the hallmark feature of Goodpasture’s syndrome?

    <p>Destructive autoantibodies</p> Signup and view all the answers

    What symptom is commonly associated with myasthenic crisis that poses a risk for aspiration?

    <p>Inability to cough</p> Signup and view all the answers

    What critical condition occurs due to insufficient medication in myasthenia gravis?

    <p>Myasthenic crisis</p> Signup and view all the answers

    Which of the following is NOT a typical clinical sign observed in myasthenic crisis?

    <p>Rapid heart rate</p> Signup and view all the answers

    What are the classical symptoms of Type 1 diabetes mellitus?

    <p>Increased thirst, increased urination, and loss of weight</p> Signup and view all the answers

    What is the most common cause of primary hypothyroidism in the USA?

    <p>Hashimoto's thyroiditis</p> Signup and view all the answers

    Which test indicates the presence of glucose in the blood for diagnosing diabetes?

    <p>Fasting glucose &gt; 125 mg/dL</p> Signup and view all the answers

    What are some potential complications of untreated Type 1 diabetes mellitus?

    <p>Coma and small/large vascular disease</p> Signup and view all the answers

    What characteristic is commonly observed in Hashimoto's thyroiditis?

    <p>Inflammation and infiltration of the thyroid by immune cells</p> Signup and view all the answers

    Which symptom is common to both Goodpasture’s Syndrome and Type 1 diabetes mellitus?

    <p>Frequent urination</p> Signup and view all the answers

    What is the primary method used to diagnose Goodpasture’s Syndrome?

    <p>Kidney biopsy</p> Signup and view all the answers

    What type of autoimmune reaction primarily causes Type 1 diabetes mellitus?

    <p>T lymphocyte mediated attack</p> Signup and view all the answers

    What is a notable metabolic consequence of untreated Type 1 diabetes mellitus?

    <p>Acidosis due to ketone bodies</p> Signup and view all the answers

    Which of the following tests would you expect to find positive in a patient with Goodpasture’s Syndrome?

    <p>Anti-glomerular basement membrane antibodies</p> Signup and view all the answers

    What odor might be associated with a child experiencing hyperglycemia and dehydration due to Type 1 diabetes?

    <p>Fruity smell</p> Signup and view all the answers

    Which of these treatments is commonly used for Goodpasture’s Syndrome?

    <p>Immunosuppressive drugs</p> Signup and view all the answers

    What is one of the consequences of high blood glucose levels in Type 1 diabetes?

    <p>Increased urine output</p> Signup and view all the answers

    Study Notes

    Autoimmune Diseases

    • Autoimmune diseases occur when the immune system mistakenly attacks the body's own tissues.
    • Important examples include rheumatoid arthritis, multiple sclerosis, type 1 diabetes, Graves' disease, and myasthenia gravis.
    • The exact cause of many autoimmune diseases is unknown.
    • It is believed that pathogenic antibodies or immune cells (like T cells) cause or contribute to tissue damage.
    • Autoimmune diseases are common, affecting an estimated 8 million people in the US alone.
    • They often affect young adults.
    • Most autoimmune diseases are chronic.
    • There is currently no cure for most autoimmune diseases, but treatments exist that can manage symptoms.
    • Autoimmune diseases represent a category of immune system-related disorders, along with hypersensitivity disorders (allergies) and immunodeficiencies.
    • Neoplasia (like leukemia, lymphoma) is also considered an immune system-related condition.

    Classification of Autoimmune Diseases

    • Organ-specific diseases affect specific organs or tissues.
      • Antibody-mediated: Graves' disease, myasthenia gravis, Goodpasture's syndrome.
      • Cell-mediated: multiple sclerosis, type 1 diabetes.
    • Systemic diseases affect multiple organ systems.
      • Systemic lupus erythematosus
      • Rheumatoid arthritis

    Graves' Disease (Basedow)

    • Also known as diffuse toxic goiter.
    • An autoimmune disorder causing overactive thyroid function.
    • Characterized by autoimmune-induced thyroid gland overactivity.

    Myasthenia Gravis (MG)

    • An autoimmune disease that impacts neuromuscular junctions.
    • Autoantibodies against acetylcholine receptors block muscle activation.
    • This leads to progressive muscle weakness.

    Goodpasture's Syndrome

    • Autoimmune disease leading to lung and kidney damage.
    • Destructive autoantibodies are a key feature.
    • Often presents with symptoms like hemoptysis (coughing up blood) and kidney problems.

    Type 1 Diabetes Mellitus (IDDM)

    • Autoimmune attack on the insulin-producing cells in the pancreas (Islets of Langerhans).
    • Insulin is critical for regulating blood glucose.
    • Lack of insulin results in high blood sugar (hyperglycemia).
    • Classic symptoms include excessive urination, thirst, and increased appetite.
    • Diagnosis can involve blood tests to measure glucose and insulin levels.
    • Treatment primarily involves insulin administration.

    Hashimoto's Thyroiditis

    • An autoimmune disease causing hypothyroidism (underactive thyroid).
    • Characterized by inflammation and infiltration of the thyroid gland.
    • Leads to reduced thyroid hormone production.

    Multiple Sclerosis (MS)

    • A chronic, autoimmune disease affecting the central nervous system (CNS).
    • Characterized by demyelination (damage to nerve sheaths).
    • Symptoms can vary significantly and include neurologic deficits.
    • Forms of MS include relapsing-remitting and progressive.

    Systemic Lupus Erythematosus (SLE)

    • A chronic, multisystem autoimmune disorder.
    • Characterized by widespread inflammation and immune complex formation.
    • Symptoms can range from fatigue and joint pain to skin rashes, kidney problems, and neurological symptoms.
    • Clinical picture often includes butterfly rash, photosensitivity, and joint pain.

    Rheumatoid Arthritis (RA)

    • A chronic inflammatory autoimmune disease primarily affecting the joints.
    • Characterized by chronic inflammation in the synovial membrane.
    • Often leads to joint pain, stiffness, and swelling.
    • Potential for systemic involvement.
    • Diagnosis often involves antibody testing and examination of joint inflammation.

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    Description

    This quiz explores the nature of autoimmune diseases, including their causes, examples, and effects on the body. Learn about the immune system's role in these chronic conditions and the treatments available to manage symptoms. Test your understanding of important autoimmune diseases and their impact on the population.

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