Coxsackie B4 virus is a virus which can trigger an autoimmune reaction which results in destruction of the insulin-producing beta cells of the pancreas, which is one of several different etiologies of diabetes mellitus.
An absolute deficiency of insulin renders the person a type 1 diabetic. There are several viruses in the Coxsackie family and many of them seem to evoke this response, as do several other agents. A genetic predisposition appears to be important, such that individuals with human leukocyte antigen types DR3 and DR4 predominate in the affected population.
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“If I knew for a certainty that a man was coming to my house with the conscious design of doing me good, I should run for my life ... for fear that I should get some of his good done to me,—some of its virus mingled with my blood.”
—Henry David Thoreau (1817–1862)