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Autoimmunity FAQS - How Are Autoimmune Diseases Diagnosed?

Adapted by Tracee Cornforth

Autoimmune diseases often don't show a clear pattern of symptoms at first. So diagnosing them can be hard. But with time, a diagnosis can usually be made by using:

  • Medical history--The doctor will ask about your symptoms and how long you have had them. Your symptoms may not point to one disease. But they can be a starting point for your doctor. You should tell your doctor if you have a family member with autoimmune disease. You may not have the same disease as your family member. But having a family history of any autoimmune disease makes you more likely to have one.

  • Physical exam--During the exam, the doctor will check for any signs. Inflamed joints, swollen lymph nodes, or discolored skin might give clues.

  • Medical tests--No one test will show that you have an autoimmune disease. But doctors may find clues in a blood sample. For example, people with lupus or rheumatoid arthritis often have certain autoantibodies in their blood. Autoantibodies are blood proteins formed against the body's own parts.

    Not all people with these diseases have these autoantibodies. And some people without autoimmune disease do have them. So blood tests alone may not always help. But if a person has disease symptoms and autoantibodies, the doctor can be more sure of a diagnosis.

The key is patience. Your doctor may be able to diagnose your condition quickly based on your history, exam, and test results. But the process often takes time. It may take several visits to find out exactly what's wrong and the best way to treat it.

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Suggested Reading: Living Well With Autoimmune Disease: What Your Doctor Doesn't Tell You... That You Need To Know by Mary J. Shomon

Adapted from the National Institute of Arthritis and Musculoskeletal
and Skin Diseases NIAMS/National Institutes of Health (NIH)
1 AMS Circle
Bethesda, MD 20892-3675

NIH Publication No. 02-4858

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