GEORGE G. RHOADS, M.D., F.A.C.P.; KATSUHIKO YANO, M.D.
To the editor: The accumulating evidence linking coronary heart disease to a crease in the ear lobe was recently summarized and updated by Lichstein and co-authors (1). Certain limitations of the data should be emphasized. For instance, there is room for substantial disagreement in the diagnosis of ear-lobe crease. In our experience, more than 80% of middle-aged and older men have visible wrinkles across the ear lobe, and in borderline cases it is a matter of judgment as to whether these are deep and long enough to be considered a crease. That this judgment is variable is suggested by comparison
RHOADS GG, YANO K. Ear-Lobe Crease and Coronary-Artery Heart Disease. Ann Intern Med. 1977;87:245. doi: 10.7326/0003-4819-87-2-245_1
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Published: Ann Intern Med. 1977;87(2):245.
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