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Epicanthal folds

Contents of this page:

Illustrations

The face
The face
Epicanthal fold
Epicanthal fold
Epicanthal folds
Epicanthal folds

Alternative Names    Return to top

Plica palpebronasalis

Definition    Return to top

An epicanthal fold is skin of the upper eyelid -- from the nose to the inner side of the eyebrow -- that covers the inner corner (canthus) of the eye.

Considerations    Return to top

The presence of an epicanthal fold is normal in people of Asiatic descent. An epicanthal fold is also common in children with Down syndrome. Epicanthal folds may also be seen in young children of any race before the bridge of the nose begins to elevate.

Causes    Return to top

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:

Home Care    Return to top

There is usually no home care needed.

When to Contact a Medical Professional    Return to top

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    Return to top

The health care provider will obtain a medical history and will perform a physical examination.

Medical history questions documenting epicanthal folds in detail may include the following:

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.

Update Date: 3/14/2009

Updated 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.

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