Autoimmune/autoinflammatory syndrome induced by adjuvants: what is it and why the controversy?

Autoimmune/autoinflammatory syndrome induced by adjuvants (ASIA) is a group of autoimmune diseases with possible adjuvant-associated causes, such as siliconosis, macrophagic myofasciitis syndrome, Gulf War syndrome, sick building syndrome, and postvaccination autoimmune phenomena. Over time, an inte...

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Main Author: Sajal Ajmani
Format: Article
Language:English
Published: SAGE Publishing 2019-01-01
Series:Indian Journal of Rheumatology
Subjects:
Online Access:http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2019;volume=14;issue=5;spage=76;epage=81;aulast=Ajmani
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author Sajal Ajmani
author_facet Sajal Ajmani
author_sort Sajal Ajmani
collection DOAJ
description Autoimmune/autoinflammatory syndrome induced by adjuvants (ASIA) is a group of autoimmune diseases with possible adjuvant-associated causes, such as siliconosis, macrophagic myofasciitis syndrome, Gulf War syndrome, sick building syndrome, and postvaccination autoimmune phenomena. Over time, an international registry with over 500 patients has been established for this conglomeration of rare syndromes. In spite of this, the very existence of ASIA has been debated at times and the diagnostic criteria have come under criticism. The cause-effect relationship between adjuvants and autoimmune phenomenon is difficult to prove due to lack of precisely defined time range between exposure and disease and also due to numerous exposures to adjuvants a person may have in his or her lifetime. The current article attempts at reviewing the clinical features, diagnostic criteria, and evidence for/against the existence of the disease.
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publishDate 2019-01-01
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series Indian Journal of Rheumatology
spelling doaj-art-c6c4cd4adad340a8b7a0e236e403a16e2025-02-03T10:22:58ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012019-01-01145768110.4103/0973-3698.272150Autoimmune/autoinflammatory syndrome induced by adjuvants: what is it and why the controversy?Sajal AjmaniAutoimmune/autoinflammatory syndrome induced by adjuvants (ASIA) is a group of autoimmune diseases with possible adjuvant-associated causes, such as siliconosis, macrophagic myofasciitis syndrome, Gulf War syndrome, sick building syndrome, and postvaccination autoimmune phenomena. Over time, an international registry with over 500 patients has been established for this conglomeration of rare syndromes. In spite of this, the very existence of ASIA has been debated at times and the diagnostic criteria have come under criticism. The cause-effect relationship between adjuvants and autoimmune phenomenon is difficult to prove due to lack of precisely defined time range between exposure and disease and also due to numerous exposures to adjuvants a person may have in his or her lifetime. The current article attempts at reviewing the clinical features, diagnostic criteria, and evidence for/against the existence of the disease.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2019;volume=14;issue=5;spage=76;epage=81;aulast=Ajmaniadjuvantautoinflammatorygulf war syndromemacrophagic myofasciitissick building syndromesiliconosisvaccine
spellingShingle Sajal Ajmani
Autoimmune/autoinflammatory syndrome induced by adjuvants: what is it and why the controversy?
Indian Journal of Rheumatology
adjuvant
autoinflammatory
gulf war syndrome
macrophagic myofasciitis
sick building syndrome
siliconosis
vaccine
title Autoimmune/autoinflammatory syndrome induced by adjuvants: what is it and why the controversy?
title_full Autoimmune/autoinflammatory syndrome induced by adjuvants: what is it and why the controversy?
title_fullStr Autoimmune/autoinflammatory syndrome induced by adjuvants: what is it and why the controversy?
title_full_unstemmed Autoimmune/autoinflammatory syndrome induced by adjuvants: what is it and why the controversy?
title_short Autoimmune/autoinflammatory syndrome induced by adjuvants: what is it and why the controversy?
title_sort autoimmune autoinflammatory syndrome induced by adjuvants what is it and why the controversy
topic adjuvant
autoinflammatory
gulf war syndrome
macrophagic myofasciitis
sick building syndrome
siliconosis
vaccine
url http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2019;volume=14;issue=5;spage=76;epage=81;aulast=Ajmani
work_keys_str_mv AT sajalajmani autoimmuneautoinflammatorysyndromeinducedbyadjuvantswhatisitandwhythecontroversy