Bloodfang Hood (tier 2)

This is part of the Bloodfang Armor set, the raid Tier 2 armor set for Rogues.

Source
Prior to the release of patch 3.2.2, this item dropped from the level 60 version of Onyxia. It has since been moved to Nefarian in Blackwing Lair, along with the rest of the tier 2 helms.