1病历资料患者男,60岁。右侧腹部皮肤结节4个月,于2015年11月28日来我科就诊。4个月前患者右侧腹部皮肤出现一黄豆大红色丘疹,并逐渐增大为暗红色结节,无疼痛及瘙痒。患者既往体健,有吸烟史40年,无遗传性疾病家族史。体格检查:慢性病容,口唇轻度紫绀,桶状胸,肋间隙增宽,双肺布满哮鸣音和湿啰音。皮肤科检查:头皮 Patient information Male patient, 60 years old. Right abdomen skin nodules 4 months, November 28, 2015 to our department. 4 months ago, a red papules appeared on the skin of the abdomen on the right side of the patient and gradually increased to dark red nodules with no pain or itching. Past patient health, smoking history for 40 years, no family history of hereditary diseases. Physical examination: Chronic disease, mild cyanotic lips, barrel chest, intercostal space widened, lungs covered with wheezing and wet rales. Dermatological examination: scalp