Renju Annie, Sivagnanaratnam Aravinth
Acute Medicine, Imperial College Healthcare NHS Trust, London, GBR.
Stroke Medicine, Northwick Park Hospital, London, GBR.
Cureus. 2025 Apr 6;17(4):e81812. doi: 10.7759/cureus.81812. eCollection 2025 Apr.
Frank's sign is a diagonal crease on the earlobe and has been linked to cardiovascular disease. This prospective observational study aimed to assess the association between Frank's sign and ischaemic strokes. Conducted over three months in a UK district general hospital, the study analysed data from 137 consecutive patients admitted to stroke and elderly care wards. Patient records included demographic and medical history data, and physical examinations identified the presence of Frank's sign. Statistical analysis using the chi-squared test demonstrated a significant association between ischaemic strokes and Frank's sign, even after excluding patients with pre-existing cardiovascular disease. These findings suggest Frank's sign could serve as a clinical predictor for ischaemic stroke. Recognizing this sign may help healthcare providers identify at-risk individuals and implement preventative strategies for managing stroke risk factors. Further research is needed to explore additional causes and refine its predictive value.
弗兰克征是耳垂上的一条斜向皱纹,与心血管疾病有关。这项前瞻性观察性研究旨在评估弗兰克征与缺血性中风之间的关联。该研究在英国一家地区综合医院进行了三个月,分析了连续入住中风和老年护理病房的137名患者的数据。患者记录包括人口统计学和病史数据,体格检查确定了弗兰克征的存在。使用卡方检验的统计分析表明,即使排除了已有心血管疾病的患者,缺血性中风与弗兰克征之间仍存在显著关联。这些发现表明弗兰克征可作为缺血性中风的临床预测指标。识别这一征象可能有助于医疗保健提供者识别高危个体,并实施管理中风风险因素的预防策略。需要进一步研究以探索其他原因并完善其预测价值。