this picture is speaking a 1000 words...so not much to say :hhh: but it's not mitral facies...instead he looks like a monk ;-)
Answer : Myotonic Dystrophy - type 1 Type 1 vs Type 2 The characteristic pattern of weakness is different for DM1 and DM2: In DM1, it is noted in face and jaw muscles, the drooping of the eyelids (ptosis), weakness of the neck muscles, hands and lower legs. In DM2, the weakness is more evident in proximal muscles, those closer to the trunk of the body: neck, shoulders, hip flexors and upper legs. ref - wiki