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Two individuals with similar environmental exposures—including prior infection...

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Two individuals with similar environmental

exposures—including prior infection and comparable inflammatory

histories—develop autoimmune disease. One develops systemic lupus erythematosus

with immune complex deposition and interferon‑driven pathology affecting

multiple organs. The other develops rheumatoid arthritis characterised by

chronic synovial inflammation and joint‑restricted damage.

What does this divergence most strongly suggest

about autoimmune disease development?

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