Your immune system is supposed to be your bodyguard. But in millions of people, it gets confused and starts attacking the body it should protect. That’s the one thing the most common autoimmune diseases share, and they are far more widespread than most people realise.
How widespread? A 2023 study in The Lancet that tracked 22 million people found that about 1 in 10 people in the UK live with at least one autoimmune condition. Here’s which ones top the global list, backed by the latest numbers.
In autoimmune disorders, the immune system mistakes healthy tissue for a threat and attacks it.
Key Highlights
- More than 80 autoimmune diseases are known; a 2025 US study counted 105 specific conditions.
- About 10.2% of people in the UK have at least one of the 19 most common types (The Lancet, 2023).
- Women are hit hardest: 63% of US patients with an autoimmune diagnosis are female (Journal of Clinical Investigation, 2025).
- Hashimoto’s thyroiditis is the most common worldwide, affecting about 7.5% of adults.
- Rheumatoid arthritis cases are forecast to climb from 17.6 million (2020) to 31.7 million by 2050.
- Type 1 diabetes affected an estimated 9.5 million people in 2025, up 13% since 2021.
- One in three patients (34%) has more than one autoimmune disease.
- The 2025 Nobel Prize in Medicine went to the discovery of regulatory T cells, the immune system’s “security guards.”
What Are Autoimmune Diseases?
An autoimmune disease happens when your immune system wrongly treats your own cells as invaders. It then produces antibodies and inflammation that damage healthy tissue.
The target changes from disease to disease. It might be the thyroid, the skin, the joints, the gut or the brain. That’s why two people with “autoimmune disease” can have completely different lives.
Most are chronic. They can be managed, often very well, but rarely cured outright. Genes load the gun, and triggers like infections, smoking, stress and hormones often pull the trigger.
How We Ranked the Most Common Autoimmune Diseases
There’s no single global register for autoimmune disorders. So we ranked each condition using the best available worldwide estimate: large meta-analyses, the Global Burden of Disease (GBD) study, WHO reports and official disease atlases.
One honest caveat. Numbers depend on how you count. Blood-test screening finds far more cases than doctors’ records do. For example, the 2025 US study using health records put rheumatoid arthritis first, because many thyroid and skin cases never get a formal autoimmune label.
The Top 10 Most Common Autoimmune Diseases Worldwide
1. Hashimoto’s Thyroiditis
Key detail: About 7.5% of adults worldwide (Frontiers in Public Health, 2022 meta-analysis of 48 studies)
Hashimoto’s slowly destroys the thyroid gland, causing an underactive thyroid. Think tiredness, weight gain, feeling cold and brain fog. Women are about four times more likely to get it than men. A daily thyroid hormone tablet usually keeps it well controlled.
2. Psoriasis
Key detail: Around 100 million people affected (WHO Global Report on Psoriasis)
Psoriasis speeds up skin cell growth, creating thick, scaly patches on elbows, knees and the scalp. It isn’t contagious, yet stigma is a real problem. WHO notes that between 1.3% and 34.7% of patients go on to develop psoriatic arthritis.
3. Vitiligo
Key detail: 0.5% to 2% of the world’s population (International Journal of Dermatology review)
In vitiligo, the immune system attacks pigment-making cells, leaving smooth white patches. It’s painless and harmless physically, but often heavy emotionally, especially on darker skin. It usually starts before age 30.
4. Celiac Disease
Key detail: 1.4% by blood test, 0.7% confirmed by biopsy (Clinical Gastroenterology and Hepatology, 2018)
Eating gluten triggers an attack on the small intestine. Symptoms range from bloating and diarrhoea to anaemia and no symptoms at all. Here’s the surprising part: most people with celiac disease don’t know they have it. A strict gluten-free diet is the only treatment.
Global estimates for rheumatoid arthritis, type 1 diabetes, IBD, lupus and multiple sclerosis from the latest studies.
