New Zealand Woman’s Weekly

The five most common autoimmune disorders

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Catching autoimmune diseases early is the best way to slow their progressio­n. Unfortunat­ely, many people suffer with their symptoms for years and don’t get help soon enough. Here are five of the most common autoimmune disorders and how to recognise them.

RHEUMATOID ARTHRITIS

This is often confused with osteoarthr­itis, which is a degenerati­ve condition that leads to wear and tear on joints. Rheumatoid arthritis causes pain in the hands, fingers, elbows, knees and hips due to inflammati­on. As well as joint pain, other symptoms include fatigue, fever, weight loss and loss of appetite. The symptoms can come on quickly and worsen over just a few weeks, rather than developing over time. Treatment includes antiinflam­matory drugs such as aspirin and ibuprofen to reduce pain and swelling, and prescripti­on drugs that stop immune system attacks. Lifestyle changes such as managing weight can help.

LUPUS

This disease mostly affects women and has such a wide range of symptoms, it can be hard to diagnose. These include extreme tiredness, painful or swollen joints, headaches, fever, anaemia, swollen feet, hands, legs and the area around the eyes. Chest pain with deep breathing, hair loss, sensitivit­y to the sun and fingers that turn white or blue when you’re cold can also be indication­s. Lupus can damage the joints, skin, kidneys, heart, lungs and other parts of the body. Treatment of lupus includes corticoste­roids and other medication to help ease inflammati­on and reduce the chances of damage to organs. HASHIMOTO’S THYROIDITI­S In this condition, the immune system attacks the thyroid – the gland in your neck – and usually leads to a deficiency of thyroid hormones, resulting in a condition called hypothyroi­dism. The first symptom is often swelling at the front of the throat. Other signs you have Hashimoto’s include fatigue, weight gain, muscle or joint pain, cold hands and feet, hormone imbalances, hair loss, dry and pale skin, constipati­on, depression and memory lapses. Taking a synthetic thyroid replacemen­t hormone can help with Hashimoto’s.

PSORIASIS

This chronic skin condition makes skin cells grow too quickly. The most common type causes raised red patches covered in a silvery-white build-up of dead skin cells. These are mostly found on the scalp, lower back, knees and elbows, and are often itchy and painful. Mild psoriasis can be treated using special moisturise­rs and shampoos. Severe cases usually require a combinatio­n of topical treatments, light therapy and medication­s.

SCLERODERM­A

The immune system goes haywire and causes excessive growth of collagen, leading to the skin thickening. In some cases, the skin can become so hardened, it is difficult to move. Hardened tissue can build up on the kidneys, lungs, heart and gastro-intestinal tract. Medication can help – for example, blood pressure medication­s may help prevent lung and kidney problems – as well as ease pain. Physical or occupation­al therapy can also help to manage pain.

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