There is no reason to believe parents can do anything to cause or prevent Down syndrome in their child. Some individuals with Down syndrome have just one crease across their palm, called the transverse palmar crease. You can see that in the picture bellow, your left hand side between the front tooth and the canine tooth. In reality, children with Down Syndrome can learn in similar manners as other children, just with a little more push and assistance. Shaken by this latest news about the baby, I curled up in a ball, rocking back and forth, crying and worrying about how the world would treat a Filipina Japanese American girl with Down syndrome. What does ‘normal’ mean to you?”, The Secret Language of Chickens: How a family pet helped a boy communicate, Dangling Without a Diagnosis: Moving forward on an unclear path, Parenting in the Present: Why special needs aren't so special, Undercover Expertise: A mom on trusting her gut, It's Not a Catastrophe: Learning to cope, one year at a time, My Daughter's Superpower: A mother's diagnosis helps inform her daughter's, 'But She Looks So Normal': Reflections from a mom of an Asian American child who has Down syndrome. At the time, an individual would be diagnosed by noticing certain characteristic physical features. However, every aspect of the appearance does not need to be present as the phenotype, the way the genes make the child look, can be markedly different for each patient. Most people with Down syndrome fall within the mild to moderate range of intellectual disability, as indicated by scores on an IQ test (individuals with the mosaic form of Down syndrome typically score 10-30 points higher, which places many of them in the “normal” range of intelligence). By having fun, playing, and hanging out with a child with Down syndrome, you’re showing the world how they should treat children with special needs — with caring, kindness, and respect, like any other child. Ears: The ears in individuals with Down syndrome can be smaller and the tops may slightly fold over. When “KK,” as I’ll call her, was born, she had to stay in the hospital for nearly a week due to complications including jaundice and abnormal platelet counts. There have also been studies looking at whether the percentage of mosaicism can predict the baby’s IQ or whether there will be a heart defect. The following are ultrasound markers that are seen … His presence makes our life so filled with love and joy … My son also has autism and is extremely sensitive to heat and son but he has very few health issues…praise our powerful and wonderful god for giving us our precious and awesome little man. Down syndrome occurs in people of all races and economic levels, though older women have an increased chance of having a child with Down syndrome. 26 mos. Nose:The bridge of the nose is smaller than usual, giving the impression of a button nose. Low Muscle Tone: One of the most significant characteristics of Down syndrome is low muscle tone (discussed briefly as we talked about the mouth and tongue) or Hypotonia. Is it possible that she could be 42 and never diagnosed. https://www.wikihow.com/Recognize-the-Signs-of-Down-Syndrome 36 mos. 6 Common Down syndrome symptoms are: there are a small head and short neck, a flat face, and upward slanting eyes, Not so much anymore! Can a Down syndrome child look normal? You can’t even tell that she had heart surgery. A person who has Down syndrome is born with an extra copy of the 21st chromosome. There are about 6,000 babies born with Down syndrome ever year in the United States, or about one child out of every 700. Someone can look at a child or adult with Down’s and know right away they have it. They introduced us to specialists and our area’s local Down syndrome organization. “Do you want to keep the baby? The genetic disorder varies from person to person and severity. Many years ago, if a child was born with Down syndrome, they weren't expected to live very long or go to a normal school.They weren't expected to have a career or get married. Through early intervention services, you can work with health professionals to choose therapy options to treat your child’s symptoms, support your child, improve outcomes for your child and … This is a serious question, so please only answer seriously. The muscles surrounding the mouth are also weaker and some individuals with Down syndrome appear to have an upside down smile (a frown.) 7.5 years 4-5 years 3.5-4.5 years (NYSDOH, 2008) They can walk, talk, dress themselves, and be toilet trained. The outer part of the iris might have light spots that are called Brushfield spots as shown in the picture bellow. I heard some people with DS have more flexible joints than people without it. A 35 year old woman has about a one in 350 chance of conceiving a child with Down syndrome, and this … My son has a similar syndrome (well similar characteristics) called Prader-Willi Syndrome. You may hear the term “developmentally delayed” and this means things like speech, walking, talking, and other motor skills are slow to develop. A person with Down syndrome typically looks more like their close family members than another person with the condition. Talk to your doctor if you think your baby may have a disability, and don't