Abstract

The list of organ-specific autoimmune diseases (AID) is expanding. This is particularly true for T-cell-mediated AID, the pathophysiology of which has largely been ignored until recently. The best arguments for T-cell involvement in AID, although indirect, are the presence of a local T-cell infiltrate and the dramatic sensitivity of the disease to T-cell-selective immunosuppressive agents (e.g. cyclosporin A) as in the case of insulin-dependent (type I) diabetes mellitus (IDDM) and psoriasis. This paper will review current questions concerning the etiology and pathogenesis of organ-specific AID.

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