Do pulmonary hypertension and pulmonary fibrosis relate to Sarcoidosis?
Dr. Paauw The pressure in the pulmonary vessels of the lungs is usually a low pressure system. Pulmonary hypertension (PHT) occurs when the lungs start to shrink or get destroyed by pulmonary fibrosis. This results in the small blood vessels of the lungs also being destroyed and pressure in the system rising. This is very hard on the heart, because the heart is used to pumping blood into the lungs with no pressure against it. With PHT, there is a lot of pressure. Consequently, the heart can enlarge. The symptoms that a person with PHT would have are the same as the type of symptoms that one with pulmonary fibrosis would have: i.e. a lot of trouble breathing, especially while walking. The other symptom some people would experience is chest pain. But, chest pain can be present with pulmonary fibrosis, or be a complication of other physical ailments. What are the symptoms of Sarcoid involvement in the joints and ligaments? A: Dr. Raghu When joints are involved, there is pain, which is cal