Frank’s sign: silent predictor of coronary artery disease

Chetan Rathi, Sourya Acharya, Bhavik Dhirawani

Abstract


A 60 year old non hypertensive, non diabetic male presented in casualty with complaints of exertional breathlessness of 2 days duration. ECG and cardiac enzymes were within normal limit. General physical examination was normal except for the finding of bilateral ear lobe creases (Figure 1 & 2). With the possibility of angina equivalent patient was posted for coronary angiography which revealed total occlusion of left anterior descending artery and right coronary artery, 80% obtuse marginal and 70% left circumflex artery. LVEF was 25% and patient was advised for high risk CABG. Creased earlobes (Frank’s sign) were alleged to be associated with an increased risk of coronary artery disease.

Keywords


Frank’s sign, Coronary artery disease

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References


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