This father-of-three is unrecognisable after a mystery disease, originally diagnosed as sinusitis, caused his face to swell to three times its size.
Romulo Pilapil, 56, was given medication for sinusitis after being struck with itchy eyes and a red nose, like a cold, around three years ago in Ormoc City, the Philippines where he lives with his family.
Since then, Romulo has also gradually lost his eyesight due to the swelling, which has forced him to stop working as a carpenter and is taken care of by his three children while his wife works at the city hall.
The father's nephew commented that: "The doctors asked him to transfer to a bigger hospital in Manila where they could treat him, but the family could not afford to do this. Since then he hasn't had any treatment.''