748 results match your criteria Munchausen Syndrome by Proxy


Munchausen by Proxy Syndrome Associated with Fecal Contamination: A Case Report.

Turk Psikiyatri Derg 2020 ;31(3):212-215

Factitious disorder imposed on another, also known as Munchausen Syndrome by Proxy (MSBP), is a serious form of child abuse that is difficult to diagnose. In general, signs and symptoms are fabricated or produced by the mother or the caregiver. Delay in diagnosis may cause serious morbidity and mortality. Read More

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January 2020

Munchausen syndrome by proxy (MSBP): a review regarding perpetrators of factitious disorder imposed on another (FDIA).

CNS Spectr 2020 Aug 10:1-11. Epub 2020 Aug 10.

Clínica Universitária de Psiquiatria e Psicologia Médica, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.

Munchausen syndrome by proxy (MSBP) is well-known to clinicians, but its usage is discouraged now in favor of other terms placing emphasis on the victim. This study aims to determine the most common characteristics of perpetrators but only in case reports labeled as MSBP, published in PubMed literature in the past 15 years. MSBP has been described as a rare form of abuse due to illness falsification, where the perpetrator usually receives the diagnosis of factitious disorder imposed on another (FDIA). Read More

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Factitious Disorder Presented by Haematemesis / Factitious Disorder Imposed on Another (FDIA): A Case Report.

Turk Psikiyatri Derg 2020 ;31(2):137-142

Factitious disorder imposed on another (FDIA-DSM-5), formerly known as Munchausen Syndrome by Proxy (MSP) is a form of child abuse. A case can be recognised by only keeping the relevant diagnoses in mind. There are many cases of FDIA diversified by the contributions of both the caregiver and the child. Read More

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Caregiver-fabricated illness in a child prescribed long-term opioids and benzodiazepines.

J Opioid Manag 2020 Mar/Apr;16(2):155-159

Professor, Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada; McMaster Children's Hospital, Hamilton Health Sciences, Hamilton, Ontario, Canada.

Caregiver-fabricated illness in a child (CFIC) can result in unnecessary, potentially harmful medical investigations and treatment. As pediatric pain has historically been undertreated, the movement for more compassionate treatment has led to an increase in analgesic prescribing in children and adolescents. Overall, this has been a positive change but this may also lead to unintentional harm, partic-ularly if CFIC is not considered as a possibility in the presentation. Read More

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October 2020

Medical Child Abuse and Medical Neglect.

Pediatr Rev 2020 Feb;41(2):49-60

Department of Pediatrics, University of Vermont Children's Hospital, Burlington, VT.

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February 2020

Fabricated or induced illness in a child.

Br J Nurs 2019 Nov;28(20):1288-1290

Staff Nurse, Paediatric Critical Care, Royal Manchester Children's Hospital.

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November 2019

Medical Child Abuse Hidden in Pediatric Settings: Detection and Intervention.

J Clin Psychol Med Settings 2020 12;27(4):753-765

Quincy College, Quincy, MA, USA.

Medical child abuse, sometimes referred to as Munchausen Syndrome by Proxy or childhood factitious disorder, poses significant diagnostic, intervention, and ethical issues for medical and mental health practitioners alike. Psychologists working in pediatric hospitals and medical clinics should remain mindful of the health and ethical risks posed by these conditions, which are challenging to detect and treat. The surreptitious nature of the conditions and hazards they pose require an integrated medical, psychological, and child protective response. Read More

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December 2020

Munchausen Syndrome by Proxy.

Indian Dermatol Online J 2019 Jul-Aug;10(4):496-497

Department of Psychiatry, Aster Medcity, Kochi, Kerala, India.

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A case report and literature review: Factitious disorder imposed on another and malingering by proxy.

Paediatr Child Health 2020 Oct 17;25(6):345-348. Epub 2019 Jun 17.

Dalhousie University, Faculty of Medicine, IWK Health Centre, Halifax, Nova Scotia.

