Yes, lung issues are actually a well-known complication of RA. About 1 in 10 people with RA will develop some form of lung problem, and symptoms can sometimes even show up before joint pain does.
RA-related lung issues can include:
- Interstitial lung disease (ILD) – scarring and thickening of lung tissue that makes it Show Full Answer
Yes, lung issues are actually a well-known complication of RA. About 1 in 10 people with RA will develop some form of lung problem, and symptoms can sometimes even show up before joint pain does.
RA-related lung issues can include:
- Interstitial lung disease (ILD) – scarring and thickening of lung tissue that makes it hard to breathe
- Airway blockage (bronchiolitis/bronchiectasis) – inflammation of the small airways, which can cause wheezing and shortness of breath
- Pleural effusion – fluid buildup around the lungs
- Pulmonary nodules – small lumps in the lung tissue
- Pulmonary hypertension – high blood pressure in the arteries between the heart and lungs The good news is that many of the same medications used to treat RA — like DMARDs, corticosteroids, and biologics — can also help manage lung complications.
It's really important to flag any breathing symptoms to a rheumatologist right away. If you smoke, stopping is one of the most impactful steps you can take, as smoking significantly worsens RA's effects on the lungs.
Staying up to date on vaccines like the flu shot and pneumonia vaccine is also strongly recommended, since RA treatments can weaken the immune system.
June 18
COVID-19 and Rheumatoid Arthritis (RA) Essential Updates
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I see my pulmonologist every 6 months to a year so they can check my lungs. I have asthma and COPD. At one time I had a nodule but within 3 months and after some Prednisone it disappeared.
June 28
I too was diagnosed with RA and ILD in 2023. Started out on Methotrexate and OFEV (not a good choice). Switch doctors and I am now taking Acterma infusions and it treats both. Annual ILD CT scans have shown no change and have not had a flare up in one year. I’m dealing with itching but tapering off sugar seems to be helping.
June 28
Oh wow ,see i just wondering if have had it all along and it just effected my lungs 🫁 for a long time before it decided to attack other places
June 18
I have lung issues with my RA. My lung doctor told me the RA is in my lungs which has made my asthma worse. I can't be in extreme heat because it makes breathing very difficult for me. It has something to do with the lining of my lungs. I had to stop the methotrexate because of this.
June 18