A 29-year-old African American woman presents with a 3-week history of dry cough, fatigue, and eye pain. Physical examination reveals tender erythematous nodules on the shins and bilateral hilar lymphadenopathy on chest radiograph. Vital signs show BP 118/76 mmHg, HR 92 bpm, RR 18, temperature 37.8°C, and SpO2 98% on room air. Serum calcium is elevated at 11.2 mg/dL. There is no fever or night sweats. Which of the following is the most likely diagnosis?
- A)Pneumocystis jirovecii pneumonia
- B)Idiopathic pulmonary fibrosis
- C)Tuberculosis
- D)SarcoidosisGABARITO
- E)Berylliosis
Explicação
Sarcoidosis is correct. Bilateral hilar lymphadenopathy with erythema nodosum and uveitic symptoms is a classic board style presentation. The disease causes noncaseating granulomas and may produce restrictive physiology as pulmonary involvement progresses. Ver explicação completa e trilha adaptativa →