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What autoimmune dz's are associated with renal failure?

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Renal failure can be associated with systemic autoimmune diseases like systemic lupus erythematosus (SLE) and rheumatoid arthritis, as well as conditions like multiple myeloma. These conditions can lead to kidney damage through immune complex-mediated inflammation. Autoimmune Addison Disease can also be associated with renal disruptions as part of autoimmune polyendocrine syndromes.

Step-by-step explanation:

Autoimmune Diseases and Renal Failure

Autoimmune diseases that are associated with renal failure include a range of conditions that affect the immune system and various organs of the body. Some autoimmune diseases have a systemic impact, such as systemic lupus erythematosus (SLE) and rheumatoid arthritis, both of which can lead to renal damage through type III hypersensitivity reactions involving auto-antibody and self-antigen immune complexes. Another condition, multiple myeloma, can cause chronic renal failure through hypercalcemia or cast nephropathy. Autoimmune Addison Disease, although primarily affecting the adrenal glands, may also be associated with autoimmune polyendocrine syndromes (APS) affecting other endocrine glands and potentially the kidneys. These autoimmune responses can be organ-specific or systemic, often resulting in inflammation and damage to the targeted tissues, including those of the kidneys.

Organ-specific autoimmune diseases, such as Addison disease, can lead to disruptions in metabolic processes, signaling a connection to renal involvement, especially in the context of APS. The diagnosis of these autoimmune diseases typically involves detecting autoantibodies like those to 21-hydroxylase in Addison disease. It is important to consider that many of these diseases are managed through anti-inflammatory and immunosuppressive therapies, aiming to reduce the immune system's attack on the body's own tissues.

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