ALL "AUTO" diseases have some shared symptoms (fatigue, brain fog, exhaustion)
PLUS joint pain caused by inflammation, not wear and tear, injury, or excessive pressure
AUTO + Inflammatory Arthritis = X (one of a couple dozen diseases)
Official graphic designed and trademarked (June 2019) by our organization to get people talking about A uto i mmune Arthritis and A uto i nflammatory Arthritis (AiArthritis) , which is the type of arthritis associated with having an autoimmune or autoinflammatory disease. It is not the same as the most common type of arthritis that occurs from aging, wear and tear, excessive weight, or injury (Osteoarthritis).
AiArthritis refers to the type of inflammation-driven arthritis associated with having certain Autoimmune or Autoinflammatory diseases ("AiArthritis Disease"). These diseases are caused by the immune system, which is a network of cells and tissues throughout the body that work to defend us from viruses, bacteria, and infection. In our diseases, immune cells target the body's own healthy tissues by mistake and signals the body to attack them.
While there is no one cause for either autoimmune or autoinflammatory diseases, we do know each originates in a part of the immune system.
Combined there are over 100 autoimmune diseases and autoinflammatory diseases, but only a couple dozen include inflammatory arthritis as a major clinical component in most people ("Autoimmune Arthritis" and "Autoinflammatory Arthritis", or AiArthritis). While the arthritis unites these diseases, because they are autoimmune and autoinflammatory in nature they affect more than just the joints. The inflammation travels through the bloodstream, so these diseases affect the whole body, including tissues and organs.
Approximately 300 million people worldwide are diagnosed with at least one AiArthritis disease. However, research suggests that over 50% of patients go undiagnosed or are diagnosed with a "undifferentiated" disease*, increasing this number to an estimated 450 million.
Photo credit: Dranoff G. Nat Rev Cancer. 2004;4:11-22
There are two parts of the immune system that play a big role in autoimmune and autoinflammatory diseases: the “adaptive” and the “innate” parts. As research into the immune system has advanced, some diseases once thought to be autoimmune (which stem from the adaptive part) are now categorized as autoinflammatory (which stem from the innate part). Some even fall somewhere in between the two, because at times these systems can cross communicate with each other.
Innate (or born with/primitive) Immune System. When we are born, this part of our immune system is already working to fight off disease and infection. Autoinflammatory diseases stem from the innate immune system. They are characterized by episodes of apparently unprovoked inflammation (no specific environmental influence). Autoinflammatory diseases are often caused by mutations in proteins that have a major role in the innate immune system.
Adaptive Immune System. Adaptive (acquired or specific) immunity is triggered by a learned response. Autoimmune diseases are the result of a faulty acquired immune system. As a person's immune system encounters foreign substances (antigens), the components of acquired immunity learn the best way to attack each antigen and begin to develop a memory for that antigen. They involve some combination of genetic and environmental triggers. It is believed that the greater the genetic involvement, the earlier the disease will present; the later the onset, the higher likelihood there is a strong environmental trigger (gut or lung bacteria, smoking, etc.).
There are over 100 autoimmune and autoinflammatory diseases ( Ai diseases) plus 100 conditions with arthritis. Only some have inflammatory arthritis as a major component.
In addition to expedited detection and diagnosis to improve quality of life, there is a need to differentiate arthritis types in order to combat confusion and misunderstandings.
References:
University of California - San Diego. "Autoinflammatory Disease Model Reveals Role For Innate, Not Adaptive, Immunity." ScienceDaily. ScienceDaily, 11 June 2009.
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). Autoimmune Diseases (Overview). https://www.niams.nih.gov/health-topics/autoimmune-diseases
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). Autoinflammatory Diseases (Overview). https://www.niams.nih.gov/health-topics/autoinflammatory-diseases
International Foundation for AiArthritis
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