Page 67 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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A.  Causes of Autoimmune Disease


                                        Hormonal
                           Genetic      influences
                       predisposition,
                    mainly HLA-II genotype  Sex
                                        prevalence
                                                  Psychological
                                                  factors
                  Cancellation of                                      Diseases
                  immunological  Autoimmune
           ignorance of autoantigens  disease  Altered immune
                                               regulation,
              from immunologically             e.g. altered activity
               privileged regions,             of T-suppressor cells (?)  Autoimmune
               e.g. eye, brain, uterus,
                sperm, thyroglobulin

               Infection                                               Plate 3.15
                        Cross-reaction of  Mutation of
                     antiforeign antibodies,  immunocompetent
                       e.g. anti-streptococcal  cells (?),
                         antibodies against  e.g. lymphoma cells
                          endocardium and
                             myocardium

        B.  Organ-Specific and Tissue-Specific Autoimmune Diseases
                      Organ-specific autoantibodies   Tissue-specific
                         or T cell activation         autoantibodies
                             against                     against
              Acetylcholine
              receptors
              of skeletal
              musculature
                           Pancreatic    Thyro-
                           B cells       globulin
                                   Parietal            Basal membranes
                  Adrenal          cells;     TSH
                  cortex           intrinsic  receptor
                                   factor



                                                Graves’  Glomerulo-
                   Idiopathic   Atrophic gastritis,  disease  nephritis
                 Addison’s disease  pernicious anemia       Pulmonary
                                                             bleeding
        Myasthenia gravis  Diabetes        Hashimoto’s   Goodpasture’s
        pseudoparalytica   mellitus        thyroiditis    syndrome    57

       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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