A 41-year-old aerospace engineer presents with 6 months of progressive dyspnea, fatigue, and nonproductive cough. Vital signs show BP 128/82, HR 102, RR 22, SpO2 88% on room air. Chest CT reveals diffuse interstitial infiltrates and bilateral hilar lymphadenopathy. Serum ACE level is elevated at 68 U/L. Lung biopsy demonstrates noncaseating granulomas. Tuberculin skin test is negative. Which of the following is the most likely diagnosis?
- A)Tuberculosis
- B)Idiopathic pulmonary fibrosis
- C)Sarcoidosis
- D)Hypersensitivity pneumonitis
- E)BerylliosisGABARITO
Explicação
Berylliosis is correct. Exposure in aerospace or electronics work with noncaseating granulomas and restrictive lung disease strongly suggests chronic beryllium disease. It can mimic sarcoidosis, but the occupational exposure is the key discriminator in this vi... Ver explicação completa e trilha adaptativa →