Author(s): Vinod H Ratageri, T.A.Shepur, Santosh Byakod
Infantile Tremor syndrome is a peculiar condition most commonly seen in Indian subcontinent. Although the number of cases with this syndrome reduced in recent years, finding of additional features made us to present this series. Total eleven cases were seen during Nov 2003 to Oct 2005 (3 year). Mean age of presentation was 11.2 months ( range 6 to 18 months). The male to female ratio was 5: 6. There was no seasonal variation. Tremors, pigmentation, delayed milestones, pallor and hepatomegaly was present in all cases. Splenomegaly was present in 06 (54%) cases. LRTIwas associated presenting feature in 09 (82% )cases and also CCF in 03 ( 27 %) cases. The striking feature noticed was presence of scurvy in all cases on x-ray imaging studies. All children received vitamin C, folic acid and vitamin B12 and antibiotics. The mean duration of tremor phase was 23.2days with range 5 to 44 days. There was no mortality. Vitamin C and folic acid plays significant therapeutic role in ITS management.