Differential diagnosis of cachexia face

  1, acute face: flushed face, happy and restless, painful expression, is the performance of acute fever, such as lobar pneumonia, malaria, etc.  2, bitter smile face: tetanus is a neurological syndrome caused by Clostridium tetani toxin. Patients with local or generalized muscle paroxysmal or tonic spasms, because the face and neck muscles are often involved, the teeth closed and bitter smile face as the characteristic performance.  3, scarlet fever face: the human face, not only the stage for the performance of the seven emotions, is also a window to reflect the internal diseases. The actual fact is that it’s not only a good idea to check out the face, but it’s also an important and easy way to discover the disease early. Scarlet fever face: the face is congested and flushed, and the skin tone around the mouth and nose is obviously pale.  4. Chronic facial features: the face is gray or pale, emaciated, and dull-eyed. Commonly seen in chronic wasting diseases, such as liver cirrhosis, malignant tumors, severe tuberculosis, etc.  5, measles face: both eyes slightly red and afraid of light, increased secretions in the eyes, nasal obstruction, accompanied by fever and cough, etc.  6.Anemic face: pale and dull face, pale eyelids, lips and tongue, tired and weak expression.  7, dementia face: large head and short neck, small eye fissures, deep and wide flat nose, nasal hypertrophy, large and wide tongue and often sticking out of the mouth, common in patients with cretinism.  8, typhoid face: indifferent expression, unresponsive, inactive state. Mostly suffering from intestinal typhoid, encephalitis, cerebrospinal meningitis and other high fever debilitated patient’s face.  9, mucinous edema face: hypothyroidism in the adult phase of the characteristic face. Chinese medicine considers it to be a deficiency of spleen qi and kidney yang; Western medicine considers it to be mostly seen in hypothyroidism. This face can also be seen in desmoidosis and hypopituitarism.  10, mask face: facial expression dull, as if wearing a mask, commonly seen in patients with encephalitis, tremor palsy.  11, liver disease face: gray face, cheeks thinning, nose forehead and cheeks with brown pigmentation.  12, acromegaly face: head enlargement, facial lengthening, large and forward protruding jaw, two bone bulge, ear and nose enlargement, lip and tongue thickening, common in patients with pituitary tumors.  13, hemifacial spasm face: paroxysmal irregular twitching of the hemifacial muscles, sometimes only manifesting as all-seeing spasm or corner of the mouth twitching, common in patients with facial nerve palsy sequelae and trigeminal neuralgia, central nervous disorder.  14, hyperthyroidism face: facial muscle wasting, protruding eyes, shining eyes with frightened expression, enlarged eye fissures and less blinking, accompanied by happy and restless, irritable performance is common in patients with protrusive hyperthyroidism. The expression is a startled face, easily stimulated by various very small external sounds and showing a very frightened appearance; bulging eyes, similar to goldfish eyes; excitement and restlessness, irritability and irritability. This is a typical manifestation of abnormal hyperthyroidism.