Coarse facial features or "'coarse facies"' describes a constellation of facial features that are present in many inborn errors of metabolism.
Features include:
Heads tend to be longer than normal from front to back, with a bulging forehead. This is because of the earlier than normal or premature fusion of skull bones in an affected individual.
Causes
Several conditions are associated with coarse facial features.
References
Coarse facial features Wikipedia(Text) CC BY-SA