Factitious disorder imposed on another (FDIA) and malingering by proxy (MAL-BP) are two forms of underreported child maltreatment that should remain on physicians' differential. This case of a 2-year-old boy, which spans 6 years, reveals the complexity in and difficulties with diagnosis. Key features include the patient's mother using advanced medical jargon to report multiple disconnected concerns and visits to numerous providers. Read More

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October 2020

Emergency department presentation of 'delusional parasitosis by proxy'. Delusional parent, injured child.

Authors:
Jay D Fisher

Am J Emerg Med 2019 09 30;37(9):1806.e1-1806.e2. Epub 2019 May 30.

UNLV School of Medicine, Department of Emergency Medicine, United States of America. Electronic address:

We report a case of 'delusional parasitosis by proxy'. A sixyear old child was brought to the emergency department by a mother with concerns that her son had a skin and scalp infestation. Despite the absence of any clinical findings being found on exam, the mother remained disproportionately concerned. Read More

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September 2019

Psychological Treatment of Factitious Disorder Imposed on Another/Munchausen by Proxy Abuse.

J Clin Psychol Med Settings 2020 03;27(1):139-149

Departments of Psychiatry & Biobehavioral Sciences; Pediatrics, David Geffen School of Medicine at UCLA, 760 Westwood Plaza, Semel 48-241, Los Angeles, CA, 90024-1759, USA.

The purpose of this article is to propose management and treatment protocols for family members impacted by MBP abuse. A brief review of psychopathology, co-morbidities, MBP risk level, treatment outcomes, and rationale for treatment is presented, followed by detailed guidance regarding psychological treatment and management. We propose five components of psychotherapy for abusers, best remembered by using the acronym of ACCEPTS: ACknowledgement, Coping, Empathy, Parenting, Taking charge, and Support. Read More

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Unexplained destructive nasal lesions in half-brothers: A possible case of Munchausen syndrome by proxy.

Int J Pediatr Otorhinolaryngol 2019 Aug 25;123:75-78. Epub 2019 Apr 25.

Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical Branch, Galveston, TX, USA.

Munchausen syndrome by proxy (MSBP) is a condition diagnosed when a caregiver knowingly fabricates or inflicts illness on another for his/her own gain. Typical cases of MSBP detected by otolaryngologists involve facial trauma or otologic injury, while descriptions involving the nose are rare. Destructive nasal lesions have a broad differential diagnosis and may require visits to numerous specialists, placing strain on both the patient and the healthcare system. Read More

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Medical Child Abuse: An Unusual "Source" of Vaginal Bleeding.

J Pediatr Adolesc Gynecol 2019 Jun 25;32(3):334-336. Epub 2019 Mar 25.

Section of Adolescent Medicine, Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma. Electronic address:

Background: Medical child abuse (MCA) is challenging to diagnose. Although young children are often affected, adolescents can be victims through caregiver coercion. Presentation is highly variable. Read More

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Disclosure of caregiver-fabricated illness to a child: A team-based approach to communicating with pediatric patients.

Clin Child Psychol Psychiatry 2019 Jul 9;24(3):494-502. Epub 2019 Jan 9.

Yale School of Medicine, USA.

Clinical practice guidelines for informing children they have been subjected to caregiver-fabricated illness are highly limited in the current literature. This article addresses this issue by offering an ethically informed, psychological approach to the disclosure of this form of abuse to school-aged children and adolescents who have been significantly harmed. A multidisciplinary, staged model of communication which illustrates that truthful communication with children and their families is a necessary component of the recovery process is proposed. Read More

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Munchausen by proxy syndrome mimicking childhood-onset systemic lupus erythematosus.

Lupus 2019 Feb 7;28(2):249-252. Epub 2019 Jan 7.

