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Autoimmune/inflammatory syndrome induced by adjuvants

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Hypothesised autoimmune disorder

Autoimmune/inflammatory syndrome induced by adjuvants (ASIA), or Shoenfeld's syndrome, is a hypothesised autoimmune disorder proposed by Israeli immunologist Yehuda Shoenfeld in 2011. According to Shoenfeld, the syndrome is triggered by exposure to adjuvants and includes four conditions: "post-vaccination symptoms", macrophagic myofasciitis, Gulf war syndrome, sick building syndrome, and siliconosis. Apart from the theoretical concept of ASIA, there no evidence for any causal relationship between adjuvant and autoimmune condition. A study of 18,000 people showed that there is no merit to the theory of autoimmune/inflammatory syndrome induced by adjuvants. Shoenfeld alleges that the syndrome is caused by adjuvants such as silicone, tetramethylpentadecane, pristane, and aluminum. However, causality is difficult to prove because ASIA only occurs in a small fraction of patients exposed to these adjuvants. Additionally, proponents of this theory allege that the disorder can manifest anywhere from 2 days to 23 years after exposure. Shoenfeld has also named Sjögren's syndrome as potentially being another facet of ASIA.

References

  1. Shoenfeld, Yehuda; Agmon-Levin, Nancy (February 2011). "'ASIA' - autoimmune/inflammatory syndrome induced by adjuvants". Journal of Autoimmunity. 36 (1): 4–8. doi:10.1016/j.jaut.2010.07.003. ISSN 1095-9157. PMID 20708902.
  2. Vera-Lastra, O; Medina, G; Cruz-Dominguez Mdel, P; Jara, LJ; Shoenfeld, Y (April 2013). "Autoimmune/inflammatory syndrome induced by adjuvants (Shoenfeld's syndrome): clinical and immunological spectrum". Expert Review of Clinical Immunology. 9 (4): 361–73. doi:10.1586/eci.13.2. PMID 23557271. S2CID 20667262.
  3. ^ Elwood, J. Mark; Linneberg, Allan; Gold, Michael; Gillis, David; Ameratunga, Rohan (1 November 2017). "Evidence Refuting the Existence of Autoimmune/Autoinflammatory Syndrome Induced by Adjuvants (ASIA)". The Journal of Allergy and Clinical Immunology: In Practice. 5 (6): 1551–1555.e1. doi:10.1016/j.jaip.2017.06.033. ISSN 2213-2198. PMID 28888842. Retrieved 5 May 2019.
  4. Hawkes D.; et al. (May 2015). "Revisiting adverse reactions to vaccines: A critical appraisal of Autoimmune Syndrome Induced by Adjuvants (ASIA)". J. Autoimmun. 59: 77–84. doi:10.1016/j.jaut.2015.02.005. PMID 25794485.
  5. Philadelphia, The Children's Hospital of (17 September 2018). "Vaccines and Autoimmune/Inflammatory Syndrome Induced by Adjuvants (ASIA)". www.chop.edu. Retrieved 5 May 2019.
  6. Perricone, Carlo; Colafrancesco, Serena; Mazor, Roei D.; Soriano, Alessandra; Agmon-Levin, Nancy; Shoenfeld, Yehuda (December 2013). "Autoimmune/inflammatory syndrome induced by adjuvants (ASIA) 2013: Unveiling the pathogenic, clinical and diagnostic aspects". Journal of Autoimmunity. 47: 1–16. doi:10.1016/j.jaut.2013.10.004. PMID 24238833.
  7. West, Sterling (2014). Rheumatology Secrets. Elsevier. p. 597. ISBN 9780323172875.
  8. Colafrancesco, S.; Perricone, C.; Priori, R.; Valesini, G.; Shoenfeld, Y. (June 2014). "Sjögren's syndrome: Another facet of the autoimmune/inflammatory syndrome induced by adjuvants (ASIA)". Journal of Autoimmunity. 51: 10–16. doi:10.1016/j.jaut.2014.03.003. PMID 24774584.

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