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Crown Princess Mette-Marit has been diagnosed with pulmonary fibrosis
The lung-scarring disease causes shortness of breath and a persistent cough
NHS says that sufferers life expectancy can be as little as three years
The 45-year-old says that she will continue working as much as possible

Published: 05:08 EDT, 25 October 2018 | Updated: 06:26 EDT, 25 October 2018

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Crown Princess Mette-Marit has revealed that she has been diagnosed with lung disease.

The Norwegian royal, who revealed earlier this year that she was suffering with debilitating vertigo, is suffering with chronic pulmonary fibrosis.

A statement from the Royal Court said: 'The Crown Princess has undergone extensive investigations related to her health and an unusual variant of fibrosis has been detected in the lungs, according to the Crown Princess's doctor, Professor Kristian Bjøro at the National Hospital.

Crown Princess Mette-Marit of Norway has been diagnosed with the lung-scarring disease chronic pulmonary fibrosis. Pictured with husband Crown Prince Haakon at his 50th birthday in May

'It is not yet clear whether the pulmonary disease is linked to a more extensive autoimmune disease process or if there are other causes that underlie the lung changes.'

The 45-year-old princess is thought to be in the early stages of the disease in which scar tissue forms in the lungs. The disease can cause serious breathing problems and there is no known cure.

Norway's future queen said in late Wednesday's statement by the royal palace that she would get treatments and further tests but gave no further details.

In a statement the future queen of Norway says that while the disease may 'limit' her life she plans to continue working as much as possible . Pictured: Mette-Marit in Toronto in 2016

The 45-year-old has two children with Haakon, Princess Ingrid Alexandra, 14, and 12-year-old Prince Sverre Magnus (seen together on National Day in May) and a third son, Marius Borg Høiby from a previous relationship

The mother-of-three (pictured with the Duke and Duchess of Cambridge in February) revealed earlier this year that she is suffering from debilitating vertigo

The mother-of-three released her own statement following the diagnosis where she spoke of her determination to carry on as normal.

WHAT IS IDIOPATHIC PULMONARY FIBROSIS?

Idiopathic pulmonary fibrosis (IPF) is a condition in which the lungs become scarred and breathing becomes increasingly difficult.

It's not clear what causes it, but it usually affects people around 70-75 years of age and is rare in people under 50.

Several treatments can help reduce the rate at which IPF gets worse, but there's currently no treatment that can stop or reverse the scarring of the lungs.

The symptoms of IPF tend to develop gradually and get slowly worse over time.

Symptoms can include:

shortness of breath
a persistent dry cough
tiredness
loss of appetite and weight loss
rounded and swollen fingertips (clubbed fingers)

There is no cure and it's very difficult to predict how long someone with IPF will survive at the time of diagnosis.

Regular monitoring over time can indicate whether it's getting worse quickly or slowly.

Source: NHS

She said: 'Although such a diagnosis in times will limit my life, I'm glad that the disease has been discovered so early.

'My goal is still to work and participate in the official programme as much as possible.'

According to the NHS it is 'very difficult' to predict how long someone with the condition will survive. Regular monitoring over time can indicate whether it's getting worse quickly or slowly.

Before treatments like pirfenidone and nintedanib about half of people with IPF lived at least three years from their diagnosis. Around 1 in 5 survived for more than five years.

Mette-Marit is a particularly rare case as the disease normally occurs in people of the age 70-75 and is very rare for anyone under 50 to suffer from it.

In January the Crown Princess, who is married to Crown Prince Haakon, confirmed that she was actually suffering from vertigo, or 'crystal sickness' as she has called it.

Norway's royal palace said Crown Princess Mette-Marit was suffering from Benign Paroxysmal Positional Vertigo (BPPV), which can cause a loss of balance, dizziness and nausea.

She explained to Norwegian radio station P3 how the illness manifested, saying: 'I turned my head quickly, and it was like the whole world began to move.

'I began to sweat and felt nauseous — I thought I'd started early menopause.'

Crown Prince Mette-Marit said the condition began after a rigorous week of working out with girlfriends, saying: 'I'd been incredibly good at training this fall. We used a program that changed from week to week.'

While the condition is temporary, it can come back at any time.

The Crown Princess, a former waitress, met her future husband at a music festival in the 1990s when she was a single mother and married into the royal family in 2001.

WHO IS CROWN PRINCESS METTE-MARIT?

The Crown Princess, a former waitress, met her future husband at a music festival in the 1990s when she was a single mother and married into the royal family in 2001.

At the time of her wedding to the Crown Prince in 2001, Crown Princss Mette-Marit was a single parent to a four-year-old son, Marius Borg Høiby.

She went on to have two more children with her now husband Crown Prince Haakon - Princess Ingrid Alexandra, 14, and 12-year-old Prince Sverre Magnus.

Crown Princess Mette-Marit married into the royal family in 2001 when she was a single mother with four-year-old son, Marius Borg Høiby from a previous relationship. Pictured: Mette-Marit with her son and Haakon on their wedding day

Growing up, Marius, 21, made public appearances with his mother, stepfather and half siblings on occasions such as national day.

However, when he turned 20 the royal court announced he was stepping away from public life and his profile was removed from the family's official website.

'Høiby will not conduct any official activities on the Royal Family's behalf,' a statement said, 'on the basis of his wish to live outside the public eye.'

His mother Crown Princess Mette-Marit wrote also published an open letter on the court website, saying: 'Marius is, and will continue to be, a vital member of our family.

'He has always had a public role that has been very difficult to define.'

Mette-Marit has become widely respected for her charity work and has been a special representative for UNAIDS, a branch of the UN that focuses on dealing with HIV and AIDS.

She also joined the Norwegian aid agency NORAD as an intern, and is a patron of several Norwegian charities, including the Oslo International Church Music Festival and the Norwegian Scouting Association.