MedicoNotebook: Skin

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3 Facies

Mask like facies = parkinsonism.
Elfin facies = william's syndrome.
Moon facies = cushing's syndrome.
Snarling facies = myasthenia gravis.
Mitral facies = mitral stenosis.
Ashen grey facies = myocardial infarction.
Mouse facies = chronic renal failure (crf)
Adenoid facies = adenoid hypertrophy.
Leonine facies = lepromatous leprosy .
Bird facies = pierre robin syndrome.
Mongoloid facies = down's syndrome.
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.
Syphilitic facies = congenital syphilis ( bull dog jaw)
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)
Potter facies- oligohydramnios
Amiodarone facies(deep blue discoloration around malar area and nose)
Acromegalic facies- acromegaly
Marfanoid facies- marfan's syndro
Mesnarling facies- myasthenia gravis
Myotonic facies- myotonic dystrophy
Torpid facies- myxoedema
Mouse facies- chronic renal failures
Myxoedemamouse facies- chronic renal failure
Plethoric facies- cushing's syndrome and polycythemia vera
Ashen grey facies- myocardial infarction
Gargoyle facies- hurler's syndrome
Monkey facies- marasmus
Hatchet facies- myotonica atropathica
Guerilla like face- acromegaly
Bovine facies or cow face- cranio fascial dysostosis or crouzons syndrome
Marshall halls facies- hydrocephalus
Frog face- intra nasal disease

Fox-Fordyce disease is an infrequently occurring chronic pruritic papular eruption that localizes to areas where apocrine glands are found.

Fordyce's spots are small, painless, raised, pale, red or white spots or bumps 1 to 3 mm in diameter that may appear on the shaft of the penis or on the labia, as well as the inner surface (retromolar mucosa) and vermilion border of the lips of the face. They are common in men and women of all ages.The spots are a form of ectopic sebaceous gland: normally, sebaceous glands are only found in association with a hair follicle.

2 Salt Split in Skin

Immunofluorescence in salt split zone-

In Roof of salt split cavity:
eg. Bullous Pemphigoid , herpes gestationis , cicatrical pemphigoid , Linear IgA dermatosis.

In Floor of salt split cavity:
eg. EBA , EBD , BLE.