Health – Autoimmune Warrior

COVID-19 Increases Autoimmune Disease Risk

A January 2023 study by German researchers suggests that your risk of developing an autoimmune disease is increased after catching COVID-19.

The study included over 38 million participants, approximately 640,000 of whom had contracted the COVID-19 virus, and the remainder being the control group. The study examined the likelihood that an individual would develop one of 30 autoimmune diseases after being infected with COVID-19.

The results of the study found that after being diagnosed with COVID, patients were 43% more likely to go on to develop an autoimmune disease. The most common autoimmune diseases that developed post-infection were: Rheumatoid arthritis, Sjogren’s syndrome, Graves’ disease, and Hashimoto’s thyroiditis. Study participants who had contracted COVID-19 were also more likely to develop, but to a lesser extent, one of: psoriasis, type 1 diabetes, ulcerative colitis, multiple sclerosis, celiac disease, alopecia, and vitiligo.

Study participants who already had an autoimmune disease faced a 23% increased risk of developing an additional autoimmune condition after COVID-19 infection, as compared to those who didn’t get the virus.

This German study adds to the body of research being conducted about COVID-19’s lasting impact on health outcomes. ‘Long COVID’, as it’s been called, can result in neurological problems, breathing difficulty, cardiovascular issues, digestive problems, and more. Now, autoimmune disease may be another outcome to add to the ever-growing list of long COVID health issues.

The results from this German research study on the connection between autoimmune disease and COVID-19 infection shouldn’t be a surprise. The risk of developing autoimmunity after a viral infection has been well documented in the past, such as the connection between the Epstein-Barr virus and autoimmune conditions like multiple sclerosis. It’s believed that through a process called molecular mimicry, viruses are able to deflect attacks from the host’s immune system, by confusing immune cells, and causing them to target healthy tissues instead.

COVID-19 patients have anecdotally shared their experiences battling autoimmune conditions after an initial coronavirus infection. Famed singer and musician Christopher Cross, for example, spoke out about his battle with Guillain-Barre syndrome after being infected. Children were also shown to be developing a condition called multisystem inflammatory syndrome (MICS) after getting COVID, which often proved to be worse than the virus itself.

For more information on COVID-19 and autoimmune disease, check out this blog post on COVID-19 vaccination and products that may help in your battle against COVID if you’ve already caught the virus.

Celine Dion Reveals Stiff Person Syndrome Diagnosis

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Celine Dion performing during her Las Vegas residency. Image courtesy of CNN.

Decorated Canadian singer-songwriter Celine Dion reveals she was recently diagnosed with a rare neurological autoimmune disorder called Stiff Person Syndrome. The diagnosis has lead her to cancel her summer 2023 shows, as well as re-schedule others to 2024.

According to Yale Medicine, Stiff Person Syndrome is believed to be an autoimmune reaction that occurs when the body’s own immune system attacks and destroys a vital protein called Glutamic Acid Decarboxylase (GAD). This protein is responsible for making a substance called gamma-aminobutyric acid (GABA), which helps to regulate motor neuron cells, and ensure they’re not over-active.

People with low levels of GABA have neurons that continuously fire, even when they’re not supposed to. This results in debilitating symptoms like violent muscle spasms, muscle stiffening in the torso and limbs, and difficulty with walking and movement. GABA also helps to regulate symptoms of depression and anxiety, so those with Stiff Person Syndrome are at a higher risk for developing these mental health conditions.

The 54-year-old Grammy award-winning artist has said that the condition has had a profound impact on her life, commenting: “Unfortunately, these spasms affect every aspect of my daily life, sometimes causing difficulties when I walk and not allowing me to use my vocal cords to sing the way I’m used to.”

Getting diagnosed with Stiff Person Syndrome can be a challenge, since the symptoms can mimic many other neurological health conditions, like multiple sclerosis, Parkinson’s disease, fibromyalgia, and more. Patients typically undergo a thorough examination, such as blood tests and spinal fluid tests, to find elevated levels of anti-GAD antibodies, in order to get diagnosed.

