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Published on: June 26, 2018
A woman with multiple autoimmune diseases: pathologic correlations and complications
1Department of Clinical and Experimental Medicine, Division of Infectious Diseases, Alma Mater Studiorum, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy. roberto.manfredi@unibo.it
This case report details a young woman with multiple autoimmune disorders who developed a severe urinary tract infection during steroid therapy. It highlights the risks of concurrent autoimmune conditions and immunosuppression, emphasizing potential infectious complications.
Area of Science:
- Immunology
- Infectious Diseases
- Clinical Medicine
Background:
- Multiple autoimmune-dysreactive disorders (thyroiditis, myasthenia gravis, Crohn's disease, erythema nodosum) can co-occur.
- Steroidal therapy is a common treatment for autoimmune conditions.
- Severe infections can complicate the management of patients with autoimmune diseases.
Observation:
- A young woman with multiple autoimmune disorders experienced a severe upper urinary tract infection during steroid treatment.
- The patient presented with a complex interplay of autoimmune conditions.
Findings:
- The study discusses the pathogenetic and clinical links between diverse autoimmune complications.
- Immunosuppressive treatment may significantly increase the risk of severe infectious complications.
Implications:
- Clinicians must be aware of the potential for multiple, concurrent, or subsequent autoimmune disorders in patients.
- Severe infectious complications are a significant concern in patients with multiple autoimmune diseases undergoing immunosuppression.
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