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The diagonal earlobe crease: a cutaneous manifestation of coronary artery disease

Cutis
|March 1, 1979
PubMed

Insights

A diagonal ear crease may indicate a higher risk of coronary heart disease. This skin finding, observed in patients with heart conditions, suggests it could be a useful indicator for identifying individuals at increased risk.

Area of Science:

  • Dermatology
  • Cardiology
  • Medical Diagnostics

Background:

  • Systemic diseases often manifest with cutaneous signs, attracting dermatological interest.
  • Previous studies suggest a correlation between earlobe creases and coronary heart disease (CHD).
  • Coronary angiography and postmortem data support a higher prevalence of ear creases in CHD patients.

Observation:

  • This report details seven patients diagnosed with coronary heart disease.
  • Five of these seven patients exhibited bilateral diagonal ear creases.
  • The presence of ear creases was noted as a potential skin marker.

Findings:

  • A significant association was observed between diagonal ear creases and coronary heart disease.
  • Bilateral diagonal ear creases were present in a majority of the studied CHD patients.
  • The ear crease appears to be a potential cutaneous manifestation of underlying CHD.

Implications:

  • The diagonal ear crease may serve as a simple, non-invasive cutaneous sign for identifying individuals at risk of CHD.
  • This finding could aid in early risk stratification for coronary heart disease.
  • Further research into cutaneous markers for systemic diseases like CHD is warranted.

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