A 72-year-old man presents with progressive exertional dyspnea. He worked for 30 years installing insulation in shipyards. Vital signs: BP 138/82, HR 98, RR 22, SpO2 88% on room air. Chest X-ray reveals lower lobe interstitial fibrosis with bilateral calcified pleural plaques. Pulmonary function tests show FVC 62% predicted. He denies hemoptysis. He takes lisinopril for hypertension. Which of the following is the most likely diagnosis?
- A)Idiopathic pulmonary fibrosis
- B)AsbestosisGABARITO
- C)Coal workers pneumoconiosis
- D)Mesothelioma
- E)Silicosis
Explicação
Asbestosis is correct. Shipyard insulation exposure, lower lobe interstitial fibrosis, and calcified pleural plaques are classic clues. Asbestos fibers form ferruginous bodies and increase the risk of both bronchogenic carcinoma and mesothelioma. Ver explicação completa e trilha adaptativa →