Monday, August 25, 2008
I just got back from Hong Kong recently for a holiday.During a morning of breakfast, while I looked around I noticed this man who was sitting eating 'Tim Sum' and I am sure he has coronary artery disease.
There was obvious Frank's sign.
Frank's sign is a diagonal crease in the lobule of the auricle :
Grade 3 - a deep cleft across the whole earlobe
Grade 2a - crease more than halfway across the lobe
Grade 2b - crease across the lobe, but superficial
Grade 1 - lesser degree of wrinkling
Ear lobe creases are associated statistically with coronary artery disease in most of the population groups.
For those who are medical students, if you get a case of Ischaemic heart disease or IHD, please look for this in addition to xanthalesma and corneal arcus in your exam.
For MRCP PACES candidates, if you still have not heard of this, you have not read enough of An Aid to the MRCP PACES by R.E,J Ryder, M.A Mir & E.A Freeman. It is on page 14 Section B on the 3rd edition and if I remember correctly it is in the first few pages in the 2nd edition when I read it long time ago during my medical student days.