1 Pediatric Rheumatology Unit, Children's Institute, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.

Childhood-onset systemic lupus erythematosus (cSLE) is a chronic inflammatory multisystem autoimmune disease that requires multiple differential diagnoses. Munchausen by proxy syndrome (MBPS) is a form of child abuse, where a caregiver intentionally creates a medical history and induces or fabricates signs or disease in a patient. To our knowledge, there is no case report of MBPS mimicking cSLE diagnosis. Read More

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February 2019

Cutaneous Munchausen Syndrome by Proxy: A Diagnostic Challenge for Dermatologist.

Indian Dermatol Online J 2018 Nov-Dec;9(6):435-437

Department of Psychaitry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Munchausen syndrome by proxy (MSBP) is a rare psychiatric disorder of a caregiver (commonly mother) who induces injury or symptoms on victim because of his or her psychiatry illness. The victims are usually under 6 years of age who cannot complain regarding inflicted injury. Diagnosis is challenging to the physician. Read More

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December 2018

[Structured interviewing of children in suspected child endangerment cases: The German version of the revised NICHD Investigative Interview Protocol].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2018 Dec;61(12):1587-1602

Zentrum für Kinderheilkunde, Universität Bonn, Bonn, Deutschland.

Interviewing a child of a suspected abuse (physical abuse, sexual abuse, neglect, Munchausen-by-proxy syndrome) is subject to complex risks of suggestion and distortion. The use of a standardized interview protocol as part of the investigation can significantly increase the scope and validity of the child's report in different settings (for example, pediatrics, child welfare services, court).In this paper, the interview protocol provided by the National Institute of Child Health and Human Development (NICHD) in its revised and complete version is presented in German and made available for free clinical use in the Appendix. Read More

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December 2018

[Interviewing children in cases of suspected child endangerment: pitfalls and quality assurance].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2018 Dec;61(12):1579-1586

Zentrum für Kinderheilkunde, Universität Bonn, Bonn, Deutschland.

Doctors and especially paediatricians in clinics and private practices are often the first professionals to be confronted with the suspicion of a child endangerment (sexual abuse, physical abuse, neglect, Munchausen-by-proxy syndrome). They thus play a key role in the early assessment and clarification of suspicion and setting the course for the further interdisciplinary procedure.The clinical investigation of a suspicion is a diagnostic and communicative challenge. Read More

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December 2018

An Overview of Munchausen Syndrome and Munchausen Syndrome by Proxy.

Nurs Clin North Am 2018 09;53(3):375-384

University of Arizona, College of Nursing, 1305 N. Martin Avenue, Tucson, AZ 85721, USA.

Munchausen syndrome and Munchausen syndrome by proxy are complex diseases that are difficult to diagnose and treat. To assist in this process, an overview of diagnostic criteria with common characteristics and red flags are discussed, with case studies illustrating identification and diagnosis of these disorders. Treatment options are addressed within the context of each of these complex syndromes. Read More

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September 2018

Medical Child Abuse: A Case Presenting as Anogenital Bleeding of Unknown Origin in an Older Child.

J Pediatr Adolesc Gynecol 2018 Dec 7;31(6):637-639. Epub 2018 Jul 7.

Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.

Background: Medical child abuse is a challenging diagnosis to make, particularly in older children with unusual presenting symptoms.

Case: A 7-year-old child with complex medical history presented with anogenital bleeding of unknown origin. Extensive laboratory testing, imaging studies, and diagnostic procedures were negative for any etiology. Read More

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December 2018

Pediatric Condition Falsification Misdiagnosed by Misjudged Weight Growth from the Curve of Measured Weights.

Am J Case Rep 2018 Jun 27;19:752-756. Epub 2018 Jun 27.

Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, Groningen, Netherlands.

BACKGROUND Pediatric condition falsification (PCF) is a rare form of child abuse in which a caregiver fabricates or induces illness in the child. The diagnosis is difficult and controversial and can easily include false positives. CASE REPORT A boy, 3. Read More

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Munchausen Syndrome by Proxy: balancing ethical and clinical challenges for healthcare professionals Ethical consideration in factitious disorders.

Clin Ter 2018 May-Jun;169(3):e129-e134

University of Padua, Department of Molecular Medicine.

