The Autoimmune Diseases 2020
DOI: 10.1016/b978-0-12-812102-3.00003-8
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General Features of Autoimmune Disease

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Cited by 14 publications
(7 citation statements)
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“…A US population-based review study reported that AID prevalence is 5–7% and is gradually increasing [ 10 , 29 ]. It has been suggested that both genetic susceptibility and environmental factors act as triggers for the breakdown of tolerance and progress of the disease [ 6 ].…”
Section: Discussionmentioning
confidence: 99%
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“…A US population-based review study reported that AID prevalence is 5–7% and is gradually increasing [ 10 , 29 ]. It has been suggested that both genetic susceptibility and environmental factors act as triggers for the breakdown of tolerance and progress of the disease [ 6 ].…”
Section: Discussionmentioning
confidence: 99%
“…Mechanisms of immune tolerance generally prevent autoimmune reactions through the fine-tuning process of positive and negative selection of potentially autoreactive lymphocytes [ 9 ]. The failure of these selection mechanisms gives rise to autoreactive T cells or antibodies, which may appear several years prior to the manifestation of AID [ 10 , 11 ]. Genetic susceptibility and environmental factors determine one’s predisposition to AID [ 12 ].…”
Section: Introductionmentioning
confidence: 99%
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“…Here, we draw on the case of people living with autoimmune illnesses, a diagnostic category that encompasses over 80 diseases, including illnesses such as lupus, multiple sclerosis, type 1 diabetes, rheumatoid arthritis and Crohn’s disease. Autoimmune illnesses are categorised this way because they are thought to share a common underlying mechanism that initiates the body’s autoreactivity (Anaya et al., 2007; Davidson & Diamond, 2013). With the exception of type 1 diabetes, which has a clear diagnostic pathway, patients with these illnesses often present with symptoms that are challenging to classify, and typically their diagnostic journeys are long.…”
Section: Findings: Diagnostic Journeys Shape How Patienthood Is Pract...mentioning
confidence: 99%
“…When the test produced an ANA negative result, it did not. This is not an example of ‘misdiagnoses’ becoming ‘the correct diagnoses.’ The back and forth, or shifting between diagnostic categories, is considered routine in autoimmune illnesses and is documented in the medical literature (Anaya et al., 2007; Davidson & Diamond, 2013). This may serve to normalise this experience for people living with these illnesses for some, but it also underscores the importance of the practices people developed in the absence of, or among shifting, diagnosis.…”
Section: Findings: Diagnostic Journeys Shape How Patienthood Is Pract...mentioning
confidence: 99%