Aug. 22, 2001 -- Two years ago, actress Kellie Martin's
19-year-old sister Heather suddenly began to suffer from fatigue, an odd skin
rash, and a slew of unexplainable health problems. Her symptoms stumped doctor
after doctor. The doctors diagnosed her with one illness, then a different one,
then yet another, as Heather's friends and family watched the formerly healthy
teen become gravely ill.
The doctors couldn't reach a consensus on Heather's ailment.
"They would stand out in the hall and argue about what the best way to
treat her was," says Martin. "In the meantime, Heather was getting
weaker and sicker. It was infuriating." Finally a doctor diagnosed Heather
with systemic lupus erythematosus, also called lupus.
From its first year of publication, GH has urged readers to live healthfully
— to take "a walk before breakfast" (1885), "eat more fish" (1932), and get "at
least eight hours of sleep" (1933). The tips here, whether from our early days
or fresh from the latest journals, have one thing in common: They are based on
the best expertise of their time.
With lupus, like other autoimmune illnesses, the patient's
immune system goes into overdrive and mistakenly attacks the body it is
designed to protect. In Heather's case, her body was killing her own kidneys
and other vital organs, mistaking them for foreign objects.
Though Heather's disease might seem unusual, 50 million
Americans -- 75% of them women -- suffer from autoimmune disorders, according
to Virginia Ladd, president and founder of the American Autoimmune Related
Diseases Association Inc., or AARDA. Because of the threat these illnesses pose
to women's health worldwide, the AARDA is currently working with both the
United Nations Commission on the Status of Women and the World Health
Organization to have autoimmune disorders declared a major women's health
Misunderstood and Misdiagnosed
Autoimmune diseases are illnesses of the unknown -- the body
attacks itself, the illnesses are often repeatedly misdiagnosed, and effective
treatments are few, even after doctors do figure out what's wrong. The 80 or so
recognized autoimmune illnesses range from those that are commonly known, like
diabetes, psoriasis, multiple sclerosis, and rheumatoid arthritis, to the
unfamiliar, including Hashimoto's thyroiditis -- a chronic inflammation of the
thyroid gland -- and pemphigus vulgaris, a skin disease where blisters form on
the mouth and scalp.
"Women usually have to see five or six doctors before they
find someone who can tell them what they have," Ladd says. But once
diagnosed, no one doctor treats the disease. Instead, various specialists treat
the illness symptom by symptom. Ladd hopes that soon a specialist called an
"autoimmunologist" will emerge to treat the scattered group of
autoimmune diseases as a whole.
Perhaps then doctors will have more luck determining the
underlying cause of these diseases -- that is, what triggers the immune system
to react against the body in the first place. In one-third of the cases, there
is a family history of autoimmune disorders, but that means there isn't a
family history in the other cases, says autoimmune researcher Noel R. Rose, MD,
professor of pathology and immunology at Johns Hopkins University in Baltimore.
"We are still trying to find the trigger that makes these illnesses
appear," he says. "Until we know the cause, we can't cure them. We can
only treat their symptoms."
There are many theories on what the triggers might be but so
far, no answers. Some suspect genetics plays a role. Others point to chemicals
and contamination in the environment. Still others believe some sort of viral
infection is at the root of the problem. Or perhaps it's a combination of all
of these factors, an underlying genetic susceptibility that lies dormant until
a trigger -- environmental or viral -- activates the disease. Researchers like
Rose hope to find some answers soon. "The research of the past decade is
adding up. Combined with the new research into the genetic code, we are very
hopeful that there will be a breakthrough within the next 10 years," he