Hair Tourniquet Syndrome: 7 Symptoms, Removal & Healing Tips

Hair tourniquet syndrome is a rare but painful condition that occurs when a strand of hair or thread tightly wraps around a baby’s toe, finger, or even genitals. As a result, the tight binding can restrict blood flow and, if left untreated, may lead to swelling, injury, or even tissue damage. In fact, this condition is most common in newborns and infants because their skin is delicate, and their tiny fingers and toes make it easy for a single hair to get trapped. Moreover, postpartum hair shedding in mothers increases the chances of loose hair ending up in baby clothes, socks, or blankets.

Therefore, understanding the early signs is essential for parents. In the following section, let’s explore the symptoms you should watch to recognize hair tourniquet syndrome quickly. If you’re looking for a trusted medical overview, the Cleveland Clinic’s article on hair tourniquet syndrome symptoms, causes, and treatment provides clear, expert-backed insights.

Watch the original video of What Is Hair Ligature Syndrome and Why Is It Dangerous?

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Causes of Hair Tourniquet Syndrome

Hair tourniquet syndrome usually develops when a loose hair or thread accidentally wraps around a baby’s toe, finger, or other small body part. As a result, the tight loop can gradually cut off circulation and cause pain or swelling.

Postpartum Hair Shedding and Clothing Risks

In many cases, the condition is linked to postpartum hair shedding, since new mothers naturally lose more hair after delivery. Consequently, these stray hairs may get caught in baby socks, mittens, or blankets, where they can wrap around delicate skin.

Additionally, tiny clothing fibers or threads from swaddles and pajamas may pose similar risks, especially if they go unnoticed. For this reason, parents should check their baby’s hands and feet regularly to prevent complications. If you’re interested in alternative medical methods, ALiEM’s “Trick of the Trade” article explains how a depilatory cream can be safely used to remove hair tourniquets in certain situations.

Hair Tourniquet Symptoms

At first, hair tourniquet syndrome may seem subtle, but recognizing the symptoms early is crucial for preventing complications. Common signs include redness, swelling, and visible pain around the affected finger or toe. Babies may also appear unusually fussy, irritable, or difficult to soothe.

How to Recognize Early Warning Signs

In many cases, parents may notice that their baby cries persistently even after feeding, burping, or diaper changes. For this reason, it’s important to carefully check the baby’s fingers, toes, and even the genital area for tight strands of hair or threads. Detecting these early warning signs can help avoid restricted blood flow and serious injury. As you dive deeper into your first trimester journey, you might find it helpful to compare how symptoms and baby milestones evolve. For an expert week-by-week look ahead, check out the guide for what to expect at 9 weeks pregnant.

Common Areas Affected

In most cases, hair tourniquet syndrome affects the toes and fingers. These are the most exposed areas where loose hair or threads can easily wrap around.

• Toe Hair Tourniquet – Most common, often hidden under baby socks.
• Finger Hair Tourniquet – Happens when babies clench their fists tightly, making it harder to spot.

Rare but Serious Cases

While less frequent, hair tourniquets can also occur in more unusual areas:

• Penile Hair Tourniquet Syndrome – Rare but very serious, causes severe pain, and needs urgent medical attention.
• Tongue Hair Tourniquet – Extremely rare but can interfere with feeding and breathing.

Diagnosis & When to See a Doctor

Doctors usually diagnose hair tourniquet syndrome through careful visual inspection. Since the hair or thread is often very thin, it may be difficult to see without close attention.

• Visual Inspection – Doctors check toes, fingers, or other affected areas for tightly wrapped hair or threads causing swelling and redness.

Emergency Signs Parents Should Not Ignore

If you notice any of the following, seek medical help immediately:

• Persistent crying or extreme fussiness in your baby.
• Redness, swelling, or deep grooves in the skin.
• Restricted blood flow (skin turning blue, purple, or very pale).
• Hair or thread that seems too tight to remove at home.

Hair Tourniquet Removal

When it comes to hair tourniquet syndrome, removing the hair or thread quickly and safely is crucial to prevent permanent damage.

Safe Home Removal Methods

• Use clean, sterilized tweezers to gently pull and cut the hair if it’s visible and easy to remove.
• A magnifying glass and bright light can help spot very thin strands.
• Baby oil or petroleum jelly may sometimes loosen the grip of the hair, making removal easier.

