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A simian crease is nothing to worry about.

A simian crease sounds slightly bizarre, but in reality it’s just a single crease across the palm of one’s hand. Usually people have three creases, but 1 out of 30 people have one. It’s also called a Single Transverse Palmer Crease.

simian crease

In people with Down syndrome, the chances of having one crease instead of three are greater—approximately 69% have the single crease on one or both palms.


There is nothing wrong with this characteristic, nor does it cause any problems.

It’s simply another variation of normal.

Maddie didn’t come with a single transverse palmer crease.

Her toes, however, have what I call a “sandal gap”. There is a wider than usual space between her 1st and 2nd toe. It’s actually pretty cute. Reminds me of a very tiny, very blonde Spock doing the Vulcan “V”, only with her toes!

Her feet are ready-made for flip-flops!

space between toes


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