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?

  1. A)Sarcoidosis
  2. B)SilicosisGABARITO
  3. C)Berylliosis
  4. D)Asbestosis
  5. 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 →

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