Thanks.
"Idiopathic autoimmune hemolytic anemia results from an abnormality of
the immune system that destroys red blood cells prematurely. The cause
is unknown."
http://www.nlm.nih.gov/medlineplus/...icle/000579.htm
"Such diseases as rheumatoid arthritis, connective tissue disorders,
chronic infection, trauma or malignancy are commonly confused with mild
iron deficiency anemia. Instead, they are related to anemia of chronic
disease. The body will naturally withhold iron from carcinogenic or
infectious entities because of their need for iron. In these cases,
iron upplementation can actually contribute to the spread of disease.
"http://www.innvista.com/health/ailm...ias/irondef.htm
Can't these anemias be autoimmune oriented but still for positive
defences?
Robert - 28 Jun 2005 07:12 GMT
> Thanks.
>
> "Idiopathic autoimmune hemolytic anemia results from an abnormality of
> the immune system that destroys red blood cells prematurely. The cause
> is unknown."
> http://www.nlm.nih.gov/medlineplus/...icle/000579.htm
I don't know what you mean by the cause is unkown. There are associations of
autoimmune hemolytic anemia AIHA with lymphoproliferative disorders.
Sometimes AIHA can herald a lymphoma a few years ahead of time.
Some medications may act as haptens with antibodies directed to red cell
antigens or the drug itself found on the red cell resulting in red cell
destruction. Most of these are antibiotics such cephalosporins or
hypertension medication.
Sometimes there is an infection involved with antibodies forming against red
cell antigens. Infectious mono, syphilis, atypical pneumonia are examples.
Each diagnosis of AIHA, and I did one yesterday requires a medication record
and history. This patient was on three different antibiotics and had
hepatitis B.
Of all the AIHA workups that I have done the past 30 years, none involved
statins.
> "Such diseases as rheumatoid arthritis, connective tissue disorders,
> chronic infection, trauma or malignancy are commonly confused with mild
> iron deficiency anemia.
There is no confusion as the iron studies are distinctive. A percent
saturation of less than 5 is iron deficiency anemia. The ferritin level is
normal in anemia of chronic disease and a CRP should always be done to
interpret the ferritin to rule out inflammation.
RA can cause felty's syndrome with neutropenia and lymphocytosis.
What is confused is thalasemia and iron deficiency anemia which on smear
look similar.
Some of the cancers show a leukoerythrocytosis of nucleated red blood cells
with immature white cells as bone marrow is being replaced by cancer cells.
They also have low platelet counts which is the opposite of iron deficiency
with high platelets and a high red cell distribution width.
Instead, they are related to anemia of chronic
> disease. The body will naturally withhold iron from carcinogenic or
> infectious entities because of their need for iron. In these cases,
> iron upplementation can actually contribute to the spread of disease.
> "http://www.innvista.com/health/ailm...ias/irondef.htm
Iron studies are important and clincial assessment. Sometimes iron is given
and the reticulocytosis is followed. These young cells are counted to see if
the iron is working or if no response is happening such as iron lock out.
> Can't these anemias be autoimmune oriented but still for positive
> defences?
Anemia of chronic disease is not autoimmune unless you consider all human
physiology immune in nature.
Kumar - 28 Jun 2005 11:59 GMT
"I don't know what you mean by the cause is unkown."
It is mentioned in link provoded by me.
"Anemia of chronic disease is not autoimmune unless you consider all
human
physiology immune in nature."
Btw, When a person is capable to have all the needed foods & other
required inputs, Can variations or most variations in his CBC test
indicate involvement of immune system or not--directly or indirectly??
It seems to me I heard somewhere that outrider wrote in article
<1119919072.704977.293910@g49g2000cwa.googlegroups.com>:
>~Further, I don't think I've ever seen a message in an arthritis
>newsgroup from someone on statins--and yet they have the crippling
>diseases. ~
>As you yourself have just shown, many with those diseases aren't aware
>they can be caused or worsened by statin use.