5. Graves’ Disease
Key detail: Causes 60% to 80% of all hyperthyroidism cases (NIH StatPearls)
Graves’ is Hashimoto’s opposite. Antibodies push the thyroid into overdrive, leading to weight loss, a racing heart, anxiety and sometimes bulging eyes. It’s most common between ages 20 and 50, mainly in women.
6. Rheumatoid Arthritis (RA)
Key detail: 17.6 million people in 2020, forecast to hit 31.7 million by 2050 (The Lancet Rheumatology, 2023)
RA inflames the lining of the joints, usually hands and feet on both sides of the body. Morning stiffness lasting over an hour is a classic sign. Early treatment matters a lot, because joint damage can start within the first two years.
7. Type 1 Diabetes
Key detail: 9.5 million people in 2025, with 513,000 new diagnoses that year (IDF Atlas / T1D Index, 2025)
The immune system wipes out insulin-making cells in the pancreas. Many think it’s a “childhood disease,” but the median age of people living with it is actually 36. Numbers are projected to reach 14.7 million by 2040.
8. Inflammatory Bowel Disease (Crohn’s and Ulcerative Colitis)
Key detail: 3.83 million cases and 375,140 new cases in 2021 (GBD 2021, American Journal of Gastroenterology)
IBD causes long-lasting gut inflammation, pain, diarrhoea and fatigue. Once seen mostly in Western countries, it’s now rising fast in newly industrialised nations, including China and India.
Autoimmune disease in women is roughly twice as common as in men, according to UK and US data.
9. Lupus (Systemic Lupus Erythematosus)
Key detail: 3.41 million people worldwide, with about 89% being women (Annals of the Rheumatic Diseases, 2023)
Lupus can strike almost anywhere: skin, joints, kidneys, heart and brain. The butterfly-shaped facial rash is famous, but many patients never get it. That’s one reason lupus is often called “the great imitator.”
10. Multiple Sclerosis (MS)
Key detail: 2.9 million people, up from 2.3 million in 2013 (MS International Federation, Atlas of MS)
MS damages the protective coating around nerves in the brain and spinal cord. Vision problems, numbness and balance issues are common early signs. Modern disease-modifying drugs have changed the outlook dramatically.
Close runners-up: Sjögren’s disease, alopecia areata and ankylosing spondylitis.
Important Statistics Table
| Disease | Latest Global Estimate | Source and Year |
| Hashimoto’s thyroiditis | ~7.5% of adults | Frontiers in Public Health, 2022 |
| Psoriasis | ~100 million people | WHO, Global Report on Psoriasis |
| Vitiligo | 0.5%–2% of people | Int. Journal of Dermatology, 2012 |
| Celiac disease | 1.4% (blood test), 0.7% (biopsy) | Clin. Gastroenterol. Hepatol., 2018 |
| Graves’ disease | 60%–80% of hyperthyroidism | NIH StatPearls |
| Rheumatoid arthritis | 17.6 million | Lancet Rheumatology (GBD), 2023 |
| Type 1 diabetes | 9.5 million | IDF Atlas / T1D Index, 2025 |
| IBD | 3.83 million | GBD 2021 (Am J Gastroenterol, 2024) |
| Lupus (SLE) | 3.41 million | Annals of the Rheumatic Diseases, 2023 |
| Multiple sclerosis | 2.9 million | Atlas of MS, MSIF |
Comparison Table: How the 10 Diseases Differ
| Disease | Main Target | Typical Onset | More Common In | Main Treatment |
| Hashimoto’s | Thyroid | 30s–50s | Women (~4x) | Thyroid hormone |
| Psoriasis | Skin, nails, joints | Teens–30s | Both sexes | Creams, light therapy, biologics |
| Vitiligo | Skin pigment | Before 30 | Both sexes | Topical creams, light therapy |
| Celiac | Small intestine | Any age | Women, children | Gluten-free diet |
| Graves’ | Thyroid, eyes | 20–50 | Women | Antithyroid drugs, radioiodine, surgery |
| Rheumatoid arthritis | Joints | 30s–60s | Women | DMARDs, biologics |
| Type 1 diabetes | Pancreas | Childhood, but any age | Both sexes | Insulin |
| IBD | Gut | 15–35 | Both sexes | Anti-inflammatories, biologics, surgery |
| Lupus | Many organs | 15–45 | Women (~9x) | Antimalarials, immunosuppressants |
| Multiple sclerosis | Brain, spinal cord | 20–40 | Women | Disease-modifying therapies |
Step-by-Step: What to Do If You Suspect an Autoimmune Disease
Autoimmune symptoms are vague, so diagnosis often takes years. These steps can speed it up.
