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Figure 4: A 14-year-old boy with right ventricular endomyocardial fibrosis. The picture shows a stunted, dark lips, voluminous ascites contrasting with the absence of pedal edema

Figure 4: A 14-year-old boy with right ventricular endomyocardial fibrosis. The picture shows a stunted, dark lips, voluminous ascites contrasting with the absence of pedal edema