You do read English, don't you? These patients AREN'T ON STATINS and
never have been, and yet they're bedridden, in wheelchairs, on
disability or unable to do routine daily activities because of
autoimmune diseases.
>~May we see the peer-reviewed evidence that statins "are proven to
>cause such disorders"?~
May we see peer-reviewed evidence that statins "are **proven** to cause
such disorders? Discussion below.
>You'll find more here:
>http://www.pubmed.org
One of the first articles to come up with a search on "statins
+autoimmune" was this one:
[Begin]
: Autoimmun Rev. 2005 Mar;4(3):123-9. Related Articles, Links
Statins and autoimmune diseases.
Gurevich VS, Shovman O, Slutzky L, Meroni PL, Shoenfeld Y.
Mechnicov's State Medical Academy, The Center of Atherosclerosis and
Lipid Disorders, Tel-Hashomer, Israel.
Inhibitors of 3-hydroxy-3methylglytaryl coenzyme A (HMG-CoA) reductase
or statins are effective lipid lowering drugs widely used in
cardiovascular disease. In the recent years, pleotropic effects of
statins have been reported, which include anti-inflammatory and
immunomodulatory properties. This review discusses the anti-inflammatory
and immunomodulatory roles of statins and their possible use for the
treatment of other inflammatory diseases or conditions with the
involvement of the immune system.
PMID: 15823497 [PubMed - in process]
[End]
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra
ct&list_uids=15823497&query_hl=1
>http://www.lipitor.com/pi/default.asp
Oddly, that link didn't lead me to what you cite here (moved down to
allow for this comment). What it did lead to was an excellent objective
discussion of lipitor, its biochemical action, some study results,
possible issues with specific populations, and prescribing guidelines. A
word search of the article fails to find either "immune" or
"autoimmune."
Actually this seems to come from the link below, not the one just above.
Did you read the articles, or did you rely on the abstracts? My
comments below are based on the abstracts since I don't have reasonable
access to the full articles.
>Musculoskeletal System: Arthritis, leg cramps, bursitis, tenosynovitis,
>myasthenia, tendinous contracture, myositis.
>Drug-induced lupus-like syndrome associated with severe autoimmune
>hepatitis.
[quoted text clipped - 3 lines]
>Lupus. 2003;12(5):409-12.
>PMID: 12765306 [PubMed - in process]
[Reformatted!]
>"Atorvastatin and other members of the statin family are widely
>used for the treatment of hypercholesterolaemia in order to
[quoted text clipped - 20 lines]
>with statin therapy. Dermatology. 2004;208(3):276-7. PMID:
>15118389 [PubMed - indexed for MEDLINE]
You did read this, I assume. It discusses one patient; it is not a
study, and it does not support a blanket statement that "STATINS, taken
by almost every poster here in sci.med.cardiology are proven to cause
such disorders, including an autoimmune hepatitis, lupus, the
arthritises and more."
>Bannwarth B, Miremont G, Papapietro PM.
>Lupuslike syndrome associated with simvastatin.
>Arch Intern Med. 1992 May;152(5):1093. No abstract available.
>PMID: 1510761 [PubMed - indexed for MEDLINE]
No abstract, so no further information.
>Goli AK, Goli SA, Byrd RP Jr, Roy TM.
>Abstract Simvastatin-induced lactic acidosis: a rare adverse reaction?
>Clin Pharmacol Ther. 2002 Oct;72(4):461-4.
>PMID: 12386648 [PubMed - indexed for MEDLINE]
Is lactic acidosis an autoimmune disorder?
>Atzeni F, Marrazza MG, Sarzi-Puttini P, Carrabba M.
>Free Full Text [Drug-induced lupus erythematosus]
>Reumatismo. 2003;55(3):147-54. Review. Italian.
>PMID: 14513113 [PubMed - indexed for MEDLINE]
Interesting, but where's the statin connection?
[Begin]
Atzeni F, Marrazza MG, Sarzi-Puttini P, Carrabba M.
