degrees call-center-agent ambulance stethoscope hours-phone-service wifi-connection-signal-symbol drink-water water-heater bowl-in-a-microwave freezer wardrobe computer cutlery table sofa newspaper cd-player television bathroom-furniture toilet patient-in-hospital-bed hospital-bed

**Autoimmune diseases** occur when the body's immune system attacks its own tissues. This happens because white blood cells lose their ability to distinguish between the body's own tissues and foreign invaders, mistakenly attacking and damaging healthy tissues. This leads to continuous inflammation of organs, eventually resulting in structural damage and loss of organ function. These are sometimes referred to as **autoimmune disorders**.

The exact cause of autoimmune diseases is still unknown. There are many types of autoimmune diseases, depending on the nature of the disease, the organs affected, and the symptoms presented. Some types only affect one specific organ, while others affect multiple organ systems simultaneously.

Khon Kaen Ram Hospital's Rheumatology & Autoimmune Clinic provides care by **rheumatologists** who specialize in treating systemic autoimmune diseases, such as Systemic Lupus Erythematosus (SLE), Scleroderma, Myositis, and others.

Symptoms of Rheumatic and Autoimmune Diseases

This involves inflammation of the joints and the entire body system. Symptoms include:

  • Pain, swelling, redness, warmth, and tenderness in the joints.
  • Commonly affected joints include wrists, metacarpophalangeal joints, proximal interphalangeal joints, knees, ankles, and metatarsophalangeal joints.
  • Joint stiffness and difficulty moving joints in the morning.
  • Rheumatoid nodules found in 17-25% of cases.
  • Other symptoms such as low-grade fever, fatigue, loss of appetite, weight loss, eye inflammation, dry mouth, pulmonary fibrosis.
  • Complications such as coronary artery occlusion and pericarditis.

Gout is caused by high levels of uric acid in the body and the crystallization of uric acid within joints and other organs, leading to joint inflammation. It is more common in men than women. Symptoms include:

  • Inflammation, pain, swelling, redness, and warmth in the ankle, toe joints, knee joints, or other joints. Symptoms come and go.
  • If triggered by factors such as consuming foods high in uric acid or drinking alcohol, the inflamed joint will swell rapidly, and there may be fever and body aches.
  • If left untreated, inflammation will become more frequent, last longer, affect multiple joints simultaneously, and may lead to chronic arthritis, causing permanent joint deformity and damage.
  • Patients have a 20% chance of developing kidney stones and a 10% chance of kidney failure.

SLE is the most common type of autoimmune disease. Abnormal symptoms indicative of SLE include:

  • Unexplained prolonged fever.
  • Chronic joint pain and swelling.
  • Red rashes on the face (often butterfly-shaped) or itchy rashes in sun-exposed areas, photosensitivity.
  • Excessive hair loss.
  • Swelling in the arms, legs, or hands.
  • Feeling tired, weak, etc.

Scleroderma is characterized by hardening of the skin due to excessive fibrous tissue infiltration in the skin layers and internal organs. Symptoms include:

  • Darkening and tightening of the skin. Some individuals may not be able to fully clench their fists.
  • Bluish or darkened fingertips due to lack of oxygen when exposed to cold (Raynaud's phenomenon).
  • 80% of patients experience difficulty swallowing, painful swallowing, acid reflux, or esophagitis.
  • Cardiac involvement is found in 30-80% of cases, with myocardial fibrosis.
  • Kidney disease is found in 10-40% of cases, with symptoms of headache, high blood pressure, and/or acute blurred vision.

Myositis involves inflammation of multiple muscles simultaneously, such as those in the upper arms, thighs, and esophageal muscles. Key symptoms include:

  • Often begins with leg weakness, followed by arm muscle weakness, making it difficult to lift arms or reach high objects. If neck muscles are affected, lifting the head from a pillow can be difficult.
  • May experience muscle pain, especially after exercise, difficulty swallowing, nasal regurgitation of liquids, and aspiration of food into the lungs.
  • Purple-colored rash around the eyes, especially on the upper eyelids, found in 50% of cases.
  • Joint pain or arthritis in multiple joints.
  • May experience shortness of breath due to weakness of the diaphragm and intercostal muscles.
  • Irregular heartbeat.

Medications used to treat autoimmune diseases are divided into 3 main groups:

  1. **Symptom-relieving medications**: Such as non-steroidal anti-inflammatory drugs (NSAIDs).
  2. **Hormone replacement therapy** or substances the body cannot produce on its own.
  3. **Immunosuppressants**: Used to control the disease and prevent the body's organs from being damaged due to an overactive immune system. Examples include steroids used to control lupus nephritis.

Throughout the treatment process, patients must remain under the care of a specialist physician. The doctor will schedule follow-up appointments and blood tests periodically. The doctor will reduce the medication dosage when the disease is well-controlled, but the duration of medication will depend on the type of disease and the patient's individual symptoms.


Phone Number

Call: 043-002-002 ext. 2720, 2730

Operating Hours

Open daily from 8:00 AM - 8:00 PM

Location

Building 2, 2nd Floor

Copyright © 2026 Khon Kaen Ram Hospital
Terms And Conditions
Messenger Icon
Linea