Munchausen syndrome by proxy is a relatively rare behavioral disorder affecting a child's primary caregiver, typically the mother. Ethical dilemmas that physicians may face in such situations mainly concern the medical options for best protecting the child's welfare, that are important, in clinical pediatric practice, because critical conflicts might arise between health professionals and parents. In such cases, the physician's primary obligation is to protect the children involved, whose family environment may be essential to their wellbeing. Read More

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October 2018

Fabricated or induced illness in twins associated with insertion of trocar needles into their bodies.

Paediatr Int Child Health 2019 08 8;39(3):227-229. Epub 2018 Jun 8.

a Department of Pediatric Surgery , Children's Hospital Bechir Hamza , Tunis , Tunisia.

Fabricated and/or induced illness (previously known as Munchausen syndrome by proxy) is a form of child abuse in which the perpetrator induces, exaggerates or fabricates illness in his/her child. Two-month-old twins were referred to the paediatric surgery centre with trocar needles lodged in different organs. A radiograph undertaken in one of them because of acute respiratory distress demonstrated needles in the heart and diaphragm which were removed surgically. Read More

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Building Bridges between Clinical and Forensic Toxicology Laboratories.

Curr Pharm Biotechnol 2018 ;19(2):99-112

Clinical Analysis Department, Hospital Universitari Son Llatzer, Balearic Islands Health Research Institute (IdISBa), Palma de Mallorca, Spain.

Background: Clinical and forensic toxicology can be defined as two disciplines involving the detection, identification and measurement of xenobiotics in biological and non-biological samples to assist in the diagnosis, treatment, prognosis and prevention of poisonings and to disclose causes and contributory causes of fatal intoxications, respectively.

Objective: This article explores the close connections between clinical and forensic toxicology in overlapping areas of interest.

Methods: An update has been carried out of the following seven areas of interest in analytical toxicology: doping control, Sudden Cardiac Death (SCD), brain death, Sudden Infant Death Syndrome (SIDS) and Munchausen Syndrome by Proxy (MSBP), prenatal exposure to drugs and Fetal Alcohol Syndrome (FAS), Drug-Facilitated Crimes (DFC) and intoxications by new psychoactive substances (NPS). Read More

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October 2018

Don't Judge a Book by Its Cover: Factitious Disorder Imposed on Children-Report on 2 Cases.

Front Pediatr 2018 18;6:110. Epub 2018 Apr 18.

Section of Child and Adolescent Neuropsychiatry, Department of Human Neuroscience, Sapienza University of Rome, Rome, Italy.

Factitious Disorder Imposed on Another (FDIA), also known as Munchausen Syndrome by Proxy (MSbP) is a very serious form of child abuse. The perpetrator, usually the mother, invents symptoms or causes real ones in order to make her child appear sick. Usually this is due to a maladaptive disorder or to an excessive of attention-seeking on her part. Read More

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40 years of fabricated or induced illness (FII): where next for paediatricians? Paper 1: epidemiology and definition of FII.

Arch Dis Child 2019 02 4;104(2):110-114. Epub 2018 Apr 4.

Great Ormond Street Hospital For Children NHS Foundation Trust, London, UK.

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February 2019

[Mixed Munchausen Syndrome with organic comorbidity].

Vertex 2017 Mar;28(132):145-151

Servicio de Salud Mental Instituto de Investigaciones Médicas "A. Lanari", Facultad de Medicina, UBA.

We present a detailed case report that shows a woman patient who has Factitious Disorder manifested by the coexistence both of: A) typical/direct Munchausen and B) Munchausen by proxy or indirect: being the frst one (A) about the own person and the second one (B) about other people (most cases about their own young children). Furthermore, in the reported case we observed that the patient shown the particularity of having positive biological markers for Myasthenia Gravis (serology markers), and having inconsistent clinical manifestations that are typically observed in the exacerbation phase when she still continued in remission phase. In our own bibliographic research we couldn`t fnd anything about this case of "Mixed Munchausen Syndrome with organic comorbidity". Read More

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