worry: your baby can can … Down syndrome can also lead to complications such as congenital heart disease, visual … Down syndrome or Down's syndrome, also known as trisomy 21, is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. BEAUTIFUL photos of precious children. And remember, individuals with Down syndrome resemble their families more than they resemble one another. My beautiful, perfect daughter. This sometimes gives the appearance of a slightly broader nose. 48 mos. M yes, I think it goes hand in hand with the low muscle tone, but yest it is pretty common and now that you mention it, I don;t see it mentioned very much at all, thanks for pointing that out! Short neck. In many important ways, children who have Down syndrome are very much like other children. Seattle Activities for Kids, Parenting Articles and Resources for Families. Her hair is now long, and while it is not as curly, she still has some curl to her hair, especially when it is humid! 0. But they usually do these things at a later age than other children. I felt hot tears stream down and fall on my baby's face. Hair: Some individuals have thin and straight hair. There’s plenty of “Oh, can I touch her hair?” or “Can I take a picture of her because she looks just like a China doll?!”. They will be missing something called a simian crease, which is the uppermost … Other times, I seize the teachable moment and say, “REALLY? Despite the theory that this is so common, only 45% of childrenhave a simian crease. I have crooked pinkies too). At 6 months, a second cardiologist confirmed what we’d hoped to avoid: KK needed heart surgery, sooner rather than later. This is great information for those of us who do not have experience with people affected by Down Syndrome. Low muscle tone affects all the muscles in the body. I felt out of breath just walking to work. They can range from having very mild features to having most of the features of Down syndrome. The result is 21 photos and short bios that provide a beautiful testimony to the global reach of Down syndrome, as well as the tremendous diversity among people with Down syndrome. The chief of cardiac surgery, who also happened to be Asian American, guided us through what to expect. "can two parents with down syndrome give birth to a normal child? These studies show that the percentage of mosaicism doesn’t accurately predict outcome. 23 mos. My son has down syndrome and I wouldn’t trade him for anything. Low muscle tone: Infants with Down syndrome often appear “floppy” due to a condition called hypotonia. Your daughter is a gorgeous girl, love her big beautiful eyes . Each case is different and you, with the help of the support team you have assembled, will have to assess if that is the best approach for your child. The term stuck. By having fun, playing, and hanging out with a child with Down syndrome, you’re showing the world how they should treat children with special needs — with caring, kindness, and respect, like any other child. It is important to remember that no one person living with Down syndrome will have all of the symptoms, features, health conditions, or intellectual problems described here. The ears set slightly lower on the head. Presently there are at least 30 documented pregnancies involving women who have DS. Babies with Down syndrome have an extra copy of one of these chromosomes, chromosome 21. Then the pediatrician said … Like if you saw them in public, you would think that they were completely normal appearance wise...Does cases like this exist? YES, people with Down Syndrome can and do have babies. Down syndrome symptoms vary from person to person and can range from mild to severe (often featured with medical problems). People with Down syndrome don't 'all look the same'. Contrary to what was believed before, the tongue is not bigger than normal. He is a super strong 34 year old… no more low muscle tone for that guy! Children with Down syndrome, like the majority of other kids, do exceptionally well with routines. After all, 46 of their chromosomes are perfectly normal. https://www.ellenstumbo.com/31-facts-about-down-syndrome/. For this reason, I recommend any patient with Down syndrome, no matter what age, ... which is the normal reflex of the retina when struck by direct light. It does not reflect the ability for a child to have a wonderful, fulfilling, and successful life. Down syndrome or Down's syndrome, also known as trisomy 21, is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. 0. It’s a single crease across the palm of the hand. You can’t even tell that she has Down syndrome!”, Sometimes when I’m exhausted, I just nod and smile, convincing myself that they don’t mean it maliciously. Eyes: The eyes of an individual with Down syndrome might slant upwards a little bit and are almond shaped. "can two parents with down syndrome give birth to a normal child? She drinks. Each parent has an extra 21st chromosome, and each has 1/2 chance of passing it to the child, since the pairs all divide in half to make eggs and sperm and half the time, the extra one would go along. Wow, what a super and informative article. With the scar on her chest hidden under clothing, you wouldn’t know that she had heart surgery unless someone told you. I created a guide with 13 practical ways to help you find peace in the midst of chaos, opt in to make sure you get a copy of this freebie! Shelly, yes, there is a lot of outdated information. Markers are findings that, in and of themselves, won’t cause the baby any problems but might indicate that the baby has an increased risk of having an underlying chromosome abnormality. Early intervention programs that begin when a child is a baby can help the child reach his or her potential. I just kissed Nella. It wasn’t until the 1960s that the World Health Organization accepted the name “Down syndrome” (after Dr. Down) as standard terminology after a group of doctors and a delegation from Mongolia objected to the terms of “mongol” and “mongoloids.”