患者男,86岁。因全身性丘疹、结节、斑块1个月余,于2012年8月6日来我院就诊。患者1个多月前始无明显诱因全身出现散在性丘疹、结节,无明显瘙痒及疼痛,曾至外院皮肤科诊治(具体诊断和药物不详),无好转,全身皮疹增多,并且出现斑块,为进一步诊治就诊于我院。既往患者有“原发性高血压、心房纤颤”等病史,家族成员中无类似患者。体格检查:T37.5℃,神志清晰,精神稍差,两肺呼 Male patient, 86 years old. Due to systemic papules, nodules, plaque more than 1 month, on August 6, 2012 to our hospital. Patient more than a month ago no obvious incentive systemic scattered papules, nodules, no significant itching and pain, had to outside the hospital treatment of dermatology (specific diagnosis and drug unknown), no improvement, systemic rash increased, and the plaque , For further diagnosis and treatment in our hospital. Past patients have “” essential hypertension, atrial fibrillation, "and other medical history, family members no similar patients. Physical examination: T37.5 ℃, conscious, slightly less energetic, both lungs call