Moon Facies

Moon Facies is a finding seen in Cushing’s syndrome. It causes fatty deposition in the bitemporal regions. Often when sitting at eye level with your patient the deposition will hide their ears from your view.
 

Patient 1:

This is a previously healthy young man who presented with rapid weight gain (license photo taken 9 months prior), and was ultimately diagnosed with Cushing’s syndrome from an ectopic source of ACTH. Despite imaging, the source was never located and the patient ultimately underwent bilateral adrenalectomy.

This patient also has a buffalo hump, abdominal striae, easy bruising, and thin skin.