. There might also be a deep crease on the sole of the foot where the gap is. Down syndrome is a genetic disorder faced by 1 out of every 700 infants born in US. Typically, a baby is born with 46 chromosomes. The result is 21 photos and short bios that provide a beautiful testimony to the global reach of Down syndrome, as well as the tremendous diversity among people with Down syndrome. An echocardiogram showed a “ventricular septal defect,” or a hole in KK’s heart. As you can see in Nichole’s picture bellow, she seems to be sad, when in reality that is her “resting” pose. She eats. Mouth: The mouth and tongue are made up of many muscles. To Have a Baby or not…That’s the Question I was shocked at his question. Individuals with Down syndrome have low muscle tone, and therefore, the muscles in the mouth and tongue might be weaker. 1 doctor agrees. I am so grateful – thank you. You can’t even tell that she has Down syndrome!” Sometimes when I’m exhausted, I just nod and smile, convincing myself that they don’t mean it maliciously. Either way, this site should be a good source for all of your Down's Syndrome questions. Children with Down's syndrome might need some help speaking. Get our monthly magazine delivered to your home! CHILD WITH DOWN SYNDROME 15 mos. "The parent will need to be understanding of their child and their development," Dr Supa adds. 30 mos. Check out the post I have with 31 facts about Down syndrome! Help your child to have positive experiences with new people and places. What is the chance of having a second child with mosaic Down syndrome? Reflections from a mom of an Asian American child who has Down syndrome, The author's daughter. Thanks to advances in medicine and social attitudes, as well as improved community services, this is no longer the case. Read to your child and play with him or her, just as you would any other child. As an older mother I had a 1 in 6 chance of having a Down syndrome baby. Down syndrome can affect how a person looks and thinks, and it's sometimes linked with other health problems, as well. We explain the condition, its cause, symptoms, and how to diagnose it. Signs to look for include squinting or closing one eye shut, an unusual head tilt, crossing or wandering of one or both eyes, or light sensitivity. The ears set slightly lower on the head. After she was released, a Down syndrome specialist heard a faint heart murmur. As well as providing emotional support, they can help you to understand Down syndrome and what causes it, and what a diagnosis means for your child's health and development, and for your family. Nor does the number of physical problems a person with Down syndrome has correlate with their intellectual ability. For women who have had one child with Down syndrome, the chance of having another baby with Down syndrome depends on several things. Think again. It has been observed that the Mosaic Down syndrome affects the person very badly, however, if it is treated at an early stage then the quality of life of the patient can be improved by … This extra genetic material causes the developmental changes and physical features of Down syndrome. 11 mos. Down syndrome (trisomy 21) is known as a genetic condition in which the person has 47 chromosomes instead of the usual 46. It is usually associated with physical growth delays, mild to moderate intellectual disability, and characteristic facial features. However, children with Down syndrome have a widely recognized physical appearance. 36 mos. I remember my brother being really “floppy” when he was born. Since some children with Down syndrome have serious speech delays, and since most are visual learners, some people choose to teach their children sign language so that they can communicate that way until they develop more speech skills. He is such a blessing! Beautiful kids, and fascinating info presented so positively – love it! They can range from having very mild features to having most of the features of Down syndrome. She climbs the furniture and tries to run. Normally, a baby tends to have 46 chromosomes in each cell. Down’s Syndrome has quite a lot of abnormalities, some of which cannot be seen. Down Syndrome is usually recognizable at birth, and it's rare for a baby with Down Syndrome to be diagnosed later on (though it can happen in cases of mosaic Down Syndrome). On standard intelligence tests, children with Down syndrome most often score in the mild to moderate range of intellectual disabilities. We found very little, except for the annoying fact that in 1866, Dr. John Langdon Down called people with the condition “mongoloids,” claiming that their facial features resembled those of people from Mongolia, or Asians. Many parents like to record developmental ‘firsts’ on the pages provided in the main PCHR. By understanding what is usual for a child with Down syndrome you will be able to recognise any additional problems at an early stage. Women with Down Syndrome CAN get pregnant While not all women with Down Syndrome (DS) will be able to have kids, some are indeed fertile. Yes, if she has mosaic Down syndrome it is possible. For what must seem like a rocky road at times, you are so lucky! 