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AUTOIMMUNE
DISEASE - COMPARATIVE ASPECTS AND POSSIBLE INFECTIOUS CAUSES First broadcast on www.provet.co.uk
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This information is provided by
Provet for educational purposes only.
You should seek the advice of your
veterinarian if your pet is ill as only he or she can correctly advise on the
diagnosis and recommend the treatment that is most appropriate for your pet.
Autoimmune diseases
are common in both human and veterinary patients and they share some common
characteristics and possibly common causes Immune-mediated diseases
in which damage is caused to the patients own organs are called
"autoimmune" diseases. An official definition of autoimmunity is : "Autoimmunity
is reactivity of the immune system against self-antigens (autoantigens), that
is the antigens expressed by normal constituent cells or proteins of the
patient" Some autoimmunity is normal physiological activity - for
example old red blood cells express a new antigen on their surface which then
stimulates an immune reaction to destroy them. It is only when the immune
reaction abnormally damages tissues it is called an autoimmune disease, and
these are common in both humans and veterinary patients. They are usually
severe and debilitating - or even fatal. The precise aetiopathogenesis
of autoimmune diseases is not fully understood, but it is now clear that they
can occur as a consequence of exposure to infectious agents. Factors that
are thought to be important in the triggering of immune-mediated disease by an
infection are :
- Genetic predisposition in the patient
- The infectious agent may have similar antigens to the patient (called
antigenic mimicry)
- Inflammation in tissues may increase their sensitivity when exposed to
immune cells/substances
The following table summarises some of the immune-mediated diseases in
humans and dogs, and whether or not the disease is linked to exposure to an
infectious agent (virus, bacteria or parasites) :
Human |
Infectious Agent |
Dog |
Infectious Agent |
Guillain-Barre Syndrome |
Campylobacter jejuni enteritis |
Polyradiculoneuritis |
Not confirmed |
Insulin Dependent Diabetes Mellitus (IDDM) |
Coxsackie virus |
Insulin Dependent Diabetes Mellitus (IDDM) |
Not confirmed |
Rheumatoid Arthritis |
Proteus mirabilis |
Rheumatoid Arthritis |
Not confirmed |
Myocarditis |
Coxsackie virus
?Beta-haemolytic streptococci exhibit antigenic
mimicry with myofibres and heart valve fibroblasts |
Myocarditis occurs but it is not recognised to be an
immune-mediated disorder |
Direct effect of several agents including
parvovirus, canine distemper virus, trypanosomiasis, toxoplasmosis,
fungi, algae, rickettsiae |
Rheumatic fever |
Streptococcus pyogenes |
Not recognised in dogs |
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Ankylosing spondylitis |
Klebsiella pneumoniae |
Spondylosis does occur in dogs but it is a
non-inflammatory disease |
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Renal Amyloidosis |
Chronic exposure to infection (eg nocardia, fungal
infections, bacterial infections) |
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Hypothyroidism |
Not confirmed |
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Immune-mediated haemolytic anaemia |
Not confirmed |
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Immune-mediated thrombocytopenia |
Not confirmed |
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Polyarthritis |
Not confirmed
?Mycobacterium tuberculosis exhibits antigenic
mimicry with proteoglycan in articular cartilage |
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Myasthenia gravis |
Not confirmed |
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Inflammatory bowel disease |
Not confirmed |
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Lymphocytic/plasmacytic infiltration of the liver |
Not confirmed |
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Lymphocytic/plasmacytic infiltration of the respiratory
tract |
Not confirmed |
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Granulomatous meningioencephalitis |
Not confirmed |
Updated January 2016
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