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What Causes Epicanthal Folds In A Child?

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Posted on Mon, 5 Dec 2016
Question: My son was born 9-17/15 with epicanthel folds. He is developmental on track for everything but I fear this is a deformity due to drinking wine while pregnant. I read that you could view a photo and see if he has FAS?
doctor
Answered by Dr. Diptanshu Das (24 minutes later)
Brief Answer:
Can be due to fetal alcohol syndrome

Detailed Answer:
Thanks for asking on HealthcareMagic.

Epicanthic folds are found in about 60% of individuals with Down syndrome and is also fetal alcohol syndrome. Fetal alcohol syndrome can be associated with a number of developmental changes. Your drinking during pregnancy could have a role to play but it is hard to comment merely by looking at a photograph. It would call for a clinical coordination. I would insist you to get an echocardiogram done to rule out congenital heart disease. If not present, all you need to do is to keep reviewing the developmental milestones from time to time.

Nothing else needs to be done.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (1 hour later)
He was in the NICU after birth due to the cord around his neck causing Meconium aspiration. At that time they noted a small heart murmur. Sometime after discharge they advised me to follow up with a cardiologist to do an Echo. They only thing the cardiologist noted was the murmur that he felt would close on its own in time. Would he have been able to detect the congenital abnormalities you suggested could be present ? I would believe so?
doctor
Answered by Dr. Diptanshu Das (4 minutes later)
Brief Answer:
No need to panic

Detailed Answer:
Thanks for writing back.

A follow up echocardiogram needs to be done after6 months. Nothing else needs to be done. if there are anomalies, they would not go unnoticed or without any manifestation.

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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What Causes Epicanthal Folds In A Child?

Brief Answer: Can be due to fetal alcohol syndrome Detailed Answer: Thanks for asking on HealthcareMagic. Epicanthic folds are found in about 60% of individuals with Down syndrome and is also fetal alcohol syndrome. Fetal alcohol syndrome can be associated with a number of developmental changes. Your drinking during pregnancy could have a role to play but it is hard to comment merely by looking at a photograph. It would call for a clinical coordination. I would insist you to get an echocardiogram done to rule out congenital heart disease. If not present, all you need to do is to keep reviewing the developmental milestones from time to time. Nothing else needs to be done. Let me know if I could help further. Regards