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Diagnostic Pointers in Cardiology - Face

Author: Dr. Subrahmanyam Karuturi, MD

Diagnostic PointersDiagnosisAssociated Cardiac Diagnosis
Saddle shaped noseRelapsing PolychondritisAortic Aneurysms
Flushed cheeks and cyanotic lipsAcrocyanosisMitral Stenosis
GargoylismHurler's SyndromeMitral and/or Aortic disease
Diagonal earlobe creaseFrank sign or earlobe signCoronary Artery Disease
Paroxysmal flushing of face and neckCarcinoid SyndromePulmonic Stenosis, Tricuspid Stenosis/Regurgitation
Tightening of skin and mouth, hyperpigmentation/hypopigmentation, telangiectasiasSystemic SclerosisPulmonary Hypertension, Pericarditis, Myocarditis
Short palpebral fissures, hypoplastic mandible, small upper lipFetal Alcohol SyndromeASD or VSD
Drooping eyelids, receding hairline, bilateral cataracts, expressionless faceMyotonic DystrophyConduction Disorders, Mitral Valve Prolapse
MacroglossiaAmyloidosisRestrictive Cardiomyopathy, Congestive Heart Failure
Loss of lateral eyebrows, dry and brittle hair, puffy eyelids, apathetic face, protruding tongue, thick skinMyxedemaPericardial Disease, Coronary Artery Disease
Protruding tongue, epicanthic fold, small ears, short nose, flat bridgeDown SyndromeEndocardial Cushion Defects
Unilateral lower facial weakness of infants, often noticeable only during cryingCardiofacial SyndromeCongenital Heart Disease usually VSD
Premature agingWerner's Syndrome/ProgeriaPremature Coronary Artery and Systemic Atherosclerotic Disease
Elfin face - small chin, malformed teeth, wide-set eyes, baggy cheeks, patulous lips, blunt and upturned noseWilliam's SyndromePulmonary Stenosis, Supravalvular Aortic Stenosis
Round and chubby face Congenital Valvular Pulmonic Stenosis
Webbed neck, low set ears, pigmented moles, hypertelorismTurner's SyndromeHypoplastic left heart , Coarctation of the Aorta, Bicuspid Aortic Valve, Aortic Dissection, Hypertension
Pulsatility of earlobes Tricuspid Regurgitation
Head bobbingDe Musset's SignAortic Regurgitation


Diagnostic Pointers in Cardiology

Diagnostic Pointers in Cardiology - Face Diagnostic Pointers in Cardiology - Extremities
Diagnostic Pointers in Cardiology - Eyes Diagnostic Pointers in Cardiology - Body Appearance
Diagnostic Pointers in Cardiology - Skin Diagnostic Pointers in Cardiology - Gestures
Diagnostic Pointers in Cardiology - Thorax Diagnostic Pointers in Cardiology - Gait
Diagnostic Pointers in Cardiology - Abdomen Back to Cardiac Physical Diagnosis Index