Unita Operativa di Reumatologia, Universita Ospedale L. Sacco, Milano,
Italia. atzenifabiola@hotmail.com
Drug-induced lupus is a syndrome which share symptoms and laboratory
characteristics with the idiopathic systemic lupus erythematosus (SLE).
The list of medications implicated as etiologic agents in drug-induced
lupus continues to grow. The terms used for this condition are
lupus-like syndrome, drug-induced lupus erythematosus (DILE) and drug
related lupus. More than 80 drugs have been associated with DILE. The
first case of DILE was reported in 1945 and associated with sulfadiazin.
In 1953 it was reported that DILE was related to the use of hydralazine.
Drugs responsible for the development of DILE can divided into three
groups, but the list of these drugs is quite long because new drugs are
included yearly in the list. The syndrome is characterised by
arthralgia, myalgia, pleurisy, rash and fever in association with
antinuclear antibodies in the serum. Recognition of DILE is important
because it usually reverts within a few weeks after stopping the drug.
[End]
Note that true autoimmune lupus does NOT revert.
> "Statins are among the
>most widely prescribed drugs. An increasing number of lupus-like
[quoted text clipped - 11 lines]
>immunosuppressive therapy. Copyright 2004 S. Karger AG, Basel"
>Lantuejoul S, Brambilla E, Brambilla C, Devouassoux G.
I must have missed the link for the above article, so I can't comment on
the context or the findings. It is clear, though, that the conclusion
is "statins may also induce a systemic autoimmune reaction," not that
they invariably do.
>Noel B.
>No abstract Risks and benefits of statins in lupus erythematosus.
>Arch Intern Med. 2004 Jan 12;164(1):107-8. No abstract available.
>PMID: 14718334 [PubMed - indexed for MEDLINE]
No abstract.
>Chazerain P, Hayem G, Hamza S, Best C, Ziza JM.
>Abstract Four cases of tendinopathy in patients on statin therapy.
>Joint Bone Spine. 2001 Oct;68(5):430-3.
>PMID: 11707010 [PubMed - indexed for MEDLINE]
Four cases of tendon involvement, all of which resolved a few months
after discontinuing statins. " Although most patients tolerate statins
extremely well, a few experience side effects requiring treatment
discontinuation. Reported musculoskeletal side effects include myalgia
and a few cases of rhabdomyolysis and polymyositis. Induced lupus and
peripheral neuropathy are exceedingly rare."
>Khosla R, Butman AN, Hammer DF.
>Abstract Simvastatin-induced lupus erythematosus.
>South Med J. 1998 Sep;91(9):873-4.
>PMID: 9743064 [PubMed - indexed for MEDLINE
"We report the case of a 79-year-old man who had onset of fatigue,
myalgia, and pleuritic chest pain 3 months after initiation of therapy
with simvastatin. He had signs of pleuropericarditis due to
simvastatin-induced lupus erythematosus. This should alert clinicians to
this possible adverse effect of simvastatin and other statins."
Again, induced lupus is not the real thing; it resolves when the
inducing agent is removed.
>Rajabally YA, Varakantam V, Abbott RJ.
>Abstract Disorder resembling Guillain-Barre syndrome on initiation of
>statin therapy.
>Muscle Nerve. 2004 Nov;30(5):663-6.
>PMID: 15389662 [PubMed - indexed for MEDLINE]
"We report a disorder resembling Guillain-Barre syndrome, occurring on
initiation of simvastatin, in a 58-year-old man, who had experienced a
similar but milder episode after starting pravastatin 6 months earlier.
This case suggests that acute polyradiculoneuropathy may represent a
rare but serious side-effect of statin treatment. It also raises the
issue of the pathophysiology of acute neuropathy on statin exposure,
with a hypersensitivity reaction resulting in an immune-mediated process
being possible instead of the hypothesized mitochondrial dysfunction in
chronic cases."
This one case *raises a question* about nerve damage from statins,
specifically the issue that statin exposure *may* involve an
immune-mediated process rather than some other process. Again, we see a
suggestion that an issue be researched, not a statement of causality.
