Earlobe creases

• Considerations

  The earlobes of children and young adults are normally smooth. Creases are sometimes associated with rare syndromes that are passed down through families.

  Some studies have found that people with earlobe creases have a greater risk for heart attack than others. More recent research suggests that earlobe creases are more common in older people, and that age, not the presence of creases, accounts for the increased heart attack risk.

  Other genetic factors such as race and earlobe shape may also determine who develops earlobe creasing and whether it occurs in childhood or adulthood.

  Note: Having one small abnormality in facial features, such as an earlobe crease, is not uncommon, and is usually not associated with a serious medical condition.

• Common Causes

  In children, earlobe creases are sometimes associated with rare disorders, including Beckwith-Wiedemann syndrome.

• Call your health care provider if

  This finding is usually discovered on a well-child examination. If you notice that your child has earlobe creases and are concerned that they may be linked with an inherited disorder, see your pediatrician.

• What to expect at your health care provider's office

  The health care provider will obtain your child's medical history. Medical history questions may include:

  • When did you first notice the earlobe creases?
  • What other symptoms or abnormalities have you also noticed?

  A physical examination will be performed to determine if there are abnormalities present that may indicate the presence of a rare disorder.

  If other symptoms or abnormalities are noted, diagnostic tests may be ordered. The specific test will depend on the disorder that is suspected

Review Date: 11/30/2008

Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.