Faces in medicine

Medicine PG poster presentation

1. FACIES IN MEDICINE
DR TRIPTHI















MASK LIKE FACIES
A hypomimic, expressionless
physiognomy or complete lack
of facial affect, a finding
characteristic of Parkinson's
disease, which may be seen in
depression, facio scapulao
humeral-type muscular
dystrophy, infantile botulism,
Möbius' syndrome, myotonic
dystrophy, Prader-Willi
disease, Wilson's disease.
ELFIN FACIES
Facial features include
wide-set eyes, low-set ears,
and hirsutism; seen in
children with congenital
conditions such as
leprechaunism and
Williams syndrome.

MOON FACIES
Roundness of the face due to
increased fat deposition laterally
seen in patients with
hyperadrenocorticalism, either of
endogenous (e.g., Cushing's
disease) or exogenous origin,
such as the use of cortisone-like
drugs as therapy.

SNARLING FACIES
Depiction of a
MYAST HENIC patient. (1)
marked asymmetrical ptosis
(left eye almost closed with
characteristically visible
eyelashes); (2) conspicuous
attempts to open eyes clearly
visible due to highly
elevated eyebrows and (3)
characteristic flattened or
‘snarling’ smile
MITRAL FACIES
T he classic mitral
facies,due to mitral
stenosis,is a plum-
colored malar flush,
occurs only when
cardiac output is low
and pulmonary
hypertension is severe;
cause is cutaneous
vasodilation and
chronic hypoxemia.

ADENOID FACIES
T he appearance in children
with adenoid hypertrophy,
associated with a pinched
nose and an open mouth
LEONINE FACIES
Characteristic facies seen in
Lepromatous Leprosy.
Diffuse dermal infiltration is
always present subclinically
and may be overtly manifested
by widening of the nasal root
and fusiform swelling of the
fingers. Further cellular
infiltration o f the skin and
thickening of the dermis
produces folds in the skin and
the LEONINE facies.

BIRD FACIES
Characteristic facies seen in
PIERRE ROBIN syndrome. A very
small lower jaw is the commonest
finding. But the growth of the
mandible seems to normalize by
the 5th year of life and gives a
characteristic appearance called as
"bird facies."
T he combination of a small lower
jaw and the reverse tongue gives
rise to acute breathing problems in
a child because of airway blockage
DOWNS FACIES
Associated with Downs
Syndrome- T risomy 21
Mongoloid facies – flat nasal
bridge, epicanthic folds,
oblique palpebral fissures,
Brushfields spots in iris,
lenticular opacities, low set
ears, large protuberant tongue.

SYPHILITIC
FACIES
Characteristic of inherited
syphilis. Snuffles, when
long continued , is liable to
interfere with the
development of the nasal
bones, so that when the
child grows up there
results a condition known
as the “saddle-nose”
deformity

COARSE FACIES
Coarse facies seen in most of the
inborn errors of metabolism
(IEM) viz. the muco-
polysaccharidoses (MPS),
mucolipidoses (ML), fucosidoses
mannosidoses, sialidoses,
aspartylglycosaminuria,
generalised gangliosidosis(GMl )
and Austin's variant of
metachromatic leukodystrophy
due to multiple sulfatase
deficiency (MLD-MSD)
POTTER FACIES
Seen in Potter syndrome which
refers to the typical physical
appearance and associated
pulmonary hypoplasia of a
neonate as a direct result of
oligohydramnios and
compression while in utero.
Affected infants have a
flattened nose, recessed chin,
prominent epicanthal folds, and
low-set abnormal ears.



MARFANOID
FACIES
Seen in Marfans
syndrome or conditions
causing a marfanoid
habitus.
Facies is typically a long
and narrow
ACROMEGALIC
FACIES
Seen in Acromegaly .It is
represented by massive
supraorbital arcs,
enlargement of the nose
and chin.

HATCHET FACIES
It is the Facial appearance of
Myotonic dystrophy.Atrophy of
masseter, temporalis and other
facial muscles leads on to
narrowing and elongation of
face.