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Auto Immune Disorders

Description

This is a general, “wastebasket” term for a host of diseases, frequently presenting as several conditions at the same time, with overlapping symptoms. The best-known of these, AIDS, is treated separately because it has become so dominant in the media.

Some examples selected for inclusion are:

Cardiomyopathy and myopathy, in general;
Raynaud’s syndrome;
Scleroderma.

Causes

While manifestations differ, the root cause remains the same: the immune system self-destructs, thereby initiating a vicious cycle whereby the immune system becomes weaker and more vulnerable as more and more challenges arise.

In experimental studies with animals, an inadequate diet, deficient in vitamin E and selenium, will provoke autoimmune diseases. Once these nutrients are restored, the immune system recovers.

There may also be a drain on creatine resources.

Signs & Symptoms


Once the immune system is weak, the patient is vulnerable to every infection, so there is general malaise, frequent colds, respiratory disorders, intestinal disorders etc.

Furthermore, being an auto-immune disorder, means that some portion of the patient's own body is being attacked by the immune defenses, destroying tissue and producing inflammation, as in rheumatic diseases, or various skin disorders e.g. lupus, or the best-known metabolic disorder, diabetes which involves the pancreas.

Consideration is given herein to myopathy and scleroderma:

Myopathy (chiefly cardio-myopathy) is a pathological condition of muscle fibers.

Scleroderma signifies a hardening of the skin. The most common symptom of this disease is Raynaud's phenomenon which is an exaggerated response to cold, such that the toes and fingers become white and extremely painful. Internally, there may be problems with other tissues and organs, of a similar nature.

Nutritional Supplements

Structure & Function:
        Antioxidants
        Immune System Support


---------------------------------
General Supplements
---------------------------------


Beta Carotene 15mg
Vitamin B620 - 50 mg
Vitamin C1000 - 3000 mg
Vitamin E 200 - 400 i.u
Selenium200 mcg
Zinc 15-30 mg



* Please refer to the respective topic for specific nutrient amounts.

Note:

All amounts are in addition to those supplements having a Recommended Dietary Allowance (RDA). Due to individual needs, one must always be aware of a possible undetermined effect when taking nutritional supplements. If any disturbances from the use of a particular supplement should occur, stop its use immediately and seek the care of a qualified health care professional.


Dietary Considerations


General-

It is important to rule out associated disorders, for example, celiac disease may underlie myopathy. The gluten-free diet will avoid the problems of celiac disease while the myopathy may resolve, as well.

Most patients benefit if they eliminate: alcohol, caffeine, sugar, animal products and processed foods, generally.

Vitamin E is the primary supplement. Creatine and selenium would also seem to be indicated from the animal studies, while fatty acid metabolism is also key. Benefits have been shown from both Omega-3 fatty acids (primarily fish oils) as well as Omega-6 fatty acids, like gammalinolenic acid, from evening primrose oil.

These nutrients seem to work via inflammatory and immune pathways, including leukotrienes and T-cells, respectively.

In specific conditions, other nutrients may be specified e.g.


Cardiomyopathy

Alcoholism seems to be the root cause, so must be eliminated in any therapeutic program. As indicated elsewhere, the cornerstones to nutritional supplementation for this variety also hinge upon vitamin E and selenium.

Also, magnesium deficiency is highly likely. Hence, supplementation will prove beneficial.

Other strong candidates for consideration will include: L-Carnitine and coenzyme Q10.


Myopathy

Riboflavin seems to be beneficial in cases of mitochondrial myopathy. Additionally, a combination of Vitamins C and K may be useful. Carnitine, Coenzyme Q10 and phosphatidylcholine are some of the leading supplements worthy of consideration.

Vitamin A may be the key nutrient in cases of alcoholic myopathy. Magnesium will probably be required, as well.

Vitamin B6 is recommended for myasthenia gravis.


Raynaud’s syndrome

Treatment usually comprises: Vitamin E, magnesium, fatty acids and niacin.


Scleroderma

The most common symptom of Scleroderma is Raynaud’s phenomenon. The supplement protocol, then, remains basically the same.

Flaxseed oil has been recommended as the fatty acid component, although cold-water fish are included in the diet.

DHEA supplementation has also been recommended.




Homeopathic Remedy

Glandula lymphatica
Thymus Serpyllum

Treatment Schedule

Over-the-counter homeopathic remedies may be single strength (of fairly weak potency e.g. 6X ) or a blend of several weaker strengths (6X, 8X, 10X).

This may comprise a single remedy, or several remedies.

Doses are administered on a 3 times daily (tid), between meals,schedule and continued for 3 days.

Liquid preparations usually use 8-10 drops per dose.

Solid preparations are usually 2 or 3 pellets per dose.

Children use 1/2 dose i.e. 1 pellet.

If there is aggravation of the symptoms, stop taking the remedy and consult a homeopath.

