Paper I
Question
Name four autoimmune diseases
Answer
Four examples of autoimmune diseases:
- Systemic lupus erythematosus (SLE) — a systemic autoimmune disease with autoantibodies against nuclear antigens (ANA, anti-dsDNA), causing immune-complex-mediated damage to skin, joints, kidneys (lupus nephritis), and other organs.
- Rheumatoid arthritis — an autoimmune inflammatory polyarthritis, associated with rheumatoid factor and anti-CCP (cyclic citrullinated peptide) antibodies, causing progressive joint destruction.
- Type 1 diabetes mellitus — T-cell-mediated autoimmune destruction of insulin-producing pancreatic beta cells, leading to absolute insulin deficiency.
- Graves’ disease — autoantibodies (TSH-receptor stimulating antibodies) mimic TSH action, causing hyperthyroidism.
(Other valid examples: Hashimoto’s thyroiditis, myasthenia gravis, autoimmune haemolytic anaemia, multiple sclerosis, pemphigus vulgaris.)