- Track your symptoms. Note fatigue, joint pain, rashes, gut problems or numbness, with dates and photos.
- Check your family history. Autoimmune diseases cluster in families, often as different conditions.
- See your primary doctor. Bring your notes and ask directly whether an autoimmune cause is possible.
- Ask about the right blood tests. Common ones include ANA, thyroid antibodies, tTG-IgA for celiac, and RF or anti-CCP for RA.
- Get a specialist referral. That might be a rheumatologist, endocrinologist, gastroenterologist, dermatologist or neurologist.
- Build a long-term plan. Ask about medicines, diet, exercise and how often to monitor.
Pros and Cons of Today’s Main Treatments
| Treatment Type | Pros | Cons |
| Lifestyle changes (diet, exercise, quitting smoking) | Low cost, few side effects, helps overall health | Rarely enough alone, except celiac’s gluten-free diet |
| Hormone or insulin replacement | Very effective for thyroid disease and type 1 diabetes | Lifelong, needs regular monitoring |
| Conventional immunosuppressants and DMARDs | Proven, affordable, widely available | Higher infection risk, side effects |
| Biologics and targeted drugs | Precise, can stop joint and organ damage | Expensive, injections or infusions, infection risk |
| Cell therapies (CAR-T, islet cells) | Potential for long, drug-free remission | Still experimental, intensive, limited access |
2026 Trends and Latest News
The Nobel spotlight. The 2025 Nobel Prize in Physiology or Medicine went to Mary Brunkow, Fred Ramsdell and Shimon Sakaguchi for discovering regulatory T cells, the cells that stop immune attacks on our own body. Treg-boosting therapies are now being tested in autoimmune disease.
CAR-T moves beyond cancer. At ACR Convergence 2025, researchers showed early CAR-T results in lupus and other autoimmune conditions. A 2026 review in Nature Reviews Drug Discovery reports that some lupus patients reached remission and stopped their previous medicines.
A type 1 diabetes setback, for now. Vertex’s stem cell islet therapy, zimislecel, had 10 of 12 early patients off insulin. But in January 2026, the company paused completion of dosing in its pivotal trial pending a manufacturing analysis. Watch this space.
Cases keep climbing. The UK Lancet study found celiac disease and Graves’ disease incidence roughly doubled over two decades. The US now has a dedicated NIH Office of Autoimmune Disease Research.
Early warning signs of autoimmune disorders include long-lasting fatigue, joint pain, rashes and digestive issues.
Conclusion
The most common autoimmune diseases, from Hashimoto’s to multiple sclerosis, touch hundreds of millions of lives, and women carry most of that weight. The good news? Earlier testing, smarter drugs and cell therapies are changing what living with them looks like. If something feels off for weeks, push for answers early.
This article is for general information only and is not medical advice. Please talk to a qualified doctor about your symptoms.