References

Murphy, R. : Homeopathic Medical Repertory. Hahneman Academy, Pagosa Springs, Colorado. 1993.

Murphy, R. : Lotus Materia Medica. Hahneman Academy, Pagosa Springs, Colorado. 1995.

Pert, J.C.: Homeopathy for the Family. The Homoeopathic Development Foundation, London. 1985 edition.

Herbal Approaches

----------
Herbs
-----------


Eleutherococcus (or Siberian ginseng)
Fenugreek
Hawthorn
Licorice root
Ligustrum
Red clover
Reishi and Maitaki (mushrooms)

Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.

Discussion:

Fenugreek, Hawthorn, Licorice root and Red clover are reputed to enhance the immune response.

Ginseng (both Panax and Siberian) may offer both antioxidant and immunomodulating benefits.

Ligustrum (or in TCM: Nu zhen zi) is reputed to increase lymphocyte production as well as their maturation into T cells.

Reishi and Maitaki mushrooms are good immunomodulators, boosting interferon production.

Specific disease e.g. scleroderma:

Gotu kola (Centella asiatica) appears to reduce the excessive collagen sysnthesis associated with scleroderma.

Contraindications:

Although evidence is slight, it is always better to err on the side of caution.

Progressive conditions (e.g. multiple sclerosis and lupus as well as auto-immune disorders, including AIDS) are considered by some authorities to warrant a warning against the use of echinacea.

More research is needed to ascertain whether the whole extract, or which part, has this effect and if it translates to the clinical situation.

Newall has compiled the following list of immunostimulating herbs:

HerbEffects
BonesetStimulant in vitro
Calendula (Marigold)Stimulant in vitro
DroseraStimulant &depressant (in vitro)
EchinaceaStimulant in vitro, in vivo
Ginseng,Stimulant, human
MistletoeStimulant, human;
suppressant (high doses), human
Saw PalmettoStimulant, in vivo



References:

Blumenthal, M. German Commission E Monograph for Echinacea purperea herb. HerbalGram, 1994, 30:48.

Bodinet, C. et al: Host resistance increasing activity of root extracts from Echinacea species. Planta Med. 1993, 59(Supp): A672.

Bukovsky M et al., [Immunomodulating activity of ethanol-water extracts of the roots of Echinacea gloriosa L., Echinacea angustifolia DC. and Rudbeckia speciosa Wenderoth tested on the immune system in C57BL6 inbred mice] Cesk Farm, 1993 Aug, 42:4, 184-7.

DeSmet, P. et al. (Eds.), Adverse Effects of Herbal Drugs 2. Springer Verlag, Berlin, 1994.

Lersch C et al., Nonspecific immunostimulation with low doses of cyclophosphamide (LDCY), thymostimulin, and Echinacea purpurea extracts (echinacin) in patients with far advanced colorectal cancers: preliminary results. Cancer Invest, 1992, 10:5, 343-8.

Luettig B et al., Macrophage activation by the polysaccharide arabinogalactan isolated from plant cell cultures of Echinacea purpurea. J Natl Cancer Inst, 1989 May 3, 81:9, 669-75.

Mengs U et al., Toxicity of Echinacea purpurea. Acute, subacute and genotoxicity studies. Arzneimittelforschung, 1991 Oct, 41:10, 1076-81.

Newall CA, Anderson LA, Phillipson JD. Herbal Medicines: A Guide for Health-care Professionals. London: The Pharmaceutical Press, 1996.

See DM et al., In vitro effects of echinacea and ginseng on natural killer and antibody-dependent cell cytotoxicity in healthy subjects and chronic fatigue syndrome or acquired immunodeficiency syndrome patients.

Wichtl, M. Herbal Drugs & Phytopharmaceuticals. CRC, Boca Raton, 1994.

Aromatherapy - Essential Oils

Chamomile Essence,Lavender Essence,
Tea Tree Essence,Thyme Essence,
Vetiver Essence.




Related Health Conditions


        AIDS
        Alcoholism
        Alopecia areata
        Arthritis
        Diabetes Mellitus
        Hyperthyroidism
        Lupus Erythematosus
        Multiple Sclerosis
        Muscular Dystrophy
        Osteomalacia
        Osteoporosis
        Scleroderma
        Vasculitis

Abstracts

References

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Ayres, S. et al: Raynaud’s phenomenon, scleroderma and calcinosis cutis: repsonse to vitamin E. Cutis, 1973, 11: 54 - 62.

Ayres, S. & Mihan, R.: Is vitamin E involved in the autoimmune mechanism. Cutis, 1978,21: 321 - 325.

Belch, J.J.F. et al: Evening primrose oil (Efamol) as a treatment for cold-induced vasospasm (Raynaud’s phenomenon). Progr. Lipid Res. 1986, 25: 335 - 340.

