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. Mean age of presentation is generally 11.2 months (range 6 to 18 months). The male to female ratio was 5: 6. There is no seasonal variation. Tremors, pigmentation, delayed milestones, pallor and hepatomegaly was present in all cases. The mean duration of tremor phase was 23.2days with range 5 to 44 days. There was no mortality  Our case is 1year infant admitted to us for bronchopneumonia with grade II malnutrition with tremors and peripheral smear showing anemia with CT finding of cortical atrophy. 

Keywords: Infantile Tremor syndrome; Anemia, Pigmentary skin lesions; Regression of mental development