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Autoimmune Diseases

Plain-language information about autoimmune diseases, and the research enrolling in Canada now.
Plain-language guide, not medical advice
Reading time4 min
In Canada1 in 10 people, UK-based estimate
Studies recruiting1 now enrolling

Autoimmune diseases happen when the immune system, which is built to fight infection, attacks the body’s own tissues instead. There are many of them, and between them they can affect joints, skin, nerves, glands, the gut and blood vessels. This page is a way in to the specific conditions in this family.

By the numbers
1 in 10people were living with at least one of 19 common autoimmune diseases in a study of 22 million UK health records, one of the largest counts published anywhere. No comparable Canada-wide count has been published.
Source: Population-based cohort study of 22 million individuals in the UK, The Lancet, 2023

Conditions in this family

  • Rheumatoid arthritis: the immune system attacks the lining of the joints, usually the same small joints on both sides of the body.
  • Grave’s disease: antibodies overstimulate the thyroid gland, pushing the whole body into a higher gear.
  • Sjögren’s disease: the immune system attacks moisture-producing glands, causing dry eyes, dry mouth and deep fatigue.
  • Psoriasis: an immune-driven skin condition that speeds up skin cell turnover and can also involve the joints.
  • Multiple sclerosis: the immune system damages the protective coating of nerves in the brain and spinal cord. Canada has one of the highest MS rates in the world.
  • Crohn’s disease: inflammation that can affect any part of the digestive tract.
  • Ulcerative colitis: inflammation of the lining of the large bowel, causing urgency, diarrhea and bleeding.
  • Systemic sclerosis: immune activity that hardens the skin and connective tissue and can affect internal organs.
  • Vasculitis: inflammation of blood vessel walls, which can restrict blood flow to almost any organ.
  • Type 1 diabetes: the immune system destroys the insulin-producing cells of the pancreas. It is covered on our diabetes page.
A woman in a light blue shirt walking on a tree-lined path outdoors.
Many autoimmune diseases move between flares and quieter periods, and most are more common in women. Illustrative photograph.

What autoimmune conditions share

The common thread is an immune system attacking the body it is meant to protect. Many of these conditions move between flares and quieter periods, and having one does not protect you from another: the largest study in this area, of 22 million health records in the UK, was designed partly to measure how often autoimmune diseases occur together. Most are also more common in women. In that study, 13% of women were affected against 7% of men, and MS Canada reports women are up to three times more likely than men to develop MS.

The other shared experience is the road to diagnosis. Early symptoms such as fatigue, aching joints, rashes and dryness overlap with dozens of everyday complaints, so these conditions can take time to name. A symptom pattern that keeps returning is a more useful signal than any single episode.

Treatment and management in Canada

Clinical research for Autoimmune Diseases is enrolling. See the current studies

There is no single treatment for this family, and care is usually shared between primary care and a specialist: a rheumatologist, gastroenterologist, neurologist, endocrinologist or dermatologist depending on the condition. The tools, though, rhyme across the family. A health care team may discuss:

  • Corticosteroids to settle flares over short periods
  • Conventional immunosuppressant and disease-modifying medicines that calm immune activity broadly
  • Biologic medicines that block specific immune signals involved in a particular disease
  • Targeted synthetic medicines, tablets that act on signalling pathways inside immune cells
  • Replacing what the immune attack has damaged, such as insulin in type 1 diabetes or thyroid treatment after Grave’s disease
  • Rehabilitation, physiotherapy, mental health support and vaccination reviews as part of ongoing care

Each of these involves weighing benefits against risks over years. Those are decisions for you and your own clinician, and nothing here is a recommendation about any of them.

When to talk to a doctor

  • Sudden loss of vision, double vision, or new weakness or numbness in the face, an arm or a leg needs emergency care. Call 911 or go to an emergency department.
  • A joint that is suddenly hot, red, swollen and very painful, especially with fever, needs same-day assessment.
  • Severe abdominal pain with persistent bloody diarrhea should be assessed urgently.
  • New chest pain or breathlessness in someone with an autoimmune disease should be assessed promptly.
  • Symptoms that keep returning, such as joint pain and swelling, rashes, dry eyes and mouth, or numbness and tingling, are worth an appointment even when each episode settles on its own.

Why research matters for autoimmune diseases

Researchers still do not fully understand why the immune system turns on the body, why most of these conditions affect more women than men, or why rates differ so much between countries, including Canada’s unusually high rate of multiple sclerosis. Treatment has moved from broadly suppressing the immune system toward medicines that block the specific signals driving each disease, and trials across this family are testing new targeted medicines, comparing treatment strategies, and studying how to catch these diseases earlier.

If you consider taking part, the terms are the same across the country. Participation is voluntary, you give informed consent first, and you can withdraw at any time without affecting your regular care. No one can say in advance whether a study will help you personally.

Learn more from patient organizations

Where this information comes from (4 sources)
  1. Incidence, prevalence, and co-occurrence of autoimmune disorders over time and by age, sex, and socioeconomic status: a population-based cohort study of 22 million individuals in the UK, The Lancet, 2023
  2. Public Health Agency of Canada, Rheumatoid arthritis in Canada, 2020
  3. Crohn's and Colitis Canada, The 2023 Impact of Inflammatory Bowel Disease in Canada, 2023
  4. MS Canada, What is multiple sclerosis, 2026

This page is written in plain language for people considering clinical research. It is general health information, not medical advice, and it does not replace a conversation with your own doctor or nurse practitioner.

Common questions

How common are autoimmune diseases?

A study of 22 million anonymised health records from the UK, published in The Lancet in 2023, found that about 1 in 10 people were living with at least one of 19 common autoimmune diseases: 13% of women and 7% of men. No comparable Canada-wide count has been published, but individual Canadian figures point the same way, including about 374,000 people with rheumatoid arthritis and about 322,600 with Crohn's disease or ulcerative colitis.

Can you have more than one autoimmune disease?

Yes. Having one autoimmune disease does not protect you from another, and the UK study of 22 million people was designed partly to measure how often these conditions occur together. If you already have an autoimmune diagnosis and develop new symptoms that do not fit it, such as new joint pain, rashes, dryness or numbness, mention them to your health care team rather than assuming they are part of the same condition.

Why would someone with an autoimmune disease join a clinical trial?

Treatment in this family is changing quickly, from broad immune suppression toward medicines that block specific immune signals, and trials are how researchers learn whether the newer approaches work and for whom. Taking part usually means extra assessments and close monitoring by a research team. Participation is voluntary, you give informed consent first, and you can withdraw at any time without affecting your regular care.

What to do next
  1. Talk to your doctor. This guide is information, not medical advice.
  2. See the current studies. 1 study for Autoimmune Diseases
  3. Not ready yet? Join the community and we will write to you when something opens.
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