References
- Abend AH, et al. “Estimation of prevalence of autoimmune diseases in the United States using electronic health record data.” Journal of Clinical Investigation, 2025. https://www.jci.org/articles/view/178722
- Mayo Clinic News Network. “New study calculates autoimmune disease prevalence in U.S.” 2025. https://newsnetwork.mayoclinic.org/discussion/new-study-calculates-autoimmune-disease-prevalence-in-u-s/
- Conrad N, et al. “Incidence, prevalence, and co-occurrence of autoimmune disorders… 22 million individuals in the UK.” The Lancet, 2023. https://www.ox.ac.uk/news/2023-05-06-autoimmune-disorders-found-affect-around-one-ten-people
- Hu X, et al. “Global prevalence and epidemiological trends of Hashimoto’s thyroiditis in adults.” Frontiers in Public Health, 2022. https://doi.org/10.3389/fpubh.2022.1020709
- World Health Organization. “WHO publishes new report on psoriasis.” https://www.who.int/news/item/26-02-2016-who-publishes-new-report-on-psoriasis
- Krüger C, Schallreuter KU. “A review of the worldwide prevalence of vitiligo.” International Journal of Dermatology, 2012. https://bradscholars.brad.ac.uk/entities/publication/fe9baa4a-551d-4b8e-bbfc-e43d97035992
- Singh P, et al. “Global Prevalence of Celiac Disease: Systematic Review and Meta-analysis.” Clinical Gastroenterology and Hepatology, 2018. https://pubmed.ncbi.nlm.nih.gov/29551598/
- NIH StatPearls. “Graves Disease.” https://www.ncbi.nlm.nih.gov/books/NBK448195/
- GBD 2021 Rheumatoid Arthritis Collaborators. The Lancet Rheumatology, 2023. https://doi.org/10.1016/S2665-9913(23)00211-4
- Global type 1 diabetes estimates 2025: IDF Atlas 11th Edition and T1D Index 3.0. Diabetes Research and Clinical Practice, 2025. https://doi.org/10.1016/j.diabres.2025.112277
- Danpanichkul P, et al. IBD burden, GBD 2021. American Journal of Gastroenterology, 2024. https://pubmed.ncbi.nlm.nih.gov/39422305/
- Tian J, et al. “Global epidemiology of systemic lupus erythematosus.” Annals of the Rheumatic Diseases, 2023. https://ard.bmj.com/content/82/3/351
- MS International Federation. Atlas of MS. https://www.msif.org/news/2023/08/21/new-prevalence-and-incidence-data-now-available-in-the-atlas-of-ms/
- AABB. “Trio Wins 2025 Nobel Prize in Medicine for Contributions to the Discovery of Regulatory T Cells.” 2025. https://www.aabb.org/news-resources/news/article/2025/10/06/trio-wins-2025-nobel-prize-in-medicine-for-contributions-to-the-discovery-of-regulatory-t-cells
- American College of Rheumatology. “CAR-T Cell Therapies Show Promise for Autoimmune Disease at ACR Convergence 2025.” https://rheumatology.org/press-releases/car-t-cell-therapies-show-promise-for-autoimmune-disease-at-acr-convergence-2025/
- Avouac J, et al. “Roads and detours for CAR T cell therapy in autoimmune diseases.” Nature Reviews Drug Discovery, 2026. https://doi.org/10.1038/s41573-025-01349-4
- Vertex Pharmaceuticals. “Vertex Provides Pipeline and Business Updates in Advance of Upcoming Investor Meetings.” January 11, 2026. https://news.vrtx.com/node/34151
FAQs
Hashimoto’s thyroiditis. A 2022 meta-analysis estimated it affects about 7.5% of adults worldwide. Psoriasis and celiac disease follow closely when screening data is used.
Hormones like oestrogen, genes on the X chromosome and pregnancy-related immune shifts all play a role. In the UK study, 13.1% of women had one versus 7.4% of men.
Most can’t be cured yet, but they can be controlled well. Cell therapies such as CAR-T are showing long, drug-free remissions in small trials, which is why 2026 feels hopeful.
Yes, for many conditions. UK data shows celiac disease, Sjögren’s disease and Graves’ disease more than doubled in new cases between 2000–02 and 2017–19.
Yes. A 2025 US study found 34% of people with an autoimmune diagnosis had more than one. Thyroid disease, celiac disease and type 1 diabetes often appear together.
The ANA (antinuclear antibody) test is the most common first screen. Doctors then add disease-specific tests, such as thyroid antibodies or anti-CCP.


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