A 72-year-old male with 30 years of occupational asbestos exposure installing shipyard insulation presents with progressive exertional dyspnea. Vital signs show BP 138/82 mmHg, HR 92/min, RR 22/min, SpO2 88% on room air. High-resolution CT chest demonstrates bilateral lower lobe interstitial fibrosis and calcified pleural plaques. Pulmonary function testing shows reduced DLCO at 62% predicted. He denies constitutional symptoms or smoking history. Which diagnosis best explains these findings?
- A)Coal workers pneumoconiosis
- B)AsbestosisGABARITO
- C)Mesothelioma
- D)Idiopathic pulmonary fibrosis
- E)Silicosis
Explicação
Asbestosis is correct. Shipyard insulation exposure, lower lobe interstitial fibrosis, and calcified pleural plaques are classic clues. Asbestos fibers form ferruginous bodies and increase the risk of both bronchogenic carcinoma and mesothelioma. Ver explicação completa e trilha adaptativa →