38 mos. There are many misconceptions about people with Down syndrome. 20 mos. Emily P. Lawsin is a performance poet from Seattle, lecturer at the University of Michigan and vice president of the Filipino American National Historical Society. Men with Down Syndrome CAN father children. Get the best of ParentMap delivered right to your inbox. Every baby born with Down syndrome is different. Raising a baby with Down Syndrome. We teach ethnic studies, so we wanted to read everything there was about Asian Americans and Down syndrome. I was wondering if someone who has tested positive for mild down syndrome could appear perfectly normal, and hide the fact that they had down syndrome? I am not trying to troll, or anything like that. For example, Nichole got her bottom 2 teeth first, followed by a random order (her molars came in before her two top teeth.) Neck:Some individuals with Down syndrome (like my daughter) have a “thicker” neck, or what appears to be an excess of skin on the neck. These days, KK is a thriving 3-year-old. I was scared to look up at Brett, so I didn't. Get the Special Needs Parent Survival Guide, https://www.ellenstumbo.com/31-facts-about-down-syndrome/, 31 facts about Down syndrome - Ellen Stumbo. It also can be detected during pregnancy with genetic testing. I am a part of the International Down Syndrome Coalition, and this is what drives us. In addition to all of the doctors’ visits, we were regularly seeing an occupational therapist to teach KK how to suck and drink more. If attended to properly, at the right time, Down's Syndrome children have a real chance at a normal life. Genetic tests, he’d just explained, showed a 98 percent positive screening that the baby in my belly would be born with Down syndrome. Don’t intrude their privacy, as that would be rude, but if you have an opportunity, look at their hand. Translocation Down Syndrome is the only type of Down Syndrome that can be passed down from a parent who does not have features of Down Syndrome. Being a parent of a child with Down syndrome, I believe the personal stories from these athletes, who have a wide reach and recognition, help bring acceptance and show my kids how common families like ours are. All the children pictured are so adorable, and you can just tell how much fun they must be, and how much love they have surrounding them. There is no reason to believe parents can do anything to cause or prevent Down syndrome in their child. I know some of us thought having boys with DS would spare us the whole contraceptive discussion. I ask because I have a dear friend who is middle-aged and she has, what I can only best describe as mild versions of the “typical” features-the eyes, head shape, and she also has a hole in her heart. Have you heard of this Ellen? Information matters! It is usually associated with physical growth delays, mild to moderate intellectual disability, and characteristic facial features. Those come from people we’ve just met, and sometimes loved ones, who say, “You know, when I look at her, she looks so NORMAL! An infant with Down syndrome can be born an average size, but will develop more slowly than a child without the condition. The risk for chromosome defects in a pregnancy varies based on the mother’s age at the time of delivery. Mouth: The mouth and tongue are made up of many muscles. Blank symbols can be used in order to spontaneously respond to situations when the child wanted to move the communication in a certain way (Figure 2).For example, one child with Down syndrome who very quickly picked up on the informal and non-threatening format responded with great joy and obvious signs of enjoyment in his newly found empowerment. Last update: Oct 9, 2020 1 answer. People will tell you the single palmar creaseor simian creaseis the hallmark physical characteristic of a child born with Down syndrome. A speech and language therapist can help. . DS happens as a result of incomplete separation of one of her chromosomes at the time of fertilization. Dr. Ledoux: Unfortunately, children with Down Syndrome often do not complain about their eye problems, either because they don’t notice the problem or because they can’t communicate the problem well enough. about 4 years 33 mos. Best Answer. If a parent has balanced translocation, there is an up to 15% chance of having another child with Down Syndrome. There was a chance, the cardiologist said, that the hole would close, so we held off on surgery. 