Being diagnosed was not a straightforward process for Dion herself. “While we’re still learning about this rare condition, we now know this is what’s been causing all of the spasms that I’ve been having,” she said.

Although anyone can develop Stiff Person Syndrome, the National Organization for Rare Disorders reports that adults ages 30 to 60 are most commonly diagnosed with the condition. The condition is considered rare, with only one in a million individuals being diagnosed with SPS among the general population.

There is no cure for Stiff Person Syndrome, but treatments like steroids to control inflammation, plus the use of sedatives and muscle relaxants to control muscle spasms, can help. Sometimes Stiff Person Syndrome patients are also prescribed immunotherapies to help calm an over-active immune system that’s destroying their GAD proteins.

In an emotional video on her Instagram, Dion said, “I’m working hard with my sports medicine therapist every day to build back my strength and my ability to perform again. But I have to admit it’s been a struggle.”

To learn more about Stiff Person Syndrome, visit the SPS Research Foundation’s website.

Podcasts Every Chronic Illness Patient Should Listen to

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Back in 2019, I wrote a blog post about my favorite autoimmune disease YouTubers. These are YouTube channels that I personally follow as they document life with a chronic illness.

As a follow-up to that blog post, I wanted to share my favorite podcasts on the topic of managing life with a chronic illness. Although I still do watch YouTube videos fairly frequently, I also enjoy listening to podcasts since it’s so convenient to tune into a podcast while I’m working, doing chores, driving etc. without having to watch something visual.

So, without further ado, here’s my list of chronic illness podcasts that I enjoy listening to!

1. The Chronic Illness Therapist

The Chronic Illness Therapist is a podcast run by Destiny Winters, a licensed therapist in the Atlanta, Georgia area. Destiny has several chronic illnesses herself, including Postural Orthostatic Tachycardia Syndrome (POTS), Ehlers-Danlos Syndrome (EDS), and Mass Cell Activation Syndrome (MCAS). Since she’s both a therapist and a chronic illness patient herself, Destiny understands the impact that managing an illness can have on a patient’s mental health.

As part of her podcast, she delves into a number of challenges that chronic illness patients face, including:

Medical gaslighting and questioning one’s own sanity
Lack of support or understanding from family and friends
Coping with pain and other difficult symptoms
How to live a meaningful and full life while battling illness
Adverse childhood experiences and the mind-body connection
Grief and acceptance

I have found all of these topics to be relevant to my own life, and I think that many readers would find the same. Plus, I highly appreciate her perspective as a therapist and as a patient, because not many people have both the academic and real-life expertise of both of these roles!

2. Sjogren’s Strong

Sjogren’s Strong is a podcast co-hosted by Lupe, a patient living with the autoimmune condition Sjogren’s Syndrome, and her partner Brian. I first learned about this podcast via their blog, after I was first diagnosed with Sjogren’s myself and was looking for information from other patients. The podcast delves into many subjects specific to living with Sjogren’s Syndrome, such as:

Managing common symptoms, like dry eyes, dry mouth, joint pain, fatigue, and brain fog
Sjogren’s medications, treatments, and medical insurance
Living an active lifestyle with a chronic illness

Although the podcast is clearly specific to Sjogren’s, I think it’s valuable for many chronic illness patients, such as those with Rheumatoid Arthritis and Lupus.

3. The Chronic Ills

The Chronic Ills podcast is co-hosted by Alina and Angelica, two Australian women who talk about living with a chronic illness as young adults in their twenties. Some of the topics they discuss in their podcast episodes include:

Body image with chronic illness
Medication and alternative therapies
The cost of being ill
Living with a chronic illness and anxiety about the global pandemic
Navigating relationships and friendships with a chronic illness
The portrayal of disability in the media

Alina and Angelica have had very different experiences as a chronic illness patients; one of them experienced becoming ill gradually, while the other had a sudden onset of their symptoms. What I like is that they show that not all cases are alike, and that every patient’s story is unique.

Those are the top three chronic illness podcasts that I’m listening to at the moment! Do you have any Spotify podcasts that you would recommend? Let us know in the comments below.