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    Epicanthal folds

    Plica palpebronasalis

    An epicanthal fold is skin of the upper eyelid that covers the inner cornerof the eye. The fold runs from nose to the inner side of the eyebrow.

    Considerations

    An epicanthal fold is normal in people of Asian descent.

    An epicanthal fold is also common in children with Down syndrome.

    Epicanthal folds may be seen in young children of any race before the bridge of the nose begins to rise.

    Causes

    Epicanthal folds may be normal for people of Asiatic descent and some non-Asian infants. However, it may also be due to certain medical conditions, including:

    • Down syndrome
    • Fetal alcohol syndrome
    • Turner syndrome
    • Phenylketonuria (PKU)
    • Williams syndrome
    • Noonan syndrome
    • Rubinstein-Taybi syndrome
    • Blepharophimosis syndrome

    Home Care

    There is usually no home care needed.

    When to Contact a Medical Professional

    This trait is usually found before or during the first well-baby exam. Call your health care provider if you notice epicanthal folds on your child's eyes and the reason for their presence is unknown.

    What to Expect at Your Office Visit

    The doctor or nurse will examine the patient and ask questions about the medical history and symptoms. Questions may include:

    • Do any family members have Down syndrome or other genetic disorder?
    • Isthere a family history of intellectual disability or birth defects?

    A child who is not Asian and is born with epicanthal folds may be examined for additional signs of Down syndrome or other genetic disorders.

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    • Epicanthal fold

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      Self Care

        Tests for Epicanthal folds

          Review Date: 2/21/2013

          Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.

          The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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          St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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