4 doctors weighed in:
Does epicanthal folds always mean down syndrome?
4 doctors weighed in

Dr. Gregory Mosolf
Pediatrics
2 doctors agree
In brief: No
Epicanthal folds can also be seen in asians, russians, and other races/cultures.
In down syndrome there are other features such as hypotonia, wide space between 1st and 2nd toe. There is a 50% chance of heart defects as well. The palpebral fissues (the eyelid opening) slants upward. The 5th finger is often short and curves inward. There are many other features with down syndrome.

In brief: No
Epicanthal folds can also be seen in asians, russians, and other races/cultures.
In down syndrome there are other features such as hypotonia, wide space between 1st and 2nd toe. There is a 50% chance of heart defects as well. The palpebral fissues (the eyelid opening) slants upward. The 5th finger is often short and curves inward. There are many other features with down syndrome.
Dr. Gregory Mosolf
Dr. Gregory Mosolf
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Dr. James Ferguson
Pediatrics
In brief: No
They are occasionally seen in normal people of many ethnic backgrounds.

In brief: No
They are occasionally seen in normal people of many ethnic backgrounds.
Dr. James Ferguson
Dr. James Ferguson
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