758 results match your criteria Munchausen Syndrome by Proxy


Nonsexual violence against children and adolescents: a study in a Latin American tertiary and university hospital.

Rev Paul Pediatr 2022 6;40:e2021101. Epub 2022 May 6.

Universidade de São Paulo, São Paulo, SP, Brazil.

Objective: The objective of this study was to assess interpersonal nonsexual violence against children and adolescents in a tertiary university hospital.

Methods: A cross-sectional study was performed in 240 patients under nonsexual violence situation for 15 consecutive years. Data analyses included demographic data, hospital referral site, type and author of nonsexual violence, legal referral, laboratorial and imaging examinations, and outcomes. Read More

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Correction to: Repeated poisoning of the life partner by thallium - a case of questionable Munchausen by adult proxy syndrome with ensuing attempted murder.

Int J Legal Med 2022 May;136(3):973

Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt- Universität zu Berlin, Institute of Forensic Medicine, Turmstraße 21 (Haus N), 10559, Berlin, Germany.

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Repeated poisoning of the life partner by thallium - a case of questionable Munchausen by adult proxy syndrome with ensuing attempted murder.

Int J Legal Med 2022 May 22;136(3):695-704. Epub 2022 Feb 22.

Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt- Universität zu Berlin, Institute of Forensic Medicine, Turmstraße 21 (Haus N), 10559, Berlin, Germany.

After the use of thallium as rat poison was banned, the knowledge about the severe and treacherous course of poisonings with this toxic metal has widely been lost. In the present case, the male victim sustained two insidious poisoning attacks in 2017 and 2020 by the perpetrator, his female life partner. In the first poisoning episode, he suffered from increasing heavy pain of the abdomen, stinging pain of both legs, persistent obstipation, hyperesthesia, and, after about 2 weeks, tuft-wise loss of hair as typical symptoms of the thallium poisoning. Read More

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Cutaneous Ulcers, Delusional Disorders and Munchausen by Proