Leonine facies
Leonine facies: a face that resembles that of a lion. It is seen in multiple conditions and has been classically described for Lepromatous leprosy as well as Paget's disease of bone. It is a dermatological symptom, with characteristic facial features that are visible on presentation and is useful for focusing on differential diagnosis.
Associated conditions
Differential diagnoses include the following:
- Lepromatous leprosy [1]
- Paget's disease of bone
- Mycosis fungoides
- Polyostotic fibrous dysplasia
- Amyloidosis
- Lichen myxedematosus [2]
- Actinic reticuloid
- Cutaneous T cell lymphoma
- Leishmaniasis
- Lipoid proteinosis
- Progressive nodular histiocytosis
- Mastocytosis
- Hyperimmunoglobulin E syndrome AKA Job's syndrome