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Note: Male Devil with unilateral gynecomastia and carrying sacks labeled "mala" for evil, "peiora" for worse, "pesima" for worst, "immortale odium" for immortal hate, and "... et malitiae" or malice. Also note a simian or single transverse palmar crease characteristic of simians (simian flexion crease) often found among persons with Down Syndrome.
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