A 44-year-old aerospace engineer with a 3-year history of progressive dyspnea and chronic cough presents with vital signs: BP 128/82, HR 92, RR 22, SpO2 88% on room air, and afebrile. Chest X-ray reveals diffuse interstitial infiltrates and hilar lymphadenopathy. Serum ACE level is elevated at 68 U/L. Lung biopsy demonstrates noncaseating granulomas. Tuberculin skin test is negative. Which occupational exposure most likely explains this patient's presentation?
- A)Cotton dust
- B)BerylliumGABARITO
- C)Asbestos
- D)Silica dust
- E)Coal dust
Explicação
Berylliosis is an occupational granulomatous lung disease seen in aerospace, electronics, and nuclear industries. It can closely mimic sarcoidosis with noncaseating granulomas and hilar adenopathy, so the exposure history is essential. Chronic disease may prog... Ver explicação completa e trilha adaptativa →