A 67-year-old retired shipyard worker presents with progressive exertional dyspnea and dry cough for 18 months. Vital signs show BP 138/82, HR 98, RR 22, SpO2 88% on room air. Bibasilar crackles are noted. Chest X-ray demonstrates diffuse interstitial fibrosis with calcified pleural plaques. PFTs show reduced DLCO at 58% predicted. He denies hemoptysis. He takes no current respiratory medications. Which of the following conditions carries increased risk in this patient?
- A)MesotheliomaGABARITO
- B)Goodpasture syndrome
- C)Allergic bronchopulmonary aspergillosis
- D)Primary spontaneous pneumothorax
- E)Silicotuberculosis
Explicação
Mesothelioma is correct. Asbestos exposure is associated with lower lobe interstitial fibrosis, pleural plaques, and an increased risk of bronchogenic carcinoma and malignant mesothelioma. The occupational history and calcified pleural plaques are classic clue... Ver explicação completa e trilha adaptativa →