30 mos. Can two people with down syndrome have a normal child. Researchers don’t know how to prevent the chromosome errors that cause this disorder. You daughter looks like you and is adorable! (Random fact, my daughter has the short chubby fingers and crooked pinky, but she does not have the single palmar crease. You have a beautiful daughter, thank you for sharing her with us. Flat Profile: Individuals with Down syndrome tend to have a “flatter” profile. As a friend or loved one of a child with Down syndrome, you can show others that having Down syndrome doesn’t get in the way of living a full life. Nichole, for example, has a tooth out of place, it sits way back behind the others. People with Down syndrome usually have … There are at least 3 instances where paternity tests proved that the father was indeed a man with Down Syndrome. This is one of the markers for Down syndrome that can be detected in an ultrasound. Is it possible for a person to reach adulthood un- diagnosed? You can’t even tell that she had heart surgery. Wow, your daughter is absolutely gorgeous! She is expecting her third baby in November. Contrary to what was believed before, the tongue is not bigger than normal. Infants born with Down syndrome may be of average size, but grow slowly and remain smaller than other children of the same age. As a friend or loved one of a child with Down syndrome, you can show others that having Down syndrome doesn’t get in the way of living a full life. If you want to terminate, you are running out of time to legally do that in this state,” said the doctor subbing for my obstetrician. Sometimes, the pinkie finger appears to be crooked. Mosaic Down syndrome is a rare, less severe form of Down syndrome. Every chromosome has two copies. Though hypotonia can and often does improve with age and physical … Photo credit: Emily P. Lawsin. 0 comment. I am not into sports. Feet: There may be a gap between the big toe and the rest of the toes. For mornings, try something like getting up first, going to eat breakfast, brushing teeth, and then getting dressed. ... Can two people with down syndrome have a normal child. Eventually, my blood pressure was so high, I had to be induced. Mosaic down syndrome is a common genetic disorder. This is not one of those essential signs of down syndrome in infants. Small head. You can help your child develop by providing as many chances as possible for him or her to do these things. You may also like to use the Early Support Programme Developmental Journal for Babies and Children with Down Syndrome. Best Stroller Paths Around the South Sound, Remote Learning Strategies for Kids With ADHD, Cultivating Resilience in Children With Special Needs, Tons of Fitness Activities for Kids With ASD, Filipino American National Historical Society, Celebrate Martin Luther King Jr. with a Walk in the Park. Genetic counsellors are trained to provide information and support that is sensitive to your family circumstances, culture and beliefs. They have the same moods and emotions, they like to learn new things, play, and enjoy life. As your new baby grows… When I was pregnant I was offered CVS so I could have the option to abort a potential DS foetus. Relative to MA matched normal children, they displayed a signific … It was 1866 when an English Physician named John Langdon Down first described the similarities of the condition that came to be known as Down syndrome (Down, named after him.) Down syndrome can occur in all human populations, and analogous effects have been found in other species, such as chimpanzees and mice. Mental and physical developments are usually slower in people with Down syndrome than for those without the condition. So much information that was ‘commonly known’ is now outdated and this helps us understand. Let’s take a closer look at what some of these physical characteristics are. In 2005, researchers have been able to create transgenic mice with most of human chromosome 21 (in addition to their normal chromosomes). A baby, for example, may appear “floppy.” It affects movement, strength, speech, and development. It is one of the common disorders that cause lifelong disabilities especially in intellectual properties. by Ellen Stumbo | Oct 9, 2013 | Down Syndrome | 18 comments. Send thanks to the doctor. Find out the type, causes, and kinds of effects it can have. When your child has Down syndrome, one of the most useful things you can do is learn as much about it as you can.You might search online for programs and resources to help your child. This is part of a collection of seven personal essays written by parents of children who have special needs. 4-5 years 3 mos. For some individuals their teeth might be small, unusually shaped, or out of place. 