A 28-year-old woman with a 3-year history of progressive dyspnea undergoes bronchoscopic lung biopsy showing non-caseating granulomas in multiple lobes without evidence of mycobacteria or fungi. Serum angiotensin-converting enzyme and calcium levels are elevated. Chest X-ray shows bilateral hilar lymphadenopathy and upper lobe nodules. Which of the following is the most likely diagnosis?
- A)Histoplasmosis
- B)Talcosis
- C)Tuberculosis
- D)Hypersensitivity pneumonitis
- E)SarcoidosisGABARITO
Explicação
Sarcoidosis is a multisystem granulomatous disorder of unknown etiology characterized by non-caseating granulomas, elevated ACE and serum calcium, bilateral hilar lymphadenopathy, and upper lobe predominance. The absence of acid-fast bacilli and fungi excludes... Ver explicação completa e trilha adaptativa →