WOMEN A N D AUTOIMMUNE DISEASE The Mysterious Ways Your Body Betrays Itself MULTIPLE SCLEROSIS ★ FIBROMYALGIA JUVENILE DIABETES ★ GRAVES’ DISEASE LUPUS ★ RHEUMATIC FEVER CHRONIC FATIGUE SYNDROME ★ ANTIPHOSPHOLIPID SYNDROME RHEUMATOID ARTHRITIS ★ PANDAS SCLERODERMA ★ SJÖGREN’S SYNDROME VASCULITIS ★ ALOPECIA ROBERT G. LAHITA, M.D., Ph.D. WITH INA YALOF To George and Pauline Contents PART ONE What Is an Autoimmune Disease? 1 CHAPTER ONE THE IMMUNE SYSTEM 3 CHAPTER TWO AUTOIMMUNE DISEASES 18 PART TWO The Autoimmune Diseases 35 CHAPTER THREE THE ANTIPHOSPHOLIPID SYNDROME 37 CHAPTER FOUR IDIOPATHIC THROMBOCYTOPENIC PURPURA 51 CHAPTER FIVE TYPE 1 JUVENILE DIABETES 61 CHAPTER SIX MULTIPLE SCLEROSIS 74 CHAPTER SEVEN PANDAS 88 CHAPTER EIGHT STREPTOCOCCAL INFECTION AND RHEUMATIC FEVER 97 CHAPTER NINE VASCULITIS 105 CHAPTER TEN SYSTEMIC LUPUS ERYTHEMATOSUS 116 CHAPTER ELEVEN ALOPECIA UNIVERSALIS 132 CHAPTER TWELVE SJÖGREN’S SYNDROME 143 CHAPTER THIRTEEN AUTOIMMUNE THYROID DISEASE 155 CHAPTER FOURTEEN AUTOIMMUNE DISEASE OF THE LIVER 161 CHAPTER FIFTEEN SCLERODERMA 168 CHAPTER SIXTEEN POLYMYOSITIS AND DERMATOMYOSITIS 182 CHAPTER SEVENTEEN RHEUMATOID ARTHRITIS 190 CHAPTER EIGHTEEN FIBROMYALGIA, CHRONIC FATIGUE SYNDROME, AND SILICONE IMPLANT SYNDROME 203 PART THREE Treatments 213 CHAPTER NINETEEN DRUGS AND OTHER THERAPIES 215 CHAPTER TWENTY ALTERNATIVE AND COMPLEMENTARY THERAPIES 236 GLOSSARY 257 SUGGESTED READING 267 HELPFUL ORGANIZATIONS 273 INDEX 275 ABOUT THE AUTHORS OTHER BOOKS BY ROBERT G. LAHITA, M.D., PH.D. CREDITS COVER COPYRIGHT ABOUT THE PUBLISHER PART ONE What Is an Autoimmune Disease? <