>Ahmad A, Fletcher MT, Roy TM.
>Abstract Simvastatin-induced lupus-like syndrome.
>Tenn Med. 2000 Jan;93(1):21-2.
>PMID: 10628262 [PubMed - indexed for MEDLINE]
"The 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase
inhibitors are widely used as cholesterol lowering agents that have an
acceptable safety profile. As a group, this class of drugs has been
associated with few immunologic reactions. Simvastatin (Zocor) has been
linked to three cases of drug-induced lupus-like syndrome. We report the
case of an additional patient who developed pleurisy and arthralgia
after he started taking this low-density lipoprotein and
cholesterol-lowering agent."
IMO you failed to make your case. Your citations discuss conditions
known long before statins were available, provide evidence of conditions
caused by various agents including (by inference, in some cases)
statins, report conditions that resolve when statins are stopped, and
include very little direct linkage to the autoimmune diseases.

Signature
Don Kirkman
listener - 28 Jun 2005 21:59 GMT
> It seems to me I heard somewhere that outrider wrote in article
> <1119919072.704977.293910@g49g2000cwa.googlegroups.com>:
[quoted text clipped - 248 lines]
> stopped, and include very little direct linkage to the autoimmune
> diseases.
What a surprise.....
Thanks to Don for fighting the good fight.
L.
outrider - 28 Jun 2005 22:16 GMT
> It seems to me I heard somewhere that outrider wrote in article
> <1119919072.704977.293910@g49g2000cwa.googlegroups.com>:
[quoted text clipped - 7 lines]
>
> You do read English, don't you?
These patients AREN'T ON STATINS and
> never have been, and yet they're bedridden, in wheelchairs, on
> disability or unable to do routine daily activities because of
> autoimmune diseases.
You can prove that with each and every poster at the auto-immune
disorder newsgroups, and each and every person posting to smc who has
taken a statin (and been told their new onset, or worsening arthritis,
cannot possibly be caused by statins?) You cannot even prove statins
have not affected your own arthritis, as long as you continue taking
them.
And even if you could how would that obviate that *some* people, as
these studies show, can have statin-induced auto-immune diseases. And
*some* of those will not recover. For if you are willing to accpept
that the *one* person who is the case study has recovered from that,
then you have de facto accepted this exists.
Zee
> >~May we see the peer-reviewed evidence that statins "are proven to
> >cause such disorders"?~
[quoted text clipped - 229 lines]
> statins, report conditions that resolve when statins are stopped, and
> include very little direct linkage to the autoimmune diseases.
Don Kirkman - 29 Jun 2005 00:23 GMT
It seems to me I heard somewhere that outrider wrote in article
<1119993371.428133.28080@o13g2000cwo.googlegroups.com>:
>> It seems to me I heard somewhere that outrider wrote in article
>> <1119919072.704977.293910@g49g2000cwa.googlegroups.com>:
>> >~Further, I don't think I've ever seen a message in an arthritis
>> >newsgroup from someone on statins--and yet they have the crippling
>> >diseases. ~
>> >As you yourself have just shown, many with those diseases aren't aware
>> >they can be caused or worsened by statin use.
>> You do read English, don't you?
>These patients AREN'T ON STATINS and
>> never have been, and yet they're bedridden, in wheelchairs, on
>> disability or unable to do routine daily activities because of
>> autoimmune diseases.
>You can prove that with each and every poster at the auto-immune
>disorder newsgroups, and each and every person posting to smc who has
>taken a statin (and been told their new onset, or worsening arthritis,
>cannot possibly be caused by statins?) You cannot even prove statins
>have not affected your own arthritis, as long as you continue taking
>them.
I don't begin to understand what you're saying. Is this a question
you're asking me, or are you stating your assumptions leading to your
restatement of the issue?
BTW, what makes you think I have arthritis?
>And even if you could how would that obviate that *some* people, as
>these studies show, can have statin-induced auto-immune diseases. And
>*some* of those will not recover. For if you are willing to accpept
>that the *one* person who is the case study has recovered from that,
>then you have de facto accepted this exists.
