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A 27-year-old member asked:

If my 2yo daughter's hands and feet sometimes get purple, does this mean she has an asd or vsd?

4 doctor answers9 doctors weighed in
Dr. William Scott
Pediatric Cardiology 41 years experience
No: Intermittent color changes in the hands and feet are not caused by heart defects. They are due to local changes in blood flow and are rarely a significant problem.
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Dr. Shoaib Shafique
Vascular Surgery 36 years experience
Many causes: She needs to be seen by her pediatrician as soon as possible.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Sarosh Batlivala
Pediatric Cardiology 18 years experience
Not Certain: The hands and feet of children turn blue/purple for many reasons. Though and ASD or vsd could be a reason, those are rather unlikely to present with purple hands or feet.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Robert Pearson-Martinez
Pediatric Cardiology 22 years experience
Not at all: Central cyanosis (blue all over) makes us worry about problems oxygenating the blood & could represent a lung problem or a shunt (extra connection) in the heart that might let blood cross from right to left & avoid the lungs. Peripheral cyanosis (blue hands, feet, lips, etc.) merely reflects sluggish blood flow through these peripheral capillaries. Very common in cold children, & not dangerous.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Aug 17, 2022

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