FACIES

SL NO. FACIES DISEASE DESCRIPTION

1. ACROMEGALI Acromegaly (Also, GORILLA-LIKE FACE)
C FACIES  Large supraorbital ridge and frontal
bossing, thickened lips, enlarge
tongue, lower jaw firm and square

(protruding jaw = prognathism).

2. ADENOID  Adenoid hypertrophy Long, open-mouthed, dumb-
FACIES   Nasal airway looking face of children.
obstruction
 Mouth breathing
3. AMIODARONE Deep blue discoloration around
FACIES malar area and nose
4. ASHEN GREY Myocardial infarction
FACIES 

(Ash like)
5. BELL’S PALSY  Facial nerve The eyelids on the paralyzed side
dysfunction can’t close. The mouth is drawn to
the unparalyzed side, producing a
somewhat grotesque appearance.
Food and drink dribble from the
mouth on the paralyzed side. The
eye with the involved lid dries due
to decreased tear production.
6. BIRD FACIES  Pierre Robin sequence Small lower jaw, a slit like hole in
or Pierre Robin the palate of mouth (called cleft
Malformation palate) and the tongue appear to fall
into the throat (condition called as
retroglossoptosis).
7. BOVINE Craniofacial Convex nasal profile, shortened
FACIES OR dysostosis or Crouzon mandible, macroglossia.
COW FACE syndrome
8. CHIPMUNK  Untreated β Expanded globular maxillae, with
FACIES  Thalassemia major BM hyperexpansion into facial
 Bullimia nervosa bones, combined with prominent
 Parotid swelling epicanthal folds.
9. COARSE FACIES Many inborn errors of
metabolism
10. COCKAYNE Cockayne syndrome
FACIES
11. ELFIN FACIES  Williams syndrome Sunken nasal bridge, puffiness
around eyes, epicanthal fold, blue
(Elf like) 
starry eyes, long upper lip length,
small and widely spaced teeth,
small chin.
12. FLAT FACIES  Down syndrome (Also, MONGOLOID
FACIES )
Flat appearing face, small head, flat
bridge of the nose, smaller than
normal, low-set nose, small mouth
which causes the tongue to stick out
and to appear overly large, upward
slanting eyes, epicanthal fold,
rounded cheeks, small misshapen
ears.
13. FROG FACE Intranasal disease
14. GARGOYLE Hurler's syndrome Head is large and dolichocephalic,
FACIES  with frontal bossing and prominent
sagittal and metopic sutures, with
(Carved out like)
mid-face hypoplasia, depressed
nasal bridge, flared nares, and a
 prominent lower 1⁄3 of face,
thickened facies, widely spaced
teeth and attenuated dental enamel,
gingival hyperplasia.
15. GORILLA-LIKE Acromegaly (Also, ACROMEGALIC
FACE  FACIES)
16. HATCHET Myotonia atrophica (Myotonia atrophica or Myotonic
FACIES dystrophy-both are same)

(Axe like) (Also, MYOTONIC FACIES)

They have a tented, open mouth,

elongated face and blunt affect.
This appearance often results from
the re-shaping of facial bones in
childhood and adolescence due to
the progressive pulling and wasting
of affected muscles.
17. HEPATIC FACIES Chronic liver disease
18. HIPPOCRATIC  Close to death after
FACE OR severe and prolonged
CACHECTIC illness like malignancy
FACIES  Genereralised
Peritonitis
19. LEONINE  Lepromatous leprosy Peculiar, deeply furrowed, lion like
FACIES  Paget disease of bone appearance of the face.
 Craniometaphyseal
(Lion like)
dysplasia
20. MARFANOID  Marfan's syndrome
FACIES 
21. MARSHALL  Hydrocephalus
HALLS FACIES 
22. MASK LIKE  Parkinsonism (Also, PARKINSONIAN
 FACIES FACIES)
Mask-like, tremor of head, absence
of blinking, dribbling of saliva,
weakness of upward gaze, vacant
look, seborrhoea and sweatiness.
23. MITRAL  Mitral stenosis Rosy, flushed cheeks and dilated
FACIES  capillaries.
24. MONKEY  Marasmus
FACIES 
25. MONGOLOID Down syndrome (Also, FLAT FACIES)
FACIES 
26. MOON FACE Cushing's syndrome (Also - PLETHORIC FACIES,

CUSHINGOID FACIES)
A rounded face with a double chin,
prominent flushed cheeks, and fat
deposits in the temporal fossa and
cheeks.
27. MOUSE  Chronic kidney failure
FACIES 
28. MYOTONIC  Myotonic dystrophy (Also, HATCHET FACIES)
FACIES 
29. PLETHORIC  Cushing's syndrome
FACIES   Polycythemia vera
30. RICKETIC Rickets
FACIES
31. POTTER  Oligohydramnios
FACIES 
32. SNARLING Myasthenia gravis (Also, MYASTHANIC FACIES)
FACIES Drooping of the eyelids and corners
of the mouth and weakness of the
facial muscles.
33. THYROTOXIC Grave’s disease Alert, startled, flushed and anxious
 FACIES  appearance. Protrusion of of one or
both eyes (exopthamlos) associated
with retraction of the upper eyelids
(lid lag) which results in the
exposure of white conjunctiva
above the cornea (Von-Graef’s
sign).
34.  TORPID  Myxoedema Skin generally thickened, alopecia,
FACIES periorbital oedema, xanthelasma,
coolness and dryness of skin and
(Not active)
hair, thinning of scalp hair, tongue
swelling.
35. UREMIC Uremia
FACIES