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Pleurisy can also be caused by: a pulmonary embolism (a blood clot in the lungs) a pneumothorax (air leaking into the pleural space) autoimmune diseases, such as lupus, rheumatoid arthritis or Sjogren syndrome a chest injury a reaction to a medicine Other causes of pleurisy are: lung inflammation related to asbestos exposure tuberculosis lung cancer mesothelioma (a type of cancer caused by exposure to asbestos) When should I see my doctor