Know the Signs of Pulmonary Arteritis and Treatment Options

Written by Medicover Team and Medically Reviewed by Dr Alla Bhagyaraj , Pulmonologists



Pulmonary arteritis is a type of vasculitis that specifically affects the blood vessels in the lungs. This condition causes inflammation and damage to the walls of these blood vessels, leading to potential disruptions in the flow of blood to and from the lungs.

The primary impact of pulmonary arteritis on health is the impairment of lung function and oxygen exchange within the body. This can result in a range of respiratory symptoms and complications that can significantly affect a person's overall well-being and quality of life.


Types of Pulmonary Arteritis

Pulmonary arteritis can manifest in various forms affecting the blood vessels in the lungs, leading to diverse symptoms and potential complications.

  • Granulomatosis with Polyangiitis (GPA): A type of pulmonary arteritis characterized by inflammation of blood vessels that can affect the lungs and other organs.
  • Eosinophilic Granulomatosis with Polyangiitis (EGPA): Pulmonary arteritis involving inflammation of blood vessels, often associated with asthma and elevated levels of eosinophils.
  • Microscopic Polyangiitis (MPA): Pulmonary arteritis causing inflammation of small blood vessels, leading to damage in the lungs and other organs.
  • Takayasu Arteritis: A rare form of pulmonary arteritis affecting large arteries, leading to reduced blood flow to the lungs and other body parts.
  • Behçet's Disease: Pulmonary arteritis associated with a systemic inflammatory condition affecting blood vessels, leading to various manifestations, including lung involvement.

What Are the Symptoms of Pulmonary Arteritis?

Pulmonary arteritis typically presents with a range of symptoms affecting the respiratory system.


What Causes Pulmonary Arteritis?

Pulmonary arteritis is primarily caused by inflammation and damage to the blood vessels supplying the lungs, often resulting from autoimmune conditions or infections.

  • Autoimmune disorders
  • Infections
  • Environmental factors
  • Genetic predisposition
  • Drug reactions

When to See a Doctor for Pulmonary Arteritis?

Pulmonary arteritis can reduce lung function and may lead to serious complications if left untreated. Persistent breathing problems, chest pain, or signs of systemic inflammation should be evaluated by a pulmonologist or rheumatologist for timely diagnosis and treatment.

You should see a doctor if you have:

  • Persistent cough or shortness of breath
  • Chest pain with ongoing fatigue
  • Unexplained fever, weight loss, or joint pain

Get medical help immediately if:

  • Severe chest pain or breathing difficulty
  • Coughing up blood or sudden worsening of symptoms
  • Loss of consciousness or signs of respiratory failure

These could be signs of a serious complication like Pulmonary Arteritis, which needs urgent care.

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How Is Pulmonary Arteritis Diagnosed?

Pulmonary arteritis is typically diagnosed through a combination of medical history assessment, physical examination, and specialized tests.

  • Chest X-ray
  • Echocardiogram
  • Pulmonary angiography
  • Blood tests (including inflammatory markers and autoantibodies)
  • Lung biopsy

What Are the Treatment Options for Pulmonary Arteritis?

Pulmonary arteritis is generally treated by managing inflammation and improving blood flow to the lungs.

  • Corticosteroids: Corticosteroids are commonly used to reduce inflammation in pulmonary arteritis and help manage symptoms.
  • Immunosuppressive Medications: These medications help suppress the immune system's abnormal response in pulmonary arteritis and prevent further damage to the blood vessels.
  • Vasodilators: Vasodilators may be prescribed to help relax and widen the blood vessels, improving blood flow and reducing strain on the heart in pulmonary arteritis.
  • Anti-inflammatory Drugs: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be used to help alleviate pain and inflammation associated with pulmonary arteritis.
  • Biologic Therapies: In some cases, biologic therapies targeting specific molecules involved in inflammation may be considered for the treatment of pulmonary arteritis.

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What Are the Risk Factors for Pulmonary Arteritis?

Pulmonary arteritis risk factors include a history of autoimmune diseases, smoking, infections, and a family history of the condition.

  • Age above 50
  • Smoking
  • Family history of pulmonary arteritis
  • Chronic respiratory infections
  • Exposure to environmental toxins

Frequently Asked Questions

1. What is pulmonary arteritis?

Pulmonary arteritis is a rare inflammatory condition that affects the pulmonary arteries, causing narrowing, blockage, or weakening of the blood vessels that supply blood to the lungs.

2. What are the symptoms of pulmonary arteritis?

Symptoms may include shortness of breath, chest pain, cough, fatigue, fever, and, in severe cases, coughing up blood or signs of pulmonary hypertension.

3. How is pulmonary arteritis diagnosed?

Diagnosis involves a medical history, physical examination, blood tests to detect inflammation, CT or MRI angiography, echocardiography, and sometimes biopsy or other imaging studies.

4. What are the treatment options for pulmonary arteritis?

Treatment typically includes corticosteroids, immunosuppressive medications, biologic therapies in selected cases, and surgery or vascular procedures if significant arterial damage is present.

5. Is pulmonary arteritis a life-threatening condition?

Yes. If left untreated, pulmonary arteritis can lead to serious complications such as pulmonary hypertension, pulmonary artery aneurysms, heart failure, or permanent lung damage.

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