A 52-year-old man with a 20-year history of occupational asbestos exposure presents with progressive dyspnea and pleuritic chest pain. Vital signs: BP 138/82, HR 92, RR 22, SpO2 88% on room air. Chest X-ray demonstrates bilateral lower lobe fibrosis with pleural thickening. Pulmonary function testing reveals reduced FVC (62% predicted) with normal FEV1/FVC ratio (0.78). He denies wheezing. Which diagnosis best explains these findings?
- A)Idiopathic pulmonary fibrosis
- B)AsbestosisGABARITO
- C)Hypersensitivity pneumonitis
- D)Chronic obstructive pulmonary disease
- E)Silicosis
Explicação
Asbestosis presents with bilateral lower lobe fibrosis and pleural changes after occupational exposure. The restrictive pattern (reduced FVC, normal ratio) and exposure history confirm the diagnosis. Ver explicação completa e trilha adaptativa →