A 42-year-old woman with rheumatoid arthritis presents with progressive dyspnea and dry cough for 3 months. Vital signs: BP 128/82, HR 92, RR 22, SpO2 88% on room air, afebrile. Pulmonary function tests show FVC 68% predicted with reduced DLCO. HRCT demonstrates bilateral lower lobe reticular opacities with honeycombing. Rheumatoid factor and anti-CCP antibodies are positive. No fever or constitutional symptoms. Which pulmonary manifestation is most common in rheumatoid arthritis?
- A)Usual interstitial pneumoniaGABARITO
- B)Pleural effusion with low glucose
- C)Bronchiectasis
- D)Obstructive airways disease
- E)Rheumatoid lung nodules
Explicação
Usual interstitial pneumonia (UIP) with honeycomb pattern is the most common and most serious pulmonary manifestation of rheumatoid arthritis. It presents with progressive dyspnea, restrictive PFTs, and characteristic HRCT findings. RA-associated UIP has a poo... Ver explicação completa e trilha adaptativa →