Overview
Granulomatosis with polyangiitis (GPA) is a type of vasculitis — chronic inflammation in your blood vessels. It was formerly called Wegener’s granulomatosis, but the new name describes it more precisely. GPA involves:
- Inflammation in many different types of blood vessels throughout your body (polyangiitis)
- Inflammatory masses called granulomas forming in your blood vessels and organs (granulomatosis)
Different types of vasculitis affect different blood vessels. GPA affects the many smaller blood vessels throughout your body. This means it can cause issues throughout your body, but especially in organs that rely on many small blood vessels. GPA tends to affect your respiratory system and kidneys the most.
Inflammation in your blood vessels can cause them to swell, break and bleed. It can also cause scarring that restricts the blood flow through your vessels, depriving your tissues of oxygen and nutrients. GPA can cause bleeding and organ damage in your renal and pulmonary systems (pulmonary-renal syndrome).
Symptoms
When to see a doctor
Complications
- High blood pressure.
- Diabetes.
- Heart failure.
- Some types of heart valve disease.
Prevention
- Control high blood pressure, high cholesterol and diabetes.
- Don't smoke or use tobacco.
- Eat a diet that's low in salt and saturated fat.
- Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
- Get good sleep. Adults should aim for 7 to 9 hours daily.
- Maintain a healthy weight.
- Reduce and manage stress.
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