A 36 year old farmer develops episodic fever, cough, and dyspnea several hours after cleaning a moldy barn. Lung examination reveals fine crackles. CT scan shows diffuse ground glass and centrilobular nodules. Symptoms improve when he stays away from work for a week. Which of the following is the most likely diagnosis?
- A)Hypersensitivity pneumonitisGABARITO
- B)Idiopathic pulmonary fibrosis
- C)Pulmonary embolism
- D)Community acquired pneumonia
- E)Sarcoidosis
Explicação
Hypersensitivity pneumonitis is correct. The temporal relationship to moldy hay exposure, recurrent flu like episodes, and improvement with antigen avoidance are classic. This is an immune mediated interstitial lung disease caused by inhaled organic antigens r... Ver explicação completa e trilha adaptativa →