Autoimmunity is perceived as a misdirection of immune effector mechanisms t
oward self. All available evidence indicates that pathologic immune process
es of autoimmune disease use the same immune cells and mediators active in
protective immune reactions. Thus, the concept of self-tolerance (the abili
ty to recognize and ignore one's own tissues) and its presumed failure assu
me a central, role in autoimmunity. Failure of self-tolerance unleashes imm
une effector mechanisms on body tissues with the potential to produce disea
se. Autoimmune disease can affect almost any organ system and result in wid
ely varying pathologic conditions.