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Granulomatosis with polyangiitis (GPA)

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This information supports, and does not replace, advice from your healthcare professional.

Overview

Granulomatosis with polyangiitis (GPA) is a rare autoimmune disorder causing inflammation of blood vessels (vasculitis), mainly affecting the respiratory tract and kidneys.

Symptoms

Persistent sinus infections or nasal congestion Shortness of breath or coughing, sometimes with blood Joint pain and fatigue Kidney problems, including blood in urine

Causes

Autoimmune response causing inflammation of blood vessels Exact trigger unknown; genetic and environmental factors may play a role

Diagnosis

Blood tests for specific antibodies (ANCA) Imaging (CT scans) of sinuses, lungs, and kidneys Tissue biopsy confirming vasculitis and granulomas

Treatment

Immunosuppressive medications (corticosteroids, cyclophosphamide) Biologic therapies for severe cases Regular monitoring of organ function

Complications

Kidney failure Lung damage or bleeding Increased risk of infections due to immunosuppressive therapy

Prevention

No known prevention, early diagnosis and treatment are crucial

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