Pickweckian syndrome
Occasionally, extremely obese children weigh up to 4 to 5 times their standard weight. Due to excessive fat, restricting the movement of the thorax and diaphragm muscles, resulting in shallow breathing, reduced alveolar ventilation, hypoxemia, and erythrocytosis, The appearance of cyanosis, enlarged heart, and congestive heart failure is called Pickweckian syndrome.
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