leonine facies

Leonine Facies

A deeply furrowed ‘lumpy’ face with prominent superciliary arches, classically seen in lepromatous leprosy
DiffDx Hyperimmunoglobulin E syndrome, chronic granulomatous disease, van Buchem’s disease, leontiasis ossium—idiopathic leonine facies; features due to overgrowth of bones, as in Paget’s disease or McCune-Albright syndrome, polyostotic fibrous dysplasia or soft tissue, as in hypothyroidism with myxoedema of periorbital tissues, epidermoid carcinoma, Sézary syndrome, which is characterised by generalized exfoliative dermatitis, oedema, erythema, pachydermia, palmoplantar keratoderma

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facies [fa´she-ēz] (pl. fa´cies) (L.)

1. face.

2. a specific surface of a body structure, part, or organ.

3. the expression or appearance of the face.

adenoid facies the dull expression with open mouth, in children with hypertrophy of the pharyngeal tonsils (adenoids).

facies hepa´tica a thin face with sunken eyeballs, sallow complexion, and yellow conjunctivae, characteristic of certain chronic liver disorders.

facies hippocra´tica a drawn, pinched, and livid appearance indicative of approaching death.

leonine facies a peculiar, deeply furrowed, lionlike appearance of the face seen in certain cases of advanced lepromatous leprosy and in other diseases associated with facial edema.

Parkinson's facies (parkinsonian facies) a stolid masklike expression of the face, with infrequent blinking, which is pathognomonic of parkinson's disease.

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leonine facies

Leontiasis A deeply furrowed 'lumpy' face with prominent superciliary arches, classically seen in lepromatous leprosy DiffDx Hyperimmunoglobulin E syndrome, chronic granulomatous disease, van Buchem's disease, leontiasis ossium–idiopathic leonine facies; features due to overgrowth of bones, as in Paget's disease or McCune-Albright syndrome, polyostotic fibrous dysplasia or soft tissue, as in hypothyroidism with myxedema of periorbital tissues, epidermoid carcinoma, Sézary syndrome, which is characterized by generalized exfoliative dermatitis, edema, erythema, pachydermia, palmoplantar keratoderma