Prominent creases (called flexion creases) appear on the palms of the hands and soles of the feet. The palm normally has three flexion creases. Sometimes, the two horizontal creases fuse to form a single crease. This is called a single palmar crease, or simian crease. Many structures develop in the fetus in the first few months of gestation. Palmar creases develop early, by the 12th week of life. Some abnormalities in palmar creases indicate problems with development and are associated with disorders like Down syndrome. However, a simian crease appears in approximately 1 out of 30 people. Males are twice as likely as females to have this condition.
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