This is identified as a carte-de-visite from the 1860s.
Her facial appearance is made a bit more bizarre by the contrast created by the ruffed cap. I wonder what caused the extreme coarsening of her features. Myxedema? Acromegaly? A dermatological disorder? Any clinicians care to offer thoughts? At the source it's assumed to be normal old age.
Source: kmodil's Flickr photostream, via Historical Indulgences.
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