Independence of left and right dermal pattern areas were examined in Down's syndrome patients and controls. A composite score was then developed as a laboratory test to confirm the clinical diagnosis of Down's syndrome. The score demonstrates better discrimination by correctly scoring 97.7% of the individuals tested whereas the single pattern scoring method correctly scored 96.6%. An element of simplicity is also gained by using composite scores. It corrects in part the error due to correlation of the occurrence of patterns on the two sides.
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Bolling et al. (1971) studied this question.