As many have said here many times, no one argues that there are not
*some* patients who have bad effects from statins. What I and others
argue again is your two continual arguments, that statins almost
invariably cause bad effects and that having bad diseases probably
implies that the patient is on statins. Both of those are simply
illogical.
[Balance snipped to save endangered electrons]

Signature
Don Kirkman
outrider - 29 Jun 2005 00:57 GMT
> It seems to me I heard somewhere that outrider wrote in article
> <1119993371.428133.28080@o13g2000cwo.googlegroups.com>:
[quoted text clipped - 45 lines]
> --
> Don Kirkman
According to PFIZER's physician prescribing information and several but
not all Medline citations statins cause auto-immune disorders.
Your argument is with Pfizer, not with me.
Zee
Don Kirkman - 30 Jun 2005 00:38 GMT
It seems to me I heard somewhere that outrider wrote in article
<1120003052.597934.267250@z14g2000cwz.googlegroups.com>:
>> It seems to me I heard somewhere that outrider wrote in article
>> <1119993371.428133.28080@o13g2000cwo.googlegroups.com>:
>> >> It seems to me I heard somewhere that outrider wrote in article
>> >> <1119919072.704977.293910@g49g2000cwa.googlegroups.com>:
>> >> >~Further, I don't think I've ever seen a message in an arthritis
>> >> >newsgroup from someone on statins--and yet they have the crippling
>> >> >diseases. ~
>> >> >As you yourself have just shown, many with those diseases aren't aware
>> >> >they can be caused or worsened by statin use.
Meaning "Where have I shown that many with diseases aren't aware of
statin risks." That's your mantra, not mine.
>> >These patients AREN'T ON STATINS and
>> >> never have been, and yet they're bedridden, in wheelchairs, on
>> >> disability or unable to do routine daily activities because of
>> >> autoimmune diseases.
>> >You can prove that with each and every poster at the auto-immune
>> >disorder newsgroups, and each and every person posting to smc who has
>> >taken a statin (and been told their new onset, or worsening arthritis,
>> >cannot possibly be caused by statins?) You cannot even prove statins
>> >have not affected your own arthritis, as long as you continue taking
>> >them.
>> I don't begin to understand what you're saying. Is this a question
>> you're asking me, or are you stating your assumptions leading to your
>> restatement of the issue?
>> BTW, what makes you think I have arthritis?
No response?
>> >And even if you could how would that obviate that *some* people, as
>> >these studies show, can have statin-induced auto-immune diseases. And
>> >*some* of those will not recover. For if you are willing to accpept
>> >that the *one* person who is the case study has recovered from that,
>> >then you have de facto accepted this exists.
>> As many have said here many times, no one argues that there are not
>> *some* patients who have bad effects from statins. What I and others
>> argue again is your two continual arguments, that statins almost
>> invariably cause bad effects and that having bad diseases probably
>> implies that the patient is on statins. Both of those are simply
>> illogical.
>According to PFIZER's physician prescribing information and several but
>not all Medline citations statins cause auto-immune disorders.
I asked YOU, not Pfizer, for citations. You gave me several, and I
showed you that they don't support your contention. If Pfizer has
published relevant information why didn't you include it with your other
citations?
>Your argument is with Pfizer, not with me.
I have no quarrel with Pfizer, but it's obvious that you do.

Signature
Don Kirkman
listener - 29 Jun 2005 01:07 GMT
> It seems to me I heard somewhere that outrider wrote in article
> <1119993371.428133.28080@o13g2000cwo.googlegroups.com>:
[quoted text clipped - 43 lines]
>
> [Balance snipped to save endangered electrons]
Engaging zee is like trying to cup water in your hands. It constantly
changes shape and eventually runs through your hand. All your left with
is a wet hand.
I think she's asking you to prove a negative, but who the heck really
knows?
