I'm not qualified to critique the matter but I can tell you that back in 2010 when I first began experiencing my symptoms I went into hyperdrive researching the various autoimmune diseases. From medical journals down to personal discussion with other people, and everything in between, I read it all. They all have one thing in common, no one understands what triggers them or why one disease will affect one subset or population more than another. One disease will affect African americans more than whites and another will affect whites more than Asians. Yet another will only affect Asians. One disease will affect children more than adults and another will do the opposite. Science has been able to hone in on which genes will show changes but not why. And one disease will "act" completely different from one person to the next.
In RA the standard blood test looks for a protein in the blood that attacks healthy tissue and if that test comes back negative then no RA or so patients were told for many years. Yet later, seronegative diagnosis's of RA started showing up, classic symptoms but no protein detected in the blood. So for some of these disease's blood tests themselves have become unreliable for help in diagnosis. That is what happened to me. No protein in my blood yet swollen painful joints were present and obvious. My right index finger has been swollen for 5 1/2 years. My rheumatologist stated it's most likely RA but hard to tell for sure because lots of these diseases have over lapping symptoms. Xrays will show damage from RA but that takes time, years in some cases so even radiology can't always help. My eyes were the next targets but once again another overlapping symptom, no diagnosis due to uncertainty.
So through my personal journey and from everything I've read over the years I've learned that pretty much nothing is understood about these disease. No firm protocols for diagnosis in several of them, no concrete information for disease progression and certainly no clues as to their causes. Knowing what proteins and genes and antibodies end up getting affected from the disease is not the same as knowing why they're affected. So for me, reading this article, my BS detector went into overdrive. I get angry when I read something like this because nothing is understood in the autoimmune world yet these people want to claim they know something after a few months of study on vapor products? Very suspect to me and down right insulting and arrogant too.
I read your post with great interest, and I admire your determination in sicking knowledge to understand further your disease. Reading research and medical papers on autoimmunity is very challenging and certainly overwhelming even for qualified individuals because the topic is really complex. Also, the list of autoimmune diseases is relatively long so is the number of publications in this field .
Lupus erythematosus and rheumatoid arthritis (RA) are examples of autoimmune syndromes classified as systemic autoimmune diseases. They can affect multiple organs, anatomically distinct tissues in contrast with tissue specific autoimmune diseases, which affect specific organs like in type 1 diabetes (pancreas) or autoimmune thyroiditis (Hashimoto's disease). Why the incidence and severity of some systemic autoimmune diseases are higher in specific ethnic groups, such as African Americans in Lupus or why type 1 diabetes develops in youth rather than adults is not well understood. Why is there a gender bias in Lupus patients for example (~70% women), is not clearly understood either... Yet, a massive amount of scientific publications, covering several decades of research are available and the progress are phenomenal allowing the engineering of new medicines that are significantly improving the life quality of patients. The picture is far from been perfect... Many autoimmune diseases don't have efficacious treatment so patients relies on very nasty medicines. The costs are very high, the side effects can be very severe, some patients don't respond to treatment... still a lot of challenges ahead at several levels, scientists and doctors are on it, but business(wo)men are mainly sicking high end profits over people's health.
When lymphoid cells (B and T cells), develop from their respective precursors, and during an immune reaction to foreign entities, they go through several check points where cells that react against self-antigens are somehow eliminated or inactivated so the immune system does not mount a destructive immune reaction against healthy self-tissues. These processes are called Immune Tolerance mechanisms by which the immune system is educated to distinguish self from non-self structures preventing autoimmunity, and allowing efficient and specific immune reaction to pathogens or other foreign molecular structures. When Immune Tolerance is impaired (the causes are complex and multiple), the immune system start to react destructively to self-tissue(s) leading thereby to autoimmunity and autoimmune diseases.
The diagnosis of some systemic autoimmune diseases can be very challenging. They are often based on a list specific symptoms that need to be all assessed positive. It is however problematic when the symptoms overlap with other diseases (autoimmune or not), also because of periods remission and relapse. This is particularly true in RA or Lupus where the diagnosis combine physical exam, blood tests (inflammation markers, auto-antibodies (antibodies that react against self-antigens)) and imaging tests. Early RA diagnosis or diagnosis during remission is very challenging because all symptoms may not be detectable simultaneously.... and that really suck because it delays early treatment to slowdown disease progression. Not to add that doctors are always overbooked and it seems that many are rushing their job through out the day.
You have every good reason to be upset... You're not alone... Have hope though! A lot has been discovered and is understood regarding autoimmune diseases including disregulated genes and proteins, disease etiology, and mechanisms of action. The more we learn, the more we also understand that the extant of our ignorance is far greater. Often frustrating, this also trigger further investigations, questioning all with a regained sense of humbleness. Like Socrates said "True knowledge exists in knowing that you know nothing." Indeed, many autoimmune diseases don't have efficatious treatment, lupus been a striking example. Identifying disregulated relevant proteins or genes can offer potential targets to develop new medicines. Such medicines are immuno-suppressive like Humira or Rituxan for the treatment of several autoimmune diseases including RA. If we believe the paper of this thread, vaping (cinnamon flavor?) could also be somehow immuno-suppressive... We already know that nicotine is anti-inflammatory also used to treat some diseases like Crohn's disease. We don't have yet the published data but I looked at the publication record of the original abstract author and (s)he seems like a serious investigator, so I'm expecting a peer-reviewed paper to come out of this. The details can be quite informative.