Ear Lobe Crease: A Marker of Coronary Heart Disease

Abstract

Aim and Objective- The clinical study was undertaken to evaluate the diagonal ear lobe crease (Frank
sign) as an indicator of Chronic heart disease (CHD). However, there are certain studies have not found any
correlation between Frank sign and CHD.
Material and Method -Total of 10 patients aged >40years were enrolled in this study with prior medical
history of heart disease. Patient with anatomical obliteration of ear excluded from the study. All the selected
patient was initially screened and findings were recorded in patient Performa. Date were recorded, tabulated
and analysed by using descriptive analysis for responses to each question.
Result- DELC is observed in 80% of subjects with heart disease. The most frequently bilateral DELC is
observe in 70% of subjects and without DELC in 20% of subjects. The mean age is within the range of 30-70
years. Unilateral and bilateral DELC was more among subject less than 50 years.
Conclusion- DELC is uncommon and has a prevalence of correlation with CHD as indicated in the present
study. It is suggested that DELC examination be recommended for detecting underlying heart disease.