Immune Systems Increasingly On Attack
By Rob Stein
Washington Post Staff Writer
Tuesday, March 4, 2008; A01
First, asthma cases shot up, along with hay fever and other common allergic reactions, such as eczema. Then, pediatricians started seeing more children with food allergies. Now, experts are increasingly convinced that a suspected jump in lupus, multiple sclerosis and other afflictions caused by misfiring immune systems is real.
Though the data are stronger for some diseases than others, and part of the increase may reflect better diagnoses, experts estimate that many allergies and immune-system diseases have doubled, tripled or even quadrupled in the last few decades, depending on the ailment and country. Some studies now indicate that more than half of the U.S. population has at least one allergy.
The cause remains the focus of intense debate and study, but some researchers suspect the concurrent trends all may have a common explanation rooted in aspects of modern living -- including the "hygiene hypothesis" that blames growing up in increasingly sterile homes, changes in diet, air pollution, and possibly even obesity and increasingly sedentary lifestyles....
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Although hay fever, eczema, asthma and food allergies seem quite different, they are all "allergic diseases" because they are caused by the immune system responding to substances that are ordinarily benign, such as pollen or peanuts. Autoimmune diseases also result from the body's defense mechanisms malfunctioning. But in these diseases, which include lupus, MS, Type 1 diabetes and inflammatory bowel disease, the immune system attacks parts of the body such as nerves, the pancreas or digestive tract....
One reason that many researchers suspect something about modern living is to blame is that the increases show up largely in highly developed countries in Europe, North America and elsewhere, and have only started to rise in other countries as they have become more developed....
The leading theory to explain the phenomenon holds that as modern medicine beats back bacterial, viral and parasitic diseases that have long plagued humanity, immune systems may fail to learn how to differentiate between real threats and benign invaders, such as ragweed pollen or food. Or perhaps because they are not busy fighting real threats, they overreact or even turn on the body's own tissues....
http://www.washingtonpost.com/wp-dyn/content/article/2008/03/03/AR2008030303200_pf.html