患者男,34岁。因双侧耳郭、双手及双足出现白色结节伴破溃7年,于2015年7月来我科就诊。7年前患者双侧耳郭出现数个淡红色小结节,针头至花生米大,无自觉症状,未予诊治。此后类似皮疹渐多,并波及双侧手指及双侧足跟,多发结节渐渐由淡红色变为白色或黄白色,部分皮肤破溃流出白垩样物质。患者发病以来无发热、畏寒、体重下降等不适。家族中二哥 Patient male, 34 years old. Due to bilateral ear Guo, both hands and feet appear white nodules with ulceration for 7 years, in July 2015 to our department. Seven years ago, patients with bilateral auricular nodules appeared several pink, needle to peanuts large, no symptoms, no diagnosis and treatment. Since then more similar rash, and spread to bilateral fingers and bilateral heels, multiple nodules gradually from light red to white or yellowish white, some of the skin rupture out of the chalk-like material. Since the onset of fever, chills, weight loss and other discomfort. Family brother