3 Facies

  1.  Mask like facies = parkinsonism.
  2. Elfin facies = william's syndrome.
  3. Moon facies = cushing's syndrome.
  4. Snarling facies = myasthenia gravis.
  5. Mitral facies = mitral stenosis.
  6. Ashen grey facies = myocardial infarction.
  7. Mouse facies = chronic renal failure (crf)
  8. Adenoid facies = adenoid hypertrophy.
  9. Leonine facies = lepromatous leprosy .
  10. Bird facies = pierre robin syndrome.
  11. Mongoloid facies = down's syndrome.
  12. Coarse facies = 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) have similar appearing facies.
  13. Syphilitic facies = congenital syphilis ( bull dog jaw)
  14. Hippocratic face(also known as"hippocratic facies"; eyes are sunken, temples collapsed, nose is pinched with crusts on the lips and the forehead is clammy)
  15. Potter facies- oligohydramnios
  16. Amiodarone facies(deep blue discoloration around malar area and nose)
  17. Acromegalic facies- acromegaly
  18. Marfanoid facies- marfan's syndro
  19. Mesnarling facies- myasthenia gravis
  20. Myotonic facies- myotonic dystrophy
  21. Torpid facies- myxoedema
  22. Mouse facies- chronic renal failures 
  23. Myxoedemamouse facies- chronic renal failure
  24. Plethoric facies- cushing's syndrome and polycythemia vera
  25. Ashen grey facies- myocardial infarction
  26. Gargoyle facies- hurler's syndrome
  27. Monkey facies- marasmus
  28. Hatchet facies- myotonica atropathica
  29. Guerilla like face- acromegaly
  30. Bovine facies or cow face- cranio fascial dysostosis or crouzons syndrome
  31. Marshall halls facies- hydrocephalus
  32. Frog face- intra nasal disease


  1. *A very small lower jaw is the commonest finding in Pierre Robin syndrome. But the growth of the mandible seems to normalize by the 5th year of life, it however gives a characteristic appearance called as "bird facies."

    *The combination of a small lower jaw and the reverse tongue gives rise to acute breathing problems in a child because of airway blockage. Defects of the middle ear can lead to hearing loss. Speech defects are common in Pierre Robin syndrome because of the unusual higly placed poition of the tongue and the lower jaw.

  2. chipmunk facies - thalassemia


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