患行女，73岁。5月前发现左臀部皮肤结节，缓慢增大且渐成皮下肿块。1月后，四肢相继出现较多结V，兀H觉头＊犬。Z月的皮损累及有眼和左面部，为迅速增大的多发件结伙1月前出现睁眼困难。糖尿病病史1年。体检：一般情况差，心肺未见异常，左下肢中度T’11陷性水肿。皮肤科情况 Suffering from a woman, 73 years old. The left buttock skin nodule was found 5 months ago, slowly increasing and becoming a subcutaneous mass. After one month, more limbs appeared successively on the four limbs, and the head and the dog became the first one. The lesions on the Z month involved the eyes and the left face, and it was difficult to see eyelids in front of the rapidly increasing multiple pieces. 1 year history of diabetes. Physical examination: The general condition is poor, no abnormalities in the heart and lungs, moderate T’11 edema of the left lower limb. Dermatology