Sunday, 29 January 2012

Leonine facies

Examples of diseases that may lead to a leonine facies (plural also facies)
  1. Carcinoid syndrome
  2. Chronic actinic dermatitis/actinic reticuloid
  3. Focal facial dermal dysplasia
  4. KID syndrome (keratitis, ichthyosis, deafness)
  5. Leishmaniasis
  6. Lepromatous leprosy
  7. Lipoid proteinosis
  8. Lymphoma, leukaemia
  9. Mycosis fungoides
  10. Multicentric reticulohistiocytosis
  11. Multiple keratoacanthoma syndrome
  12. Pachydermoperiostosis/cutis verticis gyrata
  13. Paget's disease of bone (the patient may first complain that hats no longer fit properly due to cranial enlargement)
  14. Progressive nodular histiocytosis
  15. Pseudophotodermatitis (when chronic, airborne pattern of allergic contact dermatitis induced by Compositae plants)
  16. Rosacea
  17. Sarcoidosis
  18. Scleromyxoedema
  19. Systemic mastocytosis


Primary pachydermoperiostosis








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Main Works of Reference List (The first eight are my top favourites)

  • British National Formulary
  • British National Formulary for Children
  • Guidelines (BAD - BASHH - BHIVA - Uroweb)
  • Oxford Handbook of Genitourinary Medicine, HIV, and Sexual Health
  • Oxford Handbook of Medical Dermatology
  • Rook's Textbook of Dermatology
  • Simple Skin Surgery
  • Weedon's Skin Pathology
  • A Concise Atlas of Dermatopathology (P Mckee)
  • Ackerman's Resolving Quandaries in Dermatology, Pathology and Dermatopathology
  • Andrews' Diseases of the Skin
  • Andrology (Nieschlag E FRCP, Behre M and Nieschlag S)
  • Bailey and Love's Short Practice of Surgery
  • Davidson's Essentials of Medicine
  • Davidson's Principles and Practice of Medicine
  • Fitzpatrick's Colour Atlas and Synopsis of Clinical Dermatology (Klaus Wolff FRCP and Richard Allen Johnson)
  • Fitzpatrick’s Dermatology in General Medicine
  • Ganong's Review of Medical Physiology
  • Gray's Anatomy
  • Hamilton Bailey's Demonstrations of Physical Signs in Clinical Surgery
  • Hutchison's Clinical Methods
  • Lever's Histopathology of the Skin
  • Lever's Histopathology of the Skin (Atlas and Synopsis)
  • Macleod's Clinical Examination
  • Martindale: The Complete Drug Reference
  • Oxford Handbook of Clinical Examination and Practical Skills
  • Oxford Textbook of Medicine
  • Practical Dermatopathology (R Rapini)
  • Sexually Transmitted Diseases (Holmes K et al)
  • Statistics in Clinical Practice (D Coggon FRCP)
  • Stockley's Drug Interactions
  • Treatment of Skin Disease: Comprehensive Therapeutic Strategies
  • Yen & Jaffe's Reproductive Endocrinology