关键词: developmental delay infantile tremor syndrome malnutrition vegetarian mother vitamin B12

来  源:   DOI:10.1097/MS9.0000000000002020   PDF(Pubmed)

Abstract:
UNASSIGNED: Infantile tremor syndrome (ITS) affects children aged 6-18 months, and is characterized by tremors, pallor, developmental regression, skin pigmentation changes, and sparse hypopigmented hair. This case report highlights an ITS presentation in a 16-month-old exclusively breastfed male, emphasizing the significance of complementary feeding.
UNASSIGNED: The patient presented with abnormal body movements, loss of developmental milestones, hyperpigmented skin changes, hypopigmented scalp hairs, pallor, and microcephaly. Born to a vegetarian mother with inadequate prenatal care, the child\'s exclusive breastfeeding till 16 months of age without complementary feeding led to severe developmental delay and moderate malnutrition. Diagnostic workup revealed vitamin B12 deficiency, anaemia, and neurologic abnormalities.
UNASSIGNED: ITS is associated with various manifestations, including pallor, hyperpigmentation, and tremors, commonly linked to vitamin B12 deficiency. In this case, developmental delays and malnutrition underscored the importance of early recognition. Despite neurological improvement with vitamin B12 supplementation, ITS\'s long-term impact on cognitive functions necessitates vigilance and appropriate nutritional interventions.
UNASSIGNED: Early recognition of ITS is vital for the prevention of long-term neurodevelopmental sequelae. Injectable vitamin B12 supplementation and nutritional interventions have demonstrated significant developmental gains. Increased awareness among mothers about nutritional intake during pregnancy and lactation is crucial, especially among vegetarians.
摘要:
婴儿震颤综合征(ITS)影响6-18个月的儿童,以震颤为特征,苍白,发育回归,皮肤色素沉着变化,和稀疏的低色素头发。本病例报告重点介绍了一名16个月大的纯母乳喂养男性的ITS报告,强调补充喂养的重要性。
患者出现身体异常运动,发展里程碑的丧失,色素沉着过度的皮肤变化,低色素的头皮毛发,苍白,和小头畸形。出生于一个素食母亲,没有足够的产前护理,儿童在16个月大之前的纯母乳喂养没有补充喂养会导致严重的发育迟缓和中度营养不良。诊断检查显示维生素B12缺乏,贫血,和神经异常。
ITS与各种表现形式有关,包括苍白,色素沉着过度,和震颤,通常与维生素B12缺乏有关。在这种情况下,发育迟缓和营养不良强调了早期认识的重要性.尽管补充维生素B12可改善神经系统,ITS对认知功能的长期影响需要保持警惕和适当的营养干预措施。
早期认识ITS对于预防长期神经发育后遗症至关重要。可注射的维生素B12补充剂和营养干预已显示出显著的发育进展。提高母亲对怀孕和哺乳期间营养摄入的认识至关重要,尤其是素食主义者。
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