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Epicanthal folds


An epicanthal fold is skin of the upper eyelid that covers the inner corner of the eye. The fold runs from nose to the inner side of the eyebrow.

Alternative Names

Plica palpebronasalis


Epicanthal folds may be normal for people of Asiatic descent and some non-Asian infants. Epicanthal folds also may be seen in young children of any race before the bridge of the nose begins to rise.

However, the may also be due to certain medical conditions, including:

Home Care

In most cases, no home care needed.

When to Contact a Medical Professional

This trait is most often found before or during the first well-baby exam. Call your health care provider if you notice epicanthal folds on your child's eyes and the reason for their presence is unknown.

The provider will examine the child and ask questions about the medical history and symptoms. Questions may include:

  • Do any family members have Down syndrome or other genetic disorder?
  • Is there a family history of intellectual disability or birth defects?

A child who is not Asian and is born with epicanthal folds may be examined for additional signs of Down syndrome or other genetic disorders.


Olitsky SE, Hug D, Plummer LS, Stass-Isern M. Abnormalities of the lids. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 616.

Review Date: 2/5/2015
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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