Belch, J.J.F. et al: Evening primrose oil (Efamol) in the treatment of Raynaud’s phenomenon: a double-blind study. Thromb. Haemost. 1985, 54(2): 490 -494.

Bernsen, P. et al: Successful treatment of pure myopathy, associated with complex I deficiency, with riboflavin and carnitine. Arch. Neurol. 1991, 48: 334 - 338.

Blumenthal, M. German Commission E Monograph for Echinacea purperea herb. HerbalGram, 1994, 30:48.

Bodinet, C. et al: Host resistance increasing activity of root extracts from Echinacea species. Planta Med. 1993, 59(Supp): A672.

Bukovský M et al., [Immunomodulating activity of ethanol-water extracts of the roots of Echinacea gloriosa L., Echinacea angustifolia DC. and Rudbeckia speciosa Wenderoth tested on the immune system in C57BL6 inbred mice] Cesk Farm, 1993 Aug, 42:4, 184-7.

Burch, B.E. & Giles, T.D.: The importance of magnesium deficiency in cardiovascular disease. Am. Heart J. 1977, 94: 649 - 656.

DeSmet, P. et al. (Eds.), Adverse Effects of herbal Drugs 2. Springer Verlag, Berlin, 1994.

De-Tata-V. Et al: The induction of mitochondrial myopathy in the rat by feeding beta-guanidinopropionic acid and the reversibility of the induced mitochondrial lesions: a biochemical and ultrastructural investigation. Int-J-Exp-Pathol. 1993 Oct; 74(5): 501-9.

DiGiacomo, R.A. et al: Fish-oil dietary supplementation in patients with Raynaud’s phenomenon: a double-blind, controlled, prospective study. Am. J. Med. 1989, 86: 158 - 164.

Dworkin-BM.: Selenium deficiency in HIV infection and the acquired immunodeficiency syndrome (AIDS). Chem-Biol-Interact. 1994 Jun; 91(2-3): 181-6

Folkers, K. et al: Biochemical rationale and the cardiac response of patients with muscle disease to therapy with coenzyme Q10. Proc. Natl Acad. Sci. USA. 1985, 82(13): 4513 - 4516.

Freedman, A.M. et al: Magnesium deficiency-induced cardiomyopathy: protection by vitamin E. Biochem. Biophy. Res. Commun. 1990, 170: 1102 - 1106.

Gamstorp, I. et al: A trial of selenium and vitamin E in boys with muscular dystrophy. J. Child Neurol. 1986, 1(3): 211 - 214.

Gebre-Medhin, M. et al: Selenium supplementation in X-linked muscular dystrophy. Effects on eryhtrocyte and serum selenium and on eryhtrocyte glutathione peroxidase activity. Acta Paediatr. Scand. 1985, 74(6): 886 - 890.

Hardoff, D. et al: Myopathy as a presentation of coeliac disease. Dev. Med. Child Neurol. 1980, 22(6): 781 - 783.

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Kissin, B. & Begleiter, H. (Eds): The Biology of Alcoholism. Plenum, NY, 1974.

Leppert, J. et al: Lower serum magnesium level after exposure to cold in women with primary Raynaud’s phenomenon. J. Intern. Med. 1990, 228: 235 - 239.

Lersch C et al., Nonspecific immunostimulation with low doses of cyclophosphamide (LDCY), thymostimulin, and Echinacea purpurea extracts (echinacin) in patients with far advanced colorectal cancers: preliminary results. Cancer Invest, 1992, 10:5, 343-8.

Lockitch, G. et al: Cardiomyopathy associated with nonendemic selenium deficiency in a Caucasian adolescent. Am. J. Clin. Nutr. 1990, 52: 572 - 577.

Luettig B et al., Macrophage activation by the polysaccharide arabinogalactan isolated from plant cell cultures of Echinacea purpurea. J Natl Cancer Inst, 1989 May 3, 81:9, 669-75.

Mengs U et al., Toxicity of Echinacea purpurea. Acute, subacute and genotoxicity studies. Arzneimittelforschung, 1991 Oct, 41:10, 1076-81.

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Prickett, J.D. et al: Effects of dietary enrichment with eicosopentenoic acid upon autoimmune nephritis in female NZBxNZW/F1 mice. Arth. Rheumat. 1983, 26: 133 - 139.

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See DM et al., In vitro effects of echinacea and ginseng on natural killer and antibody-dependent cell cytotoxicity in healthy subjects and chronic fatigue syndrome or acquired immunodeficiency syndrome patients.

Sjogren-RW.: Gastrointestinal motility disorders in scleroderma. Arthritis-Rheum. 1994 Sep; 37(9): 1265-82.

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Tripp, M.E. et al: Systemic carnitine deficiency presenting as familial endocardial fibroelastosis: a treatable cardiomyopathy. NEJM. 1982, 305: 385.

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