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Case-2

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> Q. This infant presented with tremors and loss of milestones. What is the diagnosis?

 Answer : Infantile tremor syndrome. It is a clinical disorder characterized by coarse tremors, anemia and regression of motor and mental milestones in children around 1 Year of age. Vitamin B12 deficiency has been found to be associated with ITS. Dark pigmentation is present over dorsal aspects of hands, nail folds, feet, 
knees, ankles, buttocks and axillae as seen in these patients


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