Diagonal Earlobe Creases, Type A Behavior and the Death of Emperor Hadrian

Overview

Journal West J Med

Specialty General Medicine

Date 1980 Jan 1

PMID 6990626

Citations 13

Authors

N L PETRAKIS

Affiliations

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Abstract

Classical writings suggest that the Roman emperor Hadrian died from congestive heart failure resulting from hypertension and coronary atherosclerosis. This diagnosis is supported by the identification of bilateral diagonal ear creases on sculptures of several busts of Hadrian as well as literary evidence of behavior pattern A.

Citing Articles

The prognostic value of deep earlobe creases in patients with acute ischemic stroke.

Xu J, Wang L, Zhang C, Wang J, Zheng D, Huang Y Front Cardiovasc Med. 2023; 10:1096044.

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Unified Anatomical Explanation of Diagonal Earlobe Creases, Preauricular Creases, and Paired Creases of the Helix.

Abrahim M Cureus. 2022; 14(8):e27929.

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Patients with Earlobe Crease May Associate with Lower Concentration of the Age-Suppressing Hormone Klotho.

Wang J, Zhu Z, Liu F, Liu C, Ou-Yang A, Chen W Int J Gen Med. 2021; 14:8797-8803.

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Frank's sign and paired ear creases of the helix : Current concepts of significance for morbidity.

Stoyanov G, Dzhenkov D, Petkova L, Velkova D, Sapundzhiev N, Ghenev P Wien Klin Wochenschr. 2021; 134(5-6):237-242.

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The Histological Basis of Frank's Sign.

Stoyanov G, Dzhenkov D, Petkova L, Sapundzhiev N, Georgiev S Head Neck Pathol. 2020; 15(2):402-407.

PMID: 32712879 PMC: 8134579. DOI: 10.1007/s12105-020-01205-4.

References

MASTER A, GELLER A . The extent of completely asymptomatic coronary artery disease. Am J Cardiol. 1969; 23(2):173-9. DOI: 10.1016/0002-9149(69)90064-2. View

FRANK S . Aural sign of coronary-artery disease. N Engl J Med. 1973; 289(6):327-8. DOI: 10.1056/nejm197308092890622. View

Lichstein E, Chadda K, Naik D, Gupta P . Diagonal ear-lobe crease: prevalence and implications as a coronary risk factor. N Engl J Med. 1974; 290(11):615-6. DOI: 10.1056/NEJM197403142901109. View

Rosenman R, Friedman M . Neurogenic factors in pathogenesis of coronary heart disease. Med Clin North Am. 1974; 58(2):269-79. DOI: 10.1016/s0025-7125(16)32158-7. View

Mehta J, HAMBY R . Letter: Diagonal ear-lobe crease as a coronary risk factor. N Engl J Med. 1974; 291(5):260. DOI: 10.1056/NEJM197408012910519. View

Christiansen J, Mathiesen B, Andersen A, Calberg H . Letter: Diagonal ear-lobe crease in coronary heart disease. N Engl J Med. 1975; 293(6):308-9. DOI: 10.1056/NEJM197508072930626. View

Sprague D . Diagonal ear-lobe crease as an indicator of operative risk. Anesthesiology. 1976; 45(3):362-4. DOI: 10.1097/00000542-197609000-00023. View

Lichtstein E, Chapman I, Gupta P, Chadda K, SMITH Jr H, Schwartz I . Letter: Diagonal ear-lobe crease and coronary artery sclerosis. Ann Intern Med. 1976; 85(3):337-8. DOI: 10.7326/0003-4819-85-3-337. View

Rhoads G, Klein K, Yano K, Preston H . The earlobe crease--sign of obesity in middle-aged Japanese men. Hawaii Med J. 1977; 36(3):74-7. View

10.

Doering C, Ruhsenberger C, Phillips D . Ear lobe creases and heart disease. J Am Geriatr Soc. 1977; 25(4):183-5. DOI: 10.1111/j.1532-5415.1977.tb00290.x. View

11.

Cohn P . Severe asymptomatic coronary artery disease: a diagnostic, prognostic and therapeutic puzzle. Am J Med. 1977; 62(4):565-8. DOI: 10.1016/0002-9343(77)90419-3. View

12.

Matthews K, Glass D, Rosenman R, BORTNER R . Competitive drive, pattern A, and coronary heart disease: a further analysis of some data from the Western Collaborative Group Study. J Chronic Dis. 1977; 30(8):489-98. DOI: 10.1016/0021-9681(77)90071-6. View

13.

HAINES S . Nonspecificity of ear-crease sign in coronary-artery disease. N Engl J Med. 1977; 297(21):1181. DOI: 10.1056/NEJM197711242972119. View

14.

Kaukola S . The diagonal ear-lobe crease, a physical sign associated with coronary heart disease. Acta Med Scand Suppl. 1978; 619:1-49. View