Once met a female patient in the hospital, the appearance is relatively "wild": thick eyebrows, wide nose, thick lips, protruding long chin... If you don't look closely, you think it's a man with long hair.
Unexpectedly, this young lady turned out the previous photos, but the people around her were surprised: on the photo, it was clear that it was a woman with clear eyebrows, which was very different from her current appearance!
She said that in the past year, without knowing why, she found herself "getting uglier the longer." Not only did the facial features and skin become rough, the hands and feet were hypertrophied, and the original regular menstruation did not come.
At first, I looked at the gynecology, and as a result, I did a bunch of uterine attachment B ultrasound examinations, but I couldn't find any problems.
At this time, a doctor had a flash of inspiration, remembering that a female patient with a pituitary prolactin adenoma had previously suggested that she go to the neurosurgery department.
Sure enough, as soon as she entered the door, the neurosurgeon felt that her "face" was very familiar!
Source: Clinical Endocrine Atlas: Neuroendocrine and Pituitary Disorders[1]
After performing pituitary MR and growth hormone tests, she was eventually diagnosed with a pituitary growth hormone adenoma. Yes, the tumor grows in the brain and requires minimally invasive nasal surgery.
When she returned to the hospital for re-examination 3 months after the operation, her menstruation was normal and her appearance returned to her former appearance.
Speaking of which, many people may not be able to resist looking for a mirror to take a look. Is getting older and uglier really related to disease? It turns out that doctors will also look at "faces"?!
Today, we will reveal a secret that only doctors know: Just by looking at the face, what are the potential disease signals of the body?
The typical symptoms of allergic rhinitis are nasal congestion, runny nose, and sneezing, which everyone on this earth knows.
But allergic rhinitis also has several hidden facial changes, and it begins as a child!
Allergic dark circles
Due to the swelling and compression of the turbinates, the venous return of the lower eyelid is not smooth, and the blood vessels are bruised and dilated. The edema under the orbit is blackened, as if there are no dark circles of sleep.
Eye lines
This is a manifestation of allergic dermatitis in children, medically known as dennie-morgan line. Because allergic rhinitis is often accompanied by allergic conjunctivitis, the eyes will rub the eyes as soon as they itch, and poor blood circulation leads to continuous edema of the lower eyelid muscles and skin, causing more skin lines on the skin of the lower eyelid (especially the eyelids located under the eyelashes).
Source: Tencent Medical Dictionary Medical Illustration
Convex mouth
People with long-term nasal congestion will involuntarily open their mouths to breathe and snore at night, and in the long run, there will be a special face - hard palate arch, uneven dentition, protruding upper incisors, thick lips, and lack of expression (picture below).
Special Reminder:
If you or your baby has the above symptoms, don't hesitate to go to the OTS for treatment!
After all, anything else can be tolerated, but it is absolutely intolerable to affect the appearance of such a thing!
The story is even more interesting, a male patient complained to the doctor: "Doctor, how do I feel that I am getting more and more 'stupid'?" I'm so scared of the cold right now that I want to sleep all day and don't want to do anything. ”
When the doctor looked, the patient's face was dull and his eyes were sluggish - was it not a symptom of hypothyroidism?
Source: https://hypothyroidmom.com/my-daughters-congenital-hypothyroidism-saved-my-life
When asked about the medical history, it turned out that the patient had hyperthyroidism more than 10 years ago and underwent radioactive iodine therapy, but after it was better, he did not review it and did not insist on taking thyroxine.
The doctor asked the patient to check the blood, and sure enough, it was hypothyroidism! After thyroxine treatment and regular re-examinations, he finally regained his energetic appearance.
In thyroid diseases, hypothyroidism and hyperthyroidism can be described as a pair of inseparable "wrongdoers". If there is a slight imbalance of thyroid hormones, it will become the "opposite" of itself, and the symptoms will be diametrically opposed.
hyperthyroidism
Herniation of the eyeballs (scientific name Grave eye disease), hyperemia of the eyes, panic, fear of heat, irritability, appetite eat more, but more and more emaciated (because of fast metabolism).
Hypothyroidism
Sluggish eyes, listlessness, cold intolerance, slow heartbeat, thinning hair, no appetite, and hypogility (because of slow metabolism).
If you suspect that you have the above symptoms of hypothyroidism or hyperthyroidism, or if you find that your thyroid function is abnormal during the physical examination, you must go to the endocrinologist.
