1病历摘要患者男,40岁。面颈部、胸背部、双上肢及手背斑块伴瘙痒4年余。患者4年前无明显诱因鼻翼出现红色斑丘疹伴瘙痒,当时未诊治。随后斑丘疹逐渐增多,波及到面部、胸背部、双上肢及手背,出现双手活动明显受限并伴有疼痛、毛发变稀疏及左眼视物模糊等,曾在西宁多家医院就诊,具体不详,治疗无效果,为求 1 medical record Summary Male patient, 40 years old. Face and neck, chest and back, both upper extremities and hand back plaque with itching more than 4 years. 4 years ago, no obvious incentive to patients with red rash papules with itching, was not diagnosed. Then rash gradually increased, spread to the face, chest and back, upper extremities and back of the hand, showing obvious limitations and accompanied by pain in his hands, thinning hair and left eye blurred vision, etc., had many hospitals in Xining, the specific unknown No effect of treatment, for the sake of