L.
kumar - 29 Jun 2005 02:53 GMT
"Is lactic acidosis an autoimmune disorder? "
It is very interesting question to check possible link of autoimunity
with LA. In some autoimmune type of anemias, High serum LDH is
indicated.
zee - 29 Jun 2005 03:08 GMT
> "Is lactic acidosis an autoimmune disorder? "
>
> It is very interesting question to check possible link of autoimunity
> with LA. In some autoimmune type of anemias, High serum LDH is
> indicated.
Interesting you should mention lactic acidosis Kumar. That too is being
looked at with respect to STATIN adverse effects.
Zee
Kumar - 29 Jun 2005 03:46 GMT
Furthur, It can also be an interesting thought that:-
Can autoimunity be trigered by over-usage of any body
system/substance--naturally, induced or medicated? Is it really
justified to encourage & add more of any body's substance when it is
already present in excess in system? Eg; Insulin resistance
Don Kirkman - 30 Jun 2005 00:38 GMT
It seems to me I heard somewhere that zee wrote in article
<1120010937.687780.247440@g47g2000cwa.googlegroups.com>:
>> "Is lactic acidosis an autoimmune disorder? "
>> It is very interesting question to check possible link of autoimunity
>> with LA. In some autoimmune type of anemias, High serum LDH is
>> indicated.
>Interesting you should mention lactic acidosis Kumar. That too is being
>looked at with respect to STATIN adverse effects.
That was noted in my critique of your supplied citations; the point was
that you were using that to support statin induction of *autoimmune*
responses. Kumar may have a point, but the Google hits I looked at on LA
didn't seem to me to involve autoimmune diseases.

Signature
Don Kirkman
kumar - 30 Jun 2005 05:00 GMT
We should look lactic acid very deeply under changed modern lifestyle &
environment--if related to low oxygen intake or foods & stresses
causing more gastric acidic conditions effecting breathing.
kumar - 30 Jun 2005 05:30 GMT
There can be imbalances of LA in other body's sites than blood as
accumulation or immobility of same. I think persistant chronic excesses
of any immediate toxic "self" substance-- may trigger some
autoimmunity--inherant or aquired.
Twittering One - 01 Jul 2005 04:41 GMT
auto immune earts away
immunity protects
Twittering One - 01 Jul 2005 04:52 GMT
Can Autoimmunity
Be a Positive Defense ~ ?
Auto ~ Immune eats away,
Immunity protects.
Gnawed ~ Off paw,
Self ~ Attack.
Good fences,
Good neighbors ~ ?
Or privet hedge
A hedge hog fudges ~ ?
Kumar - 01 Jul 2005 15:53 GMT
What body system can opt as last resort to protect the life, when any
"senstive immediate toxic body substance" remains persistingly
excess/imbalanced for long time or its expression is passed to next
genarations? What body system can opt as last resort to protect the
life, when any infective/self disease causing agent can't be handled by
immune system on their exposures & so these go into latent conditions,
tumor etc? Why can't it opt for some damge by autoimmunity--temporary
or permanent to save life?
bout LA, just consider "acidosis"effect by it?
Nico Kadel-Garcia - 30 Jun 2005 12:53 GMT
> We should look lactic acid very deeply under changed modern lifestyle &
> environment--if related to low oxygen intake or foods & stresses
> causing more gastric acidic conditions effecting breathing.
"Low oxygen intake"? Are you suggesting that the environmental oxygen is
low? And how the heck do you chain gastric acid levels to breathing, except
to gasping from heartburn?
Kumar - 01 Jul 2005 04:38 GMT
Can't there can be "low oxygen intake" in polluted environment by
shallow breathing?
I think gastric acid levels may effect "breathing patterns".
Kumar - 02 Jul 2005 04:36 GMT
"Kumar may have a point, but the Google hits I looked at on LA didn't
seem to me to involve autoimmune diseases."
>The immune system and a host of enzyme catalysts can only perform maximally within an exceptionally narrow pH range.<
Pls check "acidosis" resulted by lactic acid in tissues instead just
lactic acid or pH imbalances as a possible reason for triggering
autoimmunity.