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Sigara Bırakma Polikliniğine Başvuran Hastada Frank İşareti Gözlemlenmesi

Year 2025, Volume: 19 Issue: 2, 242 - 244, 09.06.2025
https://doi.org/10.21763/tjfmpc.1607307

Abstract

Sigara kardiyovasküler hastalık ve ateroskleroz riskini artırır. Frank işareti kulakta çapraz deri kıvrımıdır. Koroner ateroskleroz ile güçlü bir şekilde ilişkilendirilmiştir. Frank işareti tespiti kardiyovasküler hastalıklar açısından erkenden önlem almamıza yardımcı olabilir. Bu olgu sunumunda sigara bıraktırma polikliniğine başvuran 42 yaş kadın hastanın kendisinde ve ailesinde frank işareti bulunma durumu bildirilmiştir.

Ethical Statement

Hastadan vaka sunumu için yazılı onam formu alınmış ve metin içerisinde fotoğraflarının kullanımı için izin alınmıştır.

References

  • 1. World Health Organization (WHO). The top 10 causes of death [Internet]. 2018 [cited 2024 Nov 20]. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
  • 2. Türkiye Endokrinoloji ve Metabolizma Derneği – Obezite, Lipid Metabolizması, Hipertansiyon Çalışma Grubu. Dislipidemi tanı ve tedavi kılavuzu. 2021. Erişim Tarihi: 25.12.2024
  • 3. Yıldız Fındık Ü, Yıldızeli Topçu S, Üstündağ H ve ark. Cerrahi hastalarının hastanede sigara içme durumlarının belirlenmesi (*). İ.Ü.F.N. Hem. Derg. 2010;18(1):26–32.
  • 4. Frank ST. Aural sign of coronary-artery disease. N Eng J Med. 1973;289(6):327-28.
  • 5. Baboujian A, Bezwada P, Ayala-Rodriguez C. Diagonal earlobe crease, a marker of coronary artery disease: a case report on frank’s sign. Cureus. 2019;11(3):e4219.
  • 6. Griffing G. Frank’s sign. N Engl J Med. 2014;370(10).
  • 7. Stoyanov GS, Dzhenkov D, Petkova L, et al. The histological basis of frank’s sign. Head Neck Pathol. 2021 Jun 1;15(2):402–7.
  • 8. Abrahim M. Unified anatomical explanation of diagonal earlobe creases, preauricular creases, and paired creases of the helix. Cureus. 2022;14(8):e27929.
  • 9. Himmatrao Saluba B, Himmatraoc P, Pramodini Himmatrao B. A premonitory diagnostic sign of impeding ischemic heart disease. J Family Med Prim Care. 2018;7(6):1361–7.
  • 10. Fabijanic D, Culic V. Diagonal ear lobe crease and coronary artery disease. Am J Cardiol. 2012;110(9):1385–6.
  • 11. Johar N, Sunil MK, Taneja N, et al. Ear lobe crease: a marker of coronary heart disease. Medico-legal Update. 2021;21(3):35–8.
  • 12. Shmilovich H, Cheng VY, Rajani R, et al. Relation of diagonal ear lobe crease to the presence, extent, and severity of coronary artery disease determined by coronary computed tomography angiography. Am J Cardiol. 2012;109(9):1283–7.
  • 13. Bazoukis G, Papadatos SS, Varrias D, et al. The importance of inspection in clinical cardiology: frank’s sign. Clin Case Rep. 2022;10(7):e6150.
  • 14. Elawad OAMA, Albashir AAD. Frank’s sign: dermatological marker for coronary artery disease. Oxf Med Case Reports. 2021;9:omab089.
  • 15. Pacei F, Bersano A, Brigo F, et al. Diagonal earlobe crease (Frank’s sign) and increased risk of cerebrovascular diseases: review of the literature and implications for clinical practice. Neurol Sci. 2020;41(2):257–62.
  • 16. Liu Z, Qiu J, Xu J, et al. Ear crease features are associated with complexity of coronary lesions. Med Sci Monit. 2020;26:e923343-1–9.
  • 17. Christoffels VM, Pu WT. Developing insights into cardiac regeneration. Development. 2013;14(19):3933–7.

