1病历摘要患者男,79岁。因双手指、手掌出现结节1年于2013年8月10日来我院就诊。患者于1年前双手指出现数个结节,针头至绿豆大,无特殊不适,未予重视。类似皮疹逐渐增多、增大,并扩展至双手掌,无明显自觉症状,无破溃。发病以来,无发热、畏寒及关节变形,体重减轻等不适。既往有痛风史5年余,患者自 1 medical records Summary Male, 79 years old. Due to double fingers, palm nodules appeared in 1 August 2013 to our hospital. Patients showed a few nodules two fingers before a year ago, the needle to the mung bean big, no special discomfort, no attention. Similar rash gradually increased, increased, and extended to double palms, no obvious symptoms, no ulceration. Since the onset, no fever, chills and joint deformation, weight loss and other discomfort. Past history of gout more than 5 years, patients from