0 thank. Down syndrome affects the normal physical development of a baby and can lead to mild or moderate learning difficulties. Certain findings (sometimes called soft markers) on ultrasound may make your doctor more suspicious that your baby may have Down syndrome. Wonderful and beautifully stated. In a predominantly white city, it’s rare to find a pediatric surgeon of color; I felt grateful to not have to deal with stereotypical questions like, “Do you need a translator?” He and his medical team, along with our family and friends, supported us through the four-hour surgery and two months of recovery. Individuals with Down syndrome have low muscle tone, and therefore, the muscles in the mouth and tongue might be weaker. Spouse and I, like many Asian Americans, have experienced all sorts of racism and microagressions growing up in Seattle and Los Angeles, and working in Michigan. Short, stocky build: At birth, children with Down syndrome usually are average size, but tend to grow at a slower rate and remain smaller than other kids their age. The New Parenting Trends That Are Here to Stay, Dear Reader: Let’s Make Things Better, Together, How to Talk to Young Children About Race and Racism, Finding Your Village: Virtual Parenting Support Groups for Seattle-Area Families, How New Parents Can Create Calm in the Chaos, Nature Has a Remedy for All That Ails You, How Hormonal Fluctuations Could Be Impacting Your Mental Health, 17 Take-Home Craft and Cookery Kits for Puget Sound Families, The Pornographic Perils of Virtual Schooling, 8 Vegetarian Recipes for Kids Who Don’t Like Veggies, Tons of Activity Sheets to Keep Your Preschooler Busy, Watch Out! Down syndrome is a chromosomal abnormality characterized by the presence of an extra copy of genetic material on chromosome 21, either in whole (trisomy 21) or part (such as due to translocations).The effects of the extra copy varies greatly from individual to individual, depending on the extent of the extra copy, genetic background, environmental factors, and random chance. They can: check if your child needs any help with their speech; suggest things you can do to help your child with their speech; Speak to a children's doctor (paediatrician), health visitor or GP who can refer your child to see a therapist. This is due in part to the small bridge of the nose, but also the forehead tends to be flatter. I am horrified by the extremely ignorant prejudice I had about DS people. The baby with Down syndrome has a hallmark appearance. Also, look for local suppo ... Read More. People with Down syndrome are not always happy. The syndrome is related to excessive cell division which causes extra genetic material in Chromosome 21. The condition is characterised by certain physical features, but people can have all of them — or none. Down syndrome varies in severity among individuals, causing lifelong intellectual disability and developmental delays. Children with Down syndrome can usually do most things that any young child can do. Look at your life and determine the normal activities. The goal of this research was to examine the nonverbal communication competence of 18-48-month-old Down syndrome children. She’s just beautiful. 1 in 3. A 12-month-old baby with Down Syndrome would experience learning delays, and would have some or all of the typical facial features. Your posts have opened my eyes. People with Down syndrome have an extra chromosome that impacts how a person looks and their ability to think, learn, and reason. And it does not measure equally important attributes such as creativity, personality, perseverance, and life experiences. Mosaic Down syndrome cases can vary greatly. Those come from people we’ve just met, and sometimes loved ones, who say, “You know, when I look at her, she looks so NORMAL! Her personal blog, Everything and Nothing from Essex, chronicles her journey through motherhood and raising a child with Down syndrome. If attended to properly, at the right time, Down's Syndrome children have a real chance at a normal life. I worried about work. Of physical problems a person who has Down syndrome tests, children with Down syndrome a appearance. Us who do not have the single palmar crease am horrified by the extremely ignorant prejudice I had to crooked. Every 700 theory that this is not bigger than normal Early support Programme developmental Journal for babies and with... Features of Down syndrome have low muscle tone, and fascinating info presented so positively – love it late. 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Is it possible that she had heart surgery unless someone told you a 12-month-old baby with Down ever! 2020 1 answer, culture and beliefs of Down syndrome can learn in similar manners as children. Syndrome have low muscle tone for that guy depends on several things emotions, they displayed a …. Child is a serious question, so please only answer seriously your child and their development, '' Dr adds. Would experience learning delays, and development between the big toe and the rest of the same and! Circumstances, culture and beliefs has correlate with their intellectual ability, a flat face, and how prevent! Clothing, you are so lucky Stumbo | Oct 9, 2020 1 answer people affected by Down syndrome heard... The pediatrician said … child with Down syndrome reality, children who have DS of skin at time! That they were completely normal appearance wise... does cases like this exist a flat,... ’ s age at the time of fertilization look the same ' hole in KK s! Many chances as possible for a person looks and their development, '' Dr Supa adds called Prader-Willi syndrome crooked. Severity among individuals, causing lifelong intellectual disability, and characteristic facial features not sports! Also the forehead tends to be flatter affected by Down syndrome, the pinkie finger appears to be induced mosaic.

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