Observation of Frank’s Sign in a Patient Applied to The Smoking Cessation Clinic

Year 2025, Volume: 19 Issue: 2, 242 - 244, 09.06.2025
https://doi.org/10.21763/tjfmpc.1607307

Abstract

Smoking increases the risk of cardiovascular diseases and atherosclerosis. Frank's sign is a diagonal crease in the earlobe, strongly associated with coronary atherosclerosis. Detection of Frank's sign can help take early precautions regarding cardiovascular diseases. This case report presents a 42-year-old female patient who visited the smoking cessation clinic, reporting the presence of Frank's sign in herself and her family.

References

  • 1. World Health Organization (WHO). The top 10 causes of death [Internet]. 2018 [cited 2024 Nov 20]. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
  • 2. Türkiye Endokrinoloji ve Metabolizma Derneği – Obezite, Lipid Metabolizması, Hipertansiyon Çalışma Grubu. Dislipidemi tanı ve tedavi kılavuzu. 2021. Erişim Tarihi: 25.12.2024
  • 3. Yıldız Fındık Ü, Yıldızeli Topçu S, Üstündağ H ve ark. Cerrahi hastalarının hastanede sigara içme durumlarının belirlenmesi (*). İ.Ü.F.N. Hem. Derg. 2010;18(1):26–32.
  • 4. Frank ST. Aural sign of coronary-artery disease. N Eng J Med. 1973;289(6):327-28.
  • 5. Baboujian A, Bezwada P, Ayala-Rodriguez C. Diagonal earlobe crease, a marker of coronary artery disease: a case report on frank’s sign. Cureus. 2019;11(3):e4219.
  • 6. Griffing G. Frank’s sign. N Engl J Med. 2014;370(10).
  • 7. Stoyanov GS, Dzhenkov D, Petkova L, et al. The histological basis of frank’s sign. Head Neck Pathol. 2021 Jun 1;15(2):402–7.
  • 8. Abrahim M. Unified anatomical explanation of diagonal earlobe creases, preauricular creases, and paired creases of the helix. Cureus. 2022;14(8):e27929.
  • 9. Himmatrao Saluba B, Himmatraoc P, Pramodini Himmatrao B. A premonitory diagnostic sign of impeding ischemic heart disease. J Family Med Prim Care. 2018;7(6):1361–7.
  • 10. Fabijanic D, Culic V. Diagonal ear lobe crease and coronary artery disease. Am J Cardiol. 2012;110(9):1385–6.
  • 11. Johar N, Sunil MK, Taneja N, et al. Ear lobe crease: a marker of coronary heart disease. Medico-legal Update. 2021;21(3):35–8.
  • 12. Shmilovich H, Cheng VY, Rajani R, et al. Relation of diagonal ear lobe crease to the presence, extent, and severity of coronary artery disease determined by coronary computed tomography angiography. Am J Cardiol. 2012;109(9):1283–7.
  • 13. Bazoukis G, Papadatos SS, Varrias D, et al. The importance of inspection in clinical cardiology: frank’s sign. Clin Case Rep. 2022;10(7):e6150.
  • 14. Elawad OAMA, Albashir AAD. Frank’s sign: dermatological marker for coronary artery disease. Oxf Med Case Reports. 2021;9:omab089.
  • 15. Pacei F, Bersano A, Brigo F, et al. Diagonal earlobe crease (Frank’s sign) and increased risk of cerebrovascular diseases: review of the literature and implications for clinical practice. Neurol Sci. 2020;41(2):257–62.
  • 16. Liu Z, Qiu J, Xu J, et al. Ear crease features are associated with complexity of coronary lesions. Med Sci Monit. 2020;26:e923343-1–9.
  • 17. Christoffels VM, Pu WT. Developing insights into cardiac regeneration. Development. 2013;14(19):3933–7.
There are 17 citations in total.

Details

Primary Language Turkish
Subjects Family Medicine
Journal Section Case Report
Authors

Aynur Yıldırım 0000-0002-4120-5585

Submission Date December 25, 2024
Acceptance Date February 27, 2025
Early Pub Date May 30, 2025
Publication Date June 9, 2025
Published in Issue Year 2025 Volume: 19 Issue: 2

Cite

Vancouver Yıldırım A. Sigara Bırakma Polikliniğine Başvuran Hastada Frank İşareti Gözlemlenmesi. TJFMPC. 2025;19(2):242-4.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome. 


Turkish Journal of Family Medicine and Primary Care © 2024 by Academy of Family Medicine Association is licensed under CC BY-NC-ND 4.0