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Most children with Down syndrome have some of the following physical traits: Short stature. A child often grows slowly and, as an adult, is shorter than average. Weak muscles (hypotonia) throughout the body. A child may seem to have less strength than other children of the same age. Weak abdominal muscles also make the stomach stick out. A short, wide neck with excess fat and skin. Usually, this trait is less obvious as the child gets older. Short, stocky arms and legs. Some children also have a wide space between the big toe and second toe. A single crease across the center of the palms of the hands. This is called a transverse palmar crease or simian line.
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