Many hyperthyroid patients will have symptoms of hypothyroidism after radioactive iodine treatment, and must adhere to the doctor's instructions to take medication and review it regularly!
There is a type of girl who is not very sensitive to the cycle of the great aunt. I only came once every two months or even half a year, and I was still complacent: my aunt came less than once, how much trouble I could save, it was really good!
Who knows that over time, the girl's lips have grown a "mustache", acne on the face, and the figure has gradually become fat - it is simply a "female man".
Menstrual irregularities originally have such serious consequences? The girl was frightened, and quickly went to the gynecological examination, the sex hormones were high in six androgens, and the diagnosis was polycystic ovary syndrome.
The name sounds a bit scary, but it's actually too high androgens, the ovaries don't ovulate, and multiple ovarian cysts have formed.
Source: Tencent Medical Dictionary Medical Illustration
Yes, the consequences of this disease are the same as the pituitary tumor mentioned earlier: long-term failure to come to the great aunt (non-ovulation), and finally may be infertile!
21 to 35 days is a normal menstrual cycle, and a difference of 5 to 10 days before and after each time is normal.
However, if the menstrual cycle is often too short or too long, do not think about "self-conditioning", you must go to the gynecology department of a regular hospital.
If you are diagnosed with POLYCYS, your doctor may prescribe you short-acting contraceptives (estrogen-progesterone therapy), which many girls are resistant to, but this is currently a conventional and effective drug therapy. Fairies must follow the doctor's instructions to take medicine, exercise well, and lose weight!
Dr. Ren Shan, a hepatologist at Beijing You'an Hospital, said that she once met a girl with purple hair who came to see her. Such a beautiful girl,
The skin is sallow and rough, and even the whites of the eyes are yellow!
Dr. Ren immediately guessed seven or eight points: this is jaundice caused by abnormal liver function!
When asked about the medical history, the girl has long-term hair coloring, and the ingredient of the hair dye is hepatotoxic.
The reason why liver disease will make the skin yellow is because liver function damage affects pigment metabolism, bilirubin and other pigments in the skin and sclera deposition, medically known as "jaundice".
If you have hepatitis B or carry hepatitis B virus, have symptoms of yellow eyes and yellow skin, or find abnormal liver function (transaminases, etc.) during the physical examination, it is recommended to go to the hepatology department.
It takes only 3 steps from hepatitis B to cirrhosis and liver cancer. Whether you are a big three yang, a small three yang, or a carrier, you should have regular liver function, hepatitis B virus DNA and abdominal ultrasound.
Patients with kidney disease, in one word, are described as " swollen".
Due to the impairment of renal function, resulting in water and sodium retention, patients with kidney disease will have obvious eyelid and facial puffiness (here the brain supplement Su Daqiang ... ）
Not only the face, but also the whole body and lower limbs may swell up, and once you press the skin, it will sink a piece, unlike normal people's skin, which can bounce back.
Source: Stand Cool Helo
In the final stage of renal failure and uremia, due to the decrease in the secretion of erythropoietin by the kidneys, there will be severe anemia and pale face.
Kidney disease has a title called "invisible killer", at first the symptoms are very hidden, some people will appear "foam urine" - urine like beer bubbles, but many people do not pay attention.
During the physical examination, we should pay attention to the urine routine and kidney function test. If urinary occlusive blood, urine protein, urine nitrogen and other items are not normal, go to the urology department as soon as possible. People who are often tired at work and stay up late should pay more attention.
Finally put an Easter egg - there is a doctor who is very talented, using WeChat emojis to summarize the "face" of various diseases, I believe you will have a deeper impression after reading it:
Of course, just looking at the "face" can not diagnose the disease, this article is just to give you a health reminder and reference.
If your body and appearance have changed drastically and unexpectedly from before, you must go to the hospital for treatment as soon as possible!
What other facial changes and signs of disease do you know? Welcome to share with us~
bibliography:
[1] Newman C. In Atlas of Clinical Endocrinology: Neuroendocrinology and Pituitary Disease. Edited by SG Korenman (series editor) and ME Molitch. Philadelphia, Current Medicine, 2000.
*The content of this article is a popularization of health knowledge and cannot be used as a specific diagnosis and treatment recommendation, nor is it a substitute for face-to-face consultation by a practicing physician, for reference only.
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