A 49-year-old male sandblaster presents with 3-month progressive dyspnea and dry cough. Vital signs: BP 128/82 mmHg, HR 92 bpm, RR 22/min, Temp 37.2°C, SpO2 88% on room air. Chest X-ray demonstrates multiple 2-3 mm upper lobe nodules with eggshell calcification of hilar lymph nodes. Pulmonary function tests show reduced DLCO. Notably, there is no fever or hemoptysis. Which diagnosis best explains these findings?
- A)Sarcoidosis
- B)SilicosisGABARITO
- C)Berylliosis
- D)Asbestosis
- E)Coal workers pneumoconiosis
Explicação
Silicosis is correct. Sandblasting is a classic silica exposure, and upper lobe nodules with eggshell calcification of hilar lymph nodes are highly characteristic. Silica impairs macrophage phagolysosome function and predisposes to tuberculosis. Ver explicação completa e trilha adaptativa →