What Are the Common Diseases of the Immune System?
Disorders of the immune system fall into three major categories: immune deficiencies, immune-mediated diseases, and cancer of the immune system. Immune deficiencies may be inherited and congenital or may be acquired at some time during life. Congenital immune deficiencies usually reflect abnormal function of one or more white blood cells, the inability to produce normal numbers of white blood cells, or an inability to produce antibodies. Congenital underdevelopment of the thymus is also possible. Acquired immune deficiencies may develop in association with other systemic diseases, such as sugar diabetes, the production of too much cortisone hormone by the body (hyperadrenocorticism), and cancer.
Immune-mediated diseases include any disorder in which the immune reaction mounted by the body is harmful to the body, or when the immune reaction is mistakenly directed against parts of the body's own organs. Examples of immune-mediated diseases include allergic reactions to food, drugs, vaccines, insect bites; anaphylaxis, a life-threatening allergic immune reaction; atopy or allergic skin disease from inhaled allergens; immune-mediated hemolytic anemia where the body attacks its own red blood cells; lupus erythematosus, an inflammatory disease associated with the formation of autoantibodies (antibodies directed against portions of the body) against the joints, kidneys, skin and other tissues; pemphigus complex, which is a group of immune-mediated diseases of the skin and mucous membranes characterized by blisters and ulcerations; immune-mediated thrombocytopenia where the immune system attacks the body's platelets; and immune-mediated polyarthritis, an inflammatory joint disease.
Cancer of the immune system usually involves the over production of immune cells, and may result in the over production of immunoglobulins. Cancer of the immune system may arise as a solid tumor or a circulating leukemia of white blood cells, or as a tumor of the thymus, spleen, lymph nodes or bone marrow.
What Types of Diagnostic Tests Are Used to Evaluate the Immune System?
Complete blood count, with differentiation of the types of white blood cells present in the blood.
A chemistry profile and a urinalysis
Bone marrow aspirate or biopsy and cytology
Fine needle aspirate and cytology of any abnormal lymph nodes, spleen or thymus
Chest X-rays to evaluate the size of the thymus
Abdominal X-rays and ultrasonography to evaluate the spleen and other abdominal organs
Specialized immune function tests, such as a Coombs test, measurement and classification of immunoglobulins in the blood, antinuclear antibody (ANA) assay, a lupus cell assay, lymphocyte transformation test, neutrophil function test
Removal and biopsy of abnormal immune tissues
Serologic tests that detect infectious diseases that can affect the immune system
Intradermal and serum allergy testing