Multiple striae are present on the belly and in the upper thigh area. The nose is a bit bulbous and shows thickened skin, with some broken blood vessels. There is redness of the cheeks also. The patient wears glasses, but often looks at the examiner over the top rim. The left outer canthis is tearing and the cornea redden.
Tympanic membranes is intact.
Landmarks are well sean. The nose is somewhat bulbus. The tongue shows lookoplakic patches. Teeth are in good repear. Throat is reddene.