Infantile tremor syndrome: a case series from the tertiary care center of Nepal (opens in new tab)

Infantile tremor syndrome (ITS) is a pediatric disorder characterized by tremors, developmental regression, pallor, and hyperpigmentation, which is frequently associated with vitamin B12 deficiencies. Despite being recognized for decades, it remains underdiagnosed and lacks standardized management guidelines. We describe a case series of children with clinical characteristics suggestive of ITS. All children included in this study were from strictly vegetarian families and exhibited tremors, p...