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Complex syndromes of chronic pain, fatigue and cognitive impairment linked to autoimmune dysautonomia and small fiber neuropathy

Publikation: Bidrag til tidsskriftReviewpeer review

DOI

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  • Yehuda Shoenfeld
  • Varvara A Ryabkova
  • Carmen Scheibenbogen
  • Louise Brinth
  • Manuel Martinez-Lavin
  • Shuichi Ikeda
  • Harald Heidecke
  • Abdulla Watad
  • Nicola L Bragazzi
  • Joab Chapman
  • Leonid P Churilov
  • Howard Amital
Vis graf over relationer

Abstract Chronic fatigue syndrome, postural orthostatic tachycardia syndrome, complex regional pain syndrome and silicone implant incompatibility syndrome are a subject of debate among clinicians and researchers. Both the pathogenesis and treatment of these disorders require further study. In this paper we summarize the evidence regarding the role of autoimmunity in these four syndromes with respect to immunogenetics, autoimmune co-morbidities, alteration in immune cell subsets, production of autoantibodies and presentation in animal models. These syndromes could be incorporated in a new concept of autoimmune neurosensory dysautonomia with the common denominators of autoantibodies against G-protein coupled receptors and small fiber neuropathy. Sjogren's syndrome, which is a classical autoimmune disease, could serve as a disease model, illustrating the concept. Development of this concept aims to identify an apparently autoimmune subgroup of the disputable disorders, addressed in the review, which may most benefit from the immunotherapy.

OriginalsprogEngelsk
Artikelnummer108384
TidsskriftClinical Immunology
Vol/bind214
Sider (fra-til)108384
ISSN1521-6616
DOI
StatusUdgivet - maj 2020

Bibliografisk note

Copyright © 2020 Elsevier Inc. All rights reserved.

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