患者,男,41岁。曾于1988年右手受伤经治疗而愈合。后发现右前臂皮肤多数蚕豆至核桃大健皮色结节,无自觉症状。一月后感右上肢尤前臂憋胀,不疼,结节渐消失肌肉变硬,右腕、手背亦肿胀,活动受限,握拳时感前臂、腕部肌肉酸痛。一月后于前臂、双下肢大腿近膝关节处又出现上述之结节,且双下肢行走时腘窝及小腿近踝部酸痛。1990年3月7日入我院。发病后否认有吞咽困难、气短、关节痛、发热及雷诺氏征。系统检查无异常,专科见右上肢尤前臂、腕部、手臂弥漫性肿胀,健皮色,呈桔皮样外观。可触及多数条带状沟。患臂 Patient, male, 41 years old. Had a right hand injury in 1988 healed. Found that most of the right forearm skin to walnut large skin color nodules, no symptoms. A sense of right upper limb after January, especially the forearm bilges, pain, nodules gradually disappear muscle hardening, right wrist, back of the hand is also swollen, limited mobility, forearm when feeling fist-grip, wrist muscle ache. After one month in the forearm, lower extremity thigh near the knee again appear above the nodules, and both lower extremity walking when the popliteal fossa and calf near the ankle pain. March 7, 1990 into our hospital. After the onset of denial dysphagia, shortness of breath, joint pain, fever and Raynaud’s syndrome. No abnormalities in the system check, see the upper right arm of the specialist, especially forearm, wrist, arm diffuse swelling, healthy skin color, was orange-like appearance. Can reach most of the strip groove. Arm affected