Conjunctival congestion: a novel clinical sign in older children with Tetralogy of Fallot.

Arun Prasad, Pradeep Kumar, Amit Raj, Yankappa Nayak
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Abstract

Tetralogy of Fallot is the most common cyanotic heart disease in children. While doing echocardiographic examination of children with Tetralogy of Fallot, we observed that many older children with this condition had congestion in their bulbar conjunctiva, easily recognizable even from some distance. This observation led us to design and perform a research study in order to find out the presence of conjunctival congestion in children with Tetralogy of Fallot. 85% of children in the ≥ 5-years of age group had conjunctival congestion without any ocular symptom. This novel clinical finding can act as an adjunct clinical sign for recognizing Tetralogy of Fallot in older children.

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结膜充血:大龄法洛四联症儿童的新临床症状。
法洛四联症是儿童最常见的青紫型心脏病。在对法洛四联症儿童进行超声心动图检查时,我们观察到许多年龄较大的儿童在他们的球结膜充血,即使从一定距离也很容易识别。因此,我们设计并开展了一项研究,以了解法洛四联症患儿是否存在结膜充血。≥5岁年龄组中85%的儿童存在结膜充血,但无任何眼部症状。这一新的临床发现可以作为识别大龄儿童法洛四联症的辅助临床征象。
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