A Cumulative Approach on Rare Case of Infantile Tremor Syndrome
Siddharth Sunil Zabak
Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Sawangi Meghe, Wardha, Maharashtra, India.
Ashish Ramesh Varma
Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Sawangi Meghe, Wardha, Maharashtra, India.
Jayant Vagha
Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Sawangi Meghe, Wardha, Maharashtra, India.
Anuj Ramesh Varma
Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Sawangi Meghe, Wardha, Maharashtra, India.
Sakshi Pritam Arora *
Department of Community Health Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Science, Sawangi Meghe, Wardha, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Infantile Tremor Syndrome (ITS) is categorically determined as a self-limiting clinical presentation which is characterized by anaemia, tremors, pigmentary skin disease, muscular hypotonia, and mental development regression. The presenting tremors are coarse in nature which are either decreased or vanished during sleep and takes 4-6 weeks duration for complete resolution following its natural course. The aetiology for ITS has been hypothesized for various factors like metabolic, infectious, nutritional but remained inconclusive for effective statement. But the precipitation is on the developing deficiency of Vitamin B12 but it remained controversial in terms of different factors. As the aetiology remained undefined, the line of treatment for children with ITS has been considered as per the treatment for undernourished child which included nutritional management with external supplementation of trace elements like iron, magnesium, calcium, vitamin B12 along with other such multivitamins. The administration of tremors is most commonly managed with the administration of propranolol or phenytoin, phenobarbitone, and carbamazepine.
An 8 months old male child was brought by parents with complaints of fever since 8 days, decreased appetite and vomiting since 3 days. The course of hospital followed by physiotherapy which helped in regaining the normal functional activity of the baby.
Keywords: Infantile tremor syndrome, ITS, tremors, undernutrition, deficiency, vitamin B12, physiotherapy