⚠️ Only attempt home removal if the hair is clearly visible and not cut deeply into the skin.

When to Go to the ER

Seek emergency care immediately if:

• The hair embeds itself and is difficult to see.
• Swelling, redness, or discoloration is severe.
• Your baby remains in pain or extremely fussy after removal attempts.
• You are unsure whether you have completely removed the hair.

Symptoms of Hair Tourniquet Syndrome by Body Part

Using Nair for Hair Tourniquet Removal

Some sources suggest using Nair (a depilatory cream), but this method comes with serious risks:

• Nair contains strong chemicals that can burn sensitive baby skin.
• Even small amounts can cause irritation, redness, or chemical burns.

Safer Alternatives Instead of Nair:

• Always try mechanical removal (tweezers, scissors) first.
• If unsuccessful, see a doctor immediately, they can safely remove the hair using sterile tools or a small procedure if needed.

Hair Tourniquet Treatment

“After safely removing the hair or thread, parents should provide proper aftercare to ensure their baby heals comfortably.”

“Provide Aftercare After Removing the Hair”

• Clean the area gently with mild soap and warm water.
• Apply a thin layer of antibiotic ointment (if recommended by your pediatrician) to prevent infection.
• Keep the area dry and uncovered unless your doctor advises otherwise.
• Monitor for any signs of redness, plus, or worsening swelling that may suggest infection.

Hair Tourniquet After Removal: Swelling & Pain Management

• Mild swelling or redness is common and should improve within a few hours to the day.
• To reduce discomfort:
  • Apply a cool compress (wrapped in a soft cloth) for a few minutes at a time.
  • Offer age-appropriate pain relief (like infant acetaminophen), but only if prescribed or approved by your doctor.
• If swelling or pain persists longer than 24 hours, or if your baby continues to be very fussy, seek medical advice immediately.

Healing & Recovery

After a hair tourniquet is removed, the healing process can vary depending on how tightly and how long the hair or thread was wrapped.

Hair Tourniquet Healing Time

• Mild cases (where the hair was noticed early): usually heal within a few days.
• Moderate cases (with swelling or skin indentation): may take 1–2 weeks to fully recover.
• Severe cases (deep cuts or restricted blood flow): could take several weeks and sometimes need medical follow-up.

Before and After: How the Skin Looks During Healing

• Immediately after removal: the area may look red, swollen, or indented from the tight hair.
• Within a few days: redness should fade, and swelling begins to decrease.
• After full recovery: the skin usually looks normal again, although in rare cases, a faint scar or line may remain.

Prevention Tips for Parents

Preventing hair tourniquet syndrome is much easier than treating it. By taking a few simple precautions, parents can reduce the risk significantly.

Managing Postpartum Hair Shedding

• After birth, many moms experience postpartum hair loss, which increases loose strands in the home.
• Regularly clean floors, cribs, and baby clothes to minimize stray hairs.
• Tie back long hair or use a hair cover while holding or dressing your baby.
• Wash baby socks, mittens, and blankets inside out to catch hidden hair strands.

Checking Baby’s Hands, Feet, and Diaper Area Regularly

• During diaper changes or bath time, inspect toes, fingers, and genital area for any wrapped hair or threads.
• Run your fingers gently around these areas to feel if anything is tight.
• Be extra cautious with socks, mittens, and elastic bands, as they may trap loose hairs.
• If your baby seems unusually fussy or in pain, double-check for hidden tourniquets.

How to Recognize Hair Tourniquet Symptoms in Babies

Spotting a hair tourniquet early can be tricky, since babies can’t explain their pain. Parents need to carefully observe both physical changes and behavioral clues.

What Symptoms Look Like on Toes, Fingers, and Genitals

• Toe & Fingers: You may notice one digit looking more red, swollen, or shiny compared to the others. In severe cases, the skin beyond the constriction may appear bluish or pale.
• Genitals (Penile Hair Tourniquet): In rare cases, swelling or redness may occur in the genital area. This always requires urgent medical attention.

Fussiness vs. Normal Crying

• Babies cry for many reasons (hunger, tiredness, or needing comfort). However, a baby with a hair tourniquet may cry intensely, inconsolably, and for longer than usual.
• Unlike typical fussiness, their crying often doesn’t stop feeding, rocking, or soothing.

When to Suspect Hair Thread Tourniquet Syndrome

• If your baby has persistent, unexplained crying and you notice swelling, redness, or marks on a toe, finger, or genital area, a hair tourniquet should be suspected.
• A sudden refusal to move a finger or toe, or visible indentation lines around the skin, are red flags.
• In such cases, immediate inspection and, if needed, medical care is essential to prevent complications.

Hair Tourniquet Removal: Methods and Safety Tips

If you discover a hair tourniquet on your baby, staying calm is crucial. In some mild cases, parents can safely remove their hair at home, but in others, emergency care is needed.

Step-by-Step Safe Removal at Home

• Wash your hands thoroughly before touching the affected area.
• Hold the baby steady or ask another adult to help gently keep the baby’s limb still.
• Look closely at the site of construction under good lighting.
• Gently lift the hair using clean tweezers or a sterilized needle to loosen the tight loop.
• Cut the hair carefully with small, rounded-tip baby scissors, making sure not to cut your baby’s skin.
• Check again to confirm all strands of hair or thread are completely removed.

Helpful Tools for Parents

• Magnifying glass – to clearly see fine hair strands.
• Tweezers – for gently lifting the hair.
• Baby nail scissors or embroidery scissors – their small, sharp tips help cut hair precisely.

When Not to Attempt Removal

• If the skin looks deeply indented, broken, or bluish.
• If the hair is embedded and hard to see.
• If you are unable to remove the entire hair in one, try.
• In these situations, do not delay—take your baby to the ER immediately.

Using Nair for Hair Tourniquet Removal – Risks Explained

Some doctors may recommend a depilatory cream like Nair to dissolve the hair. However:

• Nair contains strong chemicals that may irritate or burn a baby’s delicate skin.
• It should never be used on broken skin or sensitive areas like genitals.
• If suggested by a healthcare provider, it must be used with extreme caution and followed by thorough rinsing.
• Safer first options are mechanical removal with scissors or tweezers, not chemical creams.

How Long Does It Take for a Hair Tourniquet to Heal?

Once the hair or thread is removed, the healing process usually starts quickly, but recovery time depends on how tight the tourniquet was and how long it stayed in place.

Average Hair Tourniquet Healing Time

• Mild cases: Redness and swelling often improve within a few hours to 1–2 days.
• Moderate cases: If there’s an indentation or bruising, full healing may take 3–7 days.
• Severe cases: Where circulation was cut off longer, healing can take 1–3 weeks, and medical care may be needed.

Factors Affecting Recovery

• Depth of constriction: A shallow mark heals faster than a deep groove.
• Circulation damage: If blood flow was restricted, swelling and color changes may take longer to resolve.
• Location: Toes and fingers usually recover quicker than genital areas, which may be more sensitive.
• Early removal: The sooner the hair is removed, the faster healing begins.

What Hair Tourniquet Looks Like After Removal

• Immediately after removal: A visible red or purple line where the hair was wrapped, sometimes with mild swelling.
• First 24 hours: Swelling may decrease, and the mark often lightens in color.
• Ongoing days: The indentation fades, and skin returns to normal.
• Severe cases: The area may remain slightly bruised or scabbed until fully healed.

Before and After Healing Stages

• Before: Baby may cry in pain, toe/finger/genital area looks swollen, red, or bluish with a tight line visible.
• After removal (early): Red groove but baby calms, swelling slowly reduces.
• After healing (days–weeks): Skin returns to normal with little to no trace of the tourniquet.

Toe Hair Tourniquet vs Finger Hair Tourniquet: What Parents Should Know

Hair tourniquets can happen on both toes and fingers, but they aren’t always the same in how they appear, how painful they are, or how they heal.

Why Toes Are Most Commonly Affected

• Sock and pajama friction: Loose hairs often collect inside socks or footed pajamas, wrapping around tiny toes.
• Postpartum shedding: Stray hairs naturally fall and land on baby’s feet more often than hands.
• Toe gaps: Toes are smaller and closer together, making it easier for a hair to slip between them and tighten.

Differences in Symptoms

• Toe Hair Tourniquet:
  • Toe often look red, swollen, or bluish.
  • “The baby may resist wearing socks or cry when you touch their feet.”
  • Sometimes multiple toes are affected at once.
• Finger Hair Tourniquet:
  • Finger swelling is usually more obvious because hands are more visible.
  • Baby may avoid grasping objects or cry when their hand is moved.
  • Less common than toe tourniquets but can still be painful.

Treatment and Healing Comparison

• Removal:
  • Same methods apply for both (careful hair cutting/removal with tweezers or scissors).
  • Toes may be harder to examine because hair hides between them.
• Healing:
  • Toes: Typically heal within 2–7 days if treated early, but deeper grooves may take longer.
  • Fingers: Healing is often quicker (1–5 days) since circulation is usually less restricted.
• Risk of complications:
  • Toes have a slightly higher risk of poor circulation if the tourniquet goes unnoticed longer.
  • Fingers usually show symptoms earlier because parents notice hand swelling faster.

Penile Hair Tourniquet Syndrome: Rare but Serious

While most hair tourniquets occur on toes or fingers, in very rare cases, they can affect the penis. This condition requires immediate medical attention because it can quickly impair blood flow.

What It Is and How It Happens

• A loose strand of hair or thread becomes tightly wrapped around the shaft or foreskin.
• Most often linked to postpartum hair shedding or loose fibers in diapers.
• The tight band can cut off circulation if not noticed quickly.

Symptoms & Emergency Signs

• Swelling and redness at the tip or along the shaft.
• Deep indentation or groove around the penis.
• Baby appears extremely fussy, inconsolable, especially during diaper changes.
• In advanced cases, the skin beyond the constriction may look blue or darkened (a medical emergency).

Immediate Medical Treatment Required

• Do not attempt removal at home — penile hair tourniquets are complex and delicate.
• Doctors may need magnification and special instruments to safely cut hair.
• In some cases, surgical release is necessary to restore circulation.

Possible Complications if Untreated

• Permanent tissue damage.
• “If the urethra is affected, it can cause urinary problems.”
• In very severe cases, loss of function or tissue necrosis.

⚠️ Important: If you ever suspect a penile hair tourniquet, treat it as an emergency — go to the ER immediately. If you’re starting to childproof your home, don’t miss our latest roundup of the best baby gates for stairs (2025 edition)—packed with safety tips and top models for every budget.

Can Nair Be Used for Hair Tourniquet Removal? Risks and Alternatives

What Nair Does Chemically

Nair and similar depilatory creams contain strong chemicals (like calcium thioglycolate and sodium hydroxide) that break down the protein structure of hair, causing it to dissolve. While this works for hair removal on adults, baby skin is much thinner, more sensitive, and easily damaged.

Why Pediatricians Advise Caution

• Skin irritation & burns: The chemicals in Nair can cause redness, burns, or allergic reactions on delicate infant skin.
• Incomplete removal: If the hair is embedded deeply in the skin, Nair may not fully dissolve it, leaving constriction in place.
• Medical risk: Using Nair without medical supervision may delay proper treatment, putting the baby at risk of circulation loss or tissue damage.

⚠️ Important: Most pediatricians strongly advise against using Nair at home for hair tourniquet removal.

Safe Removal Methods Instead of Nair

• Careful inspection under bright light or with a magnifying glass.
• Use sterile tweezers or blunt-tipped scissors to gently cut and remove the hair.
• If swelling makes the hair hard to see, I seek medical help rather than trying repeatedly at home.

Emergency Alternatives

• If you can’t remove the hair within a few minutes, or if the skin looks swollen, blue, or deeply indented, go to the ER immediately.
• Doctors may use special tools, magnification, or minor surgical techniques to release the constriction safely.

✅ Bottom line: Nair may dissolve hair, but it’s not safe for babies. The safest approach is gentle mechanical removal or immediate medical care if the hair is deeply embedded. If you’re looking to give back or connect with other moms, check out our Helping Mamas Support 2025 initiative—a meaningful way for our community to come together.

Hair Tourniquet on Tongue: Understanding Rare Cases

How It Happens (Extremely Rare)

While hair tourniquets most commonly affect toes, fingers, and sometimes the genital area, cases involving the tongue are extremely rare. They usually happen when:

• A loose strand of hair or thread becomes lodged around the tongue during sleep or feeding.
• Babies accidentally wrap their own tongue while sucking fingers or toys.
• “Saliva and tongue movements cause the hair to get stuck in the mouth and tighten.”

Symptoms and Signs

Because the tongue is highly vascular and sensitive, symptoms may appear quickly:

• Sudden swelling of the tongue (making it appear larger or discolored).
• Difficulty feeding, swallowing, or crying due to pain.
• Bluish or dark discoloration at the tip or along the area of constriction.
• Excessive fussiness or refusal to nurse/bottle feed.

Immediate Treatment Needed

Tongue hair tourniquet is a medical emergency because swelling can obstruct the airway or cause tissue damage. Parents should:

• “Do not pull or cut the hair at home if it is tightly embedded, as this can cause injury.”
• Seek emergency medical care immediately.
• Doctors may use magnification and fine surgical scissors to remove the hair safely and restore circulation.

Reported Case Studies

Medical literature documents only a handful of tongue hair tourniquet cases worldwide, highlighting their rarity. In most reports:

• “The ER received babies with sudden tongue swelling and feeding difficulties.”
  Prompt removal led to full recovery, but delayed treatment carried risk of tissue necrosis.

Hair wound injury Syndrome: What Is It?

When a thread or hair tightens around the finger, toe, or small body parts such as the ears or genitalia of your baby, Hair wound Tourniquet Syndrome may result. The syndrome may be painful, lead to swelling, and in very bad cases, impede the passage of blood to the affected part. Early intervention is important to prevent issues like damage to the tissue or, very rarely, amputation. Early diagnosis and management are very important to prevent long-term damage.

Hair Wound Syndrome Table: Hair Tourniquet Syndrome Overview

“Who does Hair Tourniquet Syndrome affect?”

Infants and toddlers are the primary victims of Tourniquet Syndrome, which usually becomes apparent at about five months. Finger tourniquets most frequently occur in infants as early as 3 weeks old, whereas toe tourniquets usually appear at 4 months. Genital hair tourniquets normally present at 2 years old. In adults, the syndrome is not very common but becomes dangerous if untreated.

Symptoms and Causes of Hair Tourniquet Syndrome

What Signs Indicate Hair Tourniquet Syndrome?

The first signs of Hair Induced Constriction Syndrome include soreness of a finger, toe, or other body parts, persistent crying, and redness. Your baby can feel pain when the affected part is tender. The region can also form a crease or groove, and in severe cases, it can swell and have an odor.

Hair thread Tourniquet Syndrome: What Causes This?

Postpartum hair loss (telogen effluvium) is one of the leading causes of Hair pressure injury Syndrome in babies. After giving birth, many parents experience hair loss, which increases the risk of loose hair around your baby’s appendages. Wet hair can tighten as it dries, causing it to constrict around tiny fingers or toes. Additionally, certain baby clothing, such as mittens or socks, may contribute to the condition if your baby moves excessively.

Hair Tourniquet Syndrome diagnosis

Your baby’s doctor will perform a physical examination to identify Hair knot Syndrome. In addition to going over your baby’s symptoms, they will examine their appendages carefully for any indications of hair or twine wound around them.

Hair Tourniquet Syndrome Treatment

The level of severity of illness determines the course of treatment. A hair removal cream, also known as a depilatory agent, can dissolve hair in mild cases and provide relief in a matter of minutes.This method is effective only for hair, not threads. If hair removal cream isn’t an option, the healthcare provider may attempt to unwind or cut the hair or thread. In severe cases, a pediatric surgeon may need to perform surgery to remove deeply embedded hair or thread.

Prevention of Hair Tourniquet Syndrome

To prevent Hair binding injury Syndrome, it’s important to manage loose hair around your baby. If you’re experiencing postpartum hair loss, take these steps to reduce the risk:

• Brush your hair frequently to prevent loose strands from falling close to your child.
• While tending to your infant, secure your hair with an elastic band.
• Check for hair or filaments on the baby’s hands, feet, and other parts on a regular basis.
• Don’t put your infant in loose-thread garments or mittens. Redirect your baby’s interest to a toy or other object if they are pulling at your hair.

Viewpoint for Hair Tourniquet Syndrome

The healing time for Hair obstruction Syndrome depends on the severity of the condition. Once the hair or thread is removed, swelling and tenderness often improve within 10 minutes. Your baby’s fingers or feet should nearly instantly return to normal with prompt care, and full recovery usually occurs within a month.

The outlook for Hair Tourniquet Syndrome and its possible hazards

The prognosis for thread Tourniquet Syndrome is very good if it is identified and treated early. The injury should recover fast, and no further treatment will be required. Yet, if neglected, severe conditions like swelling, nerve damage, and tissue necrosis will be formed. In the worst cases, amputation can be required.

How to Take Care of Your Infant After Taking Off a Hair Tourniquet

After Treating for Hair entanglement Syndrome, follow the care instructions given by your physician. Dress the affected area with a dressing and apply antibiotic ointment, replacing it often. Keep the area dry and clean for a couple of days; avoid pools and baths. To soothe the skin, you can apply baby lotion or petroleum jelly. Discuss possibilities for minimal pain medication with your doctor if the pain does not subside.

When to Contact Your Infant’s Physician

The affected region should recover quickly after treatment of Hair knot Syndrome. Contact your child’s physician immediately if your child shows signs of a disease, including fever, swelling of lymph nodes, or pus at the site.

A Cleveland Clinic Note

Your child may have a hair wound injury when they are crying hysterically, and you cannot tell why. The wrapping of hair or a needle around an appendage creates this aching illness, which can be easily cured with early identification. Early treatment is needed to prevent complications. Immediately call your baby’s healthcare provider if you have suspicion about Hair Tourniquet Syndrome.

Care at Cleveland Clinic

As your child grows, Cleveland Clinic Children’s is here to provide trusted care every step of the way, ensuring your child receives the support they need.

 How to Remove a Hair Tourniquet

The only way to treat Hair binding Syndrome is by removing the hair completely. If the area is swollen or the hair is hard to see, this can be tricky. If you can’t remove the hair quickly, take your baby to a doctor immediately.

To remove the hair:

1. Ensure you have good lighting and help if needed.
2. Locate the hair.
3. Apply depilatory cream (like Nair) directly onto the hair, if the skin is not broken.
4. Wait 5 minutes, then wash the cream off with warm water.
5. Disinfect the area with hydrogen peroxide.
6. If the area is still red, swollen, or painful, seek immediate medical help.

You can also use needle-nosed tweezers but be cautious to avoid further injury.

Managing Hair Ligature Syndrome After Removal

After successfully removing the hair, treat the area like any other wound by:

• Following your doctor’s dressing instructions.
• Waiting 2–4 days before bathing your baby.
• Avoid soaking your baby in tubs or pools.
• Feeding your baby a diet rich in vitamins, proteins, and fiber.
• Massaging the area with petroleum jelly or baby lotion.
• Administering pain medication if prescribed.

If your baby develops a fever, swollen glands, or pus at the site, contact your doctor immediately.

Parts of the Body Affected by Hair Tourniquet Syndrome

Hair Tourniquet Syndrome can impact any body part, though it most commonly affects the third toe and third finger. It can also wrap around another body sections such as the tongue, ear parts, umbilical stump, uvula, clitoris, nipples, and penis.

For whom is Hair Tourniquet Syndrome the greatest risk?

Babies are usually affected by toe tourniquet syndrome, with 5-month-olds among the most vulnerable. Toe tourniquets often happen at 4 months of age, but finger tourniquets typically occur at 3 weeks. Two-year-olds are more likely to receive genital hair tourniquets. One known risk factor for urethral hair tourniquet syndrome is circumcision.

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Conclusion

In conclusion, Hair Tourniquet Syndrome is a rare but important condition for parents to recognize. In fact, something as small as a loose strand of hair can cause significant discomfort if it wraps tightly around a baby’s toe, finger, or even genital area. However, when detected early and treated properly, most infants recover quickly, and the affected area usually heals within days to weeks depending on the severity.

Moreover, simple preventive steps—such as managing postpartum hair shedding and checking your baby’s hands, feet, and diaper area regularly—can make a big difference. If symptoms seem unusual or circulation appears compromised, then it is essential to seek medical attention without delay.

Finally, parents should feel reassured that while Hair Tourniquet Syndrome can seem frightening, it is preventable and treatable. Therefore, awareness, early detection, and timely care are the best ways to protect your baby’s health and comfort. As you prepare for outdoor adventures, don’t forget essential safety tips—check out our comprehensive guide on choosing the best insect repellent sprays to shield your baby from pesky bugs.

Watch the original video Tips for avoiding hair tourniquet syndrome in infants

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