Facies (medical)
In medical contexts, a facies is a distinctive facial expression or appearance associated with a specific medical condition.[1] The term comes from Latin for "face".[2] As a fifth declension noun,[3] facies can be both singular and plural.
| Facies | |
|---|---|
![]()  | |
| Facial abnormalities associated with Crouzon syndrome | |
| Specialty | Medical genetics | 
Types
    
Examples include:
- Hippocratic facies – eyes are sunken, temples collapsed, nose is pinched with crusts on the lips, and the forehead is clammy
 - Moon face (also known as "Cushingoid facies") – Cushing's syndrome
 - Elfin facies – Williams syndrome
 - Potter facies – oligohydramnios
 - Mask like facies – parkinsonism
 - Leonine facies – lepromatous leprosy or craniometaphyseal dysplasia[4]
 - Mitral facies – mitral stenosis
 - Amiodarone facies (deep blue discoloration around malar area and nose)
 - Acromegalic facies – acromegaly
 - Flat facies – Down syndrome
 - Marfanoid facies – Marfan's syndrome
 - Snarling facies – myasthenia gravis
 - Myotonic facies – myotonic dystrophy
 - Torpid facies – myxoedema
 - Mouse facies – chronic kidney failure
 - Plethoric facies – Cushing's syndrome and polycythemia vera
 - Bird facies – Pierre Robin sequence
 - Ashen grey facies – myocardial infarction
 - Gargoyle facies – Hurler's syndrome
 - Monkey facies – marasmus
 - Hatchet facies – myotonia atrophica
 - Gorilla-like face – acromegaly
 - Bovine facies (or cow face) – craniofacial dysostosis or crouzon syndrome
 - Marshall halls facies – hydrocephalus
 - Frog face – intranasal disease
 - Coarse facies – many inborn errors of metabolism
 - Adenoid facies – developmental facial traits caused by adenoid hypertrophy, nasal airway obstruction and mouthbreathing; really a form of long face syndrome.
 - Lion-like facies – involvement of craniofacial bones in Paget disease of Bone
 - Chipmunk facies – beta thalassemia
 - Treacher Collins syndrome – deformities of the ears, eyes, cheekbones, and chin
 
Other disorders associated with syndromic facies
    
- Pitt–Hopkins syndrome
 - Beta thalassemia is associated with distinctive facial features due to ineffective erythropoiesis. The ineffective erythropoiesis causes marrow hyperplasia or expansion and bony changes, including the bones of the face; this causes craniofacial protrusions.[5]
 - Mowat–Wilson syndrome
 
See also
    
    
References
    
- "Definition of FACIES". www.merriam-webster.com. Retrieved 4 February 2021.
 - "Dorlands Medical Dictionary:facies".
 - "NOUNS OF THE FOURTH DECLENSION". Archived from the original on 2008-07-20.
 - "Craniometaphyseal Dysplasia - NORD (National Organization for Rare Disorders)".
 - Taher, Ali T.; Musallam, Khaled M.; Cappellini, M. Domenica (25 February 2021). "β-Thalassemias". New England Journal of Medicine. 384 (8): 727–743. doi:10.1056/NEJMra2021838.
 - "Snijders Blok-Campeau syndrome: MedlinePlus Genetics". medlineplus.gov. Retrieved 2022-07-20.
 - "Snijders Blok-Campeau syndrome (Concept Id: C4748701) - MedGen - NCBI". www.ncbi.nlm.nih.gov. Retrieved 2022-07-20.
 
External links
    
    
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