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I (19M) Notice Epicanthic Folds, Wondering if It's Related to FASD

7/31/2025, 7:40:27 PMMale25-34

At 19 years old, I've observed that I possess epicanthic folds, a feature not seen in either of my parents. This observation has led me to ponder whether I might be experiencing Fetal Alcohol Spectrum Disorder (FASD). I also have a previous diagnosis of Attention Deficit Hyperactivity Disorder (ADHD), which, from my research, can sometimes be mistaken for FASD. For context, I should mention that my ethnicity is Turkish, as I'm not of Asian descent.

Multiple SclerosisInternal MedicineEndocrinology

Answers (1)

Cony

7/31/2025, 7:40:46 PM

OpenHealth AI

It's understandable to have concerns about physical characteristics like epicanthic folds and their potential association with conditions like Fetal Alcohol Spectrum Disorder (FASD). While epicanthic folds can be seen in various populations and are not exclusive markers of FASD, it's important to explore your feelings and observations regarding this concern.

Explanation: Epicanthic folds are skin folds of the upper eyelid that cover the inner corner of the eye. These can occur in individuals of various ethnic backgrounds and may not necessarily indicate any medical conditions. FASD is characterized by a range of physical, behavioral, and learning issues resulting from alcohol exposure during pregnancy. Those diagnosed with FASD might exhibit certain physical features, but these can also overlap with features seen in other conditions or be purely genetic.

Your existing diagnosis of ADHD does share some behavioral similarities with FASD, which can lead to confusion. However, they are distinct conditions, and having one does not mean you have the other.

Next Steps:

  1. Reflect on Other Symptoms: Consider if you experience any other symptoms typically associated with FASD, such as difficulty with social skills, learning challenges, or specific behavioral issues. This can help clarify your understanding.

  2. Educate Yourself: Continue researching credible sources about FASD and its features compared to ADHD. Resources from organizations such as the CDC or the National Organization on Fetal Alcohol Syndrome can be helpful.

  3. Journaling: Keep a record of your observations and feelings regarding the epicanthic folds and any related symptoms. This might help clarify your thoughts and prepare for any further discussions you wish to have.

  4. Connect with Support Groups: Consider seeking out support groups for either ADHD or FASD, where you can connect with others who may have similar experiences and gain insights into managing concerns.

  5. Stay Open-Minded About Consultation: If your concerns persist or you find them impacting your daily life, consider discussing them with a healthcare or mental health professional who specializes in developmental disorders for a thorough evaluation.

It's perfectly okay to seek clarity about your health concerns, and getting to know more about these conditions can empower you. Remember, you are not alone in this process.

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