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It also seems to be evenly distributed among both males and females. There are several physical abnormalities associated with SMS; broadness of the head and hands, protruding forehead, epicanthal folds( which is typical in many peoples of eastern Asia and found as a congenital abnormality elsewhere), Vision abnormalities, a semi flattened mid face with a wide nasal bridge, underdeveloped cheek bones, a down turned mouth, prominent jaw, a hoarse voice (possibly because of problems with vocal folds) short in height, small toes inwardly bent fingers, and hypotonia( abnormally low muscle tone). These physical anomalies vary from each individual case, some might have one or two of these traits, some might have all of them, while other other might have none...
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