Munchausen Syndrome by Proxy: Definition of Factitious Bleeding in An Infant by 51Cr Labeling of Erythrocytes

PEDIATRICS ◽  
1979 ◽  
Vol 63 (6) ◽  
pp. 843-843
Author(s):  
Lawrence Kurlandsky ◽  
Jonathan V. Lukoff ◽  
William H. Zinkham ◽  
Judith P. Brody ◽  
Richard W. Kessler
Keyword(s):  
Munchausen Syndrome ◽  
Vocal Cords ◽  
Munchausen Syndrome By Proxy ◽  
Definition Of ◽  
Vocal Chords

In the article, "Munchausen Syndrome by Proxy: Definition of Factitious Bleeding in An Infant by 51Cr Labeling of Erythrocytes" by Kurlandsky et al (Pediatrics 63: 228-231, February 1979) "vocal chords" (p 229, col 1) should be spelled "vocal cords."

Munchausen Syndrome by Proxy: Definition of Factitious Bleeding in An Infant by 51Cr Labeling of Erythrocytes

PEDIATRICS ◽  
1979 ◽  
Vol 63 (2) ◽  
pp. 228-231
Author(s):  
Lawrence Kurlandsky ◽  
Jonathan Y. Lukoff ◽  
William H. Zinkham ◽  
Judith P. Brody ◽  
Richard W. Kessler
Keyword(s):  
Respiratory Tract ◽  
Upper Airway ◽  
Capillary Blood ◽  
Upper Respiratory Tract ◽  
Munchausen Syndrome ◽  
Munchausen Syndrome By Proxy ◽  
Bleeding Episodes ◽  
Future Harm ◽  
Upper Respiratory ◽  
Definition Of

The Munchausen syndrome by proxy is a phenomenon in which symptoms of a disease are fabricated by some person other than the patient. This report describes an 8-week-old infant with repetitive bleeding episodes, presumably originating from the upper respiratory tract. Extensive investigations, including angiography, several endoscopies under general anesthesia, and reinfusion of the infant's red cells labeled with 51Cr followed by pulmonary and upper airway scanning, failed to reveal the source of bleeding. Within two weeks after initiation of the 51Cr studies, radioactivity of facial blood from two separate bleeding episodes did not exceed background counts. Soimultaneous examination of the infant's capillary blood, however, showed moderate to marked radioactivity. The Rh subtype of the facial blood was cc, whereas the infant's type was Cc. These findings indicated that the facial blood was factitious in origin. No further "bleeding" occurred after this information was presented to the parents. This case represents an unusual example of the Munchausen syndrome by proxy. Awareness of this entity can prevent potentially harmful investigations. Documenting its occurrence and sharing the information with parents in a nonaccusatory manner may prevent future harm to the patient.

Two Cases of Unexplained Bleeding: Munchausen Syndrome by Proxy

2012 ◽  
Author(s):  
Funda Kurt ◽  
Sevgi Baskan ◽  
Ozdecan Bezirci ◽  
Gurol Canturk ◽  
Zarife Kuloglu ◽  
...  
Keyword(s):  
Munchausen Syndrome ◽  
Munchausen Syndrome By Proxy

Munchausen syndrome by proxy: Diagnosis and prevalence.

1993 ◽  
Vol 63 (2) ◽  
pp. 318-321 ◽  
Author(s):  
Herbert A. Schreier ◽  
Judith A. Libow
Keyword(s):  
Munchausen Syndrome ◽  
Munchausen Syndrome By Proxy

Munchausen by Proxy or Polle Syndrome: Which Term Is Correct?

PEDIATRICS ◽  
1984 ◽  
Vol 74 (4) ◽  
pp. 554-556
Author(s):  
Roy Meadow ◽  
Thomas Lennert
Keyword(s):  
Real Life ◽  
Munchausen Syndrome ◽  
Munchausen Syndrome By Proxy ◽  
The Real ◽  
The Family ◽  
Munchausen By Proxy ◽  
Incorrect Information

The terms Munchausen syndrome by proxy and Polle syndrome have both been used to describe the situation in which one person persistently fabricates illness on behalf of another (usually a mother on behalf of her child). However, investigation of the family records of the real life Baron von Munchausen in Germany reveal that Polle syndrome is an inappropriate title originally derived from incorrect information.

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