Munchausen syndrome by proxy unmasked by nasal signs

1994 ◽  
Vol 108 (4) ◽  
pp. 336-338 ◽  
Author(s):  
A. R. Magnay ◽  
G. Debelle ◽  
D. W. Proops ◽  
I. W. Booth

AbstractThe protean manifestations of child abuse continue to cause diagnostic difficulty. Recent observations of the high mortality in victims of Munchausen syndrome by proxy, and their siblings, reinforce the need for early diagnosis and appropriate intervention. We report the nasal manifestations which unmasked Munchausen syndrome by proxy in an infant who presented with intestinal and peri-orifical signs masquerading as Crohn's disease. The possibility of Munchausen syndrome by proxy should be considered in an infant with persistent nasal excoriation presenting as part of an undiagnosed illness.

2021 ◽  
Author(s):  
Tatiana Rosca ◽  
◽  
Laurentia Popa ◽  

This article contributes to a wider understanding of the Münchausen syndrome by proxy, which is a form of child abuse, very complex and destructive, difficult to diagnose and individualized. The abuser, most often the mother induce the symptom to the child, for which he addresses and requires the intervention of a specialist. Thus, the victim is subject to medical treatments, often invasive and very painful but unnecessary. The complexity of this type of abuse also consist in the difficulty of an early diagnosis as well as in the anticipated perception of the risk of Münchausen victimization. The paper aims to inform those who are directly or indirectly in contact with problems related to this syndrome.


PEDIATRICS ◽  
1985 ◽  
Vol 76 (5) ◽  
pp. 855-855
Author(s):  
STEPHEN H. SHELDON

To the Editor.— The article, "Munchausen Syndrome by Proxy: An Outpatient Challenge," by Vincent L. Guandolo, MD,1 was read with interest. It was a compelling description of a very worrisome problem for all professionals involved in providing for the welfare of children. Munchausen syndrome by proxy results in multiple hospitalizations and unnecessary painful, invasive, and expensive procedures. The potential consequences warrant accurate early diagnosis, management, and disposition. Seizures secondary to Munchausen syndrome by proxy may be fictitious (the parent deliberately providing a false history) or may be an actual convulsive episode precipitated by an action of the parent (eg, anoxic seizures secondary to smothering).2 A misdiagnosis of epilepsy is common and consequences range from the persistence of fictitious symptoms into adulthood to death of the child.


1987 ◽  
Vol 12 (2) ◽  
pp. 13-14
Author(s):  
Robyn Batten

Baron Karl Frederick Van Munchausen was famous throughout Europe in the 18th century for tales of his adventures which were of doubtful authenticity. In 1951 the term Munchausen syndrome was coined to describe adults who fabricated histories of illness, produced false physical signs and laboratory findings to deceive doctors and receive unwarranted medical treatment and operations. Munchausen syndrome by proxy was first described by Dr. Roy Meadow (1977) as a form of child abuse in which an illness is fabricated in a child by a parent.


2021 ◽  
pp. 199-209
Author(s):  
Ayşe AKPINAR

In this study, the main aim is to shed light onto the Munchausen by Proxy Syndrome news case articles from Turkey and the USA as well as to increase awareness related to the topic. Munchausen Syndrome by Proxy is a form of child abuse and as the perpetrator of the abuse mostly a parent of the victim, it is not easy to prove the abuse by the medical staff. Most of the time, the perpetrator is ‘mother’ of the child, who fabricates a story about the child’s sickness and seeks for medical attention for the child.


2021 ◽  
Vol 45 (4) ◽  
pp. 103-110
Author(s):  
Youn Shin Kim ◽  
Jin Yu ◽  
Ha Ri Jeong ◽  
Kyoung-Won Ryu

Munchausen syndrome by proxy (MSBP) is a rare form of mental disorder and is known as a particular type of child abuse. MSBP has been described since 1977 as a severe form of abuse with illness falsification or the intentional harming by guardians, mostly mothers. The perpetrator of MSBP may inflict damage to the child directly or indirectly through medical procedures. The perpetrator’s alleged motive is to satisfy her psychological needs, and she has a history of mental illness, mostly, factitious disorder, personality disorder, and somatic disorder. The pathology is not well known; as such, it is difficult for medical personnel to detect it early. In addition, it is hard to be handled effectively by the police and child welfare agencies because of the scarcity of evidence. Therefore, the authors attempt to examine the essential information from early detection and child abuse prevention by analyzing its clinical characteristics and the perpetrator’s characteristics, including alerting signs of MSBP. For this purpose, we focus on the role of nursing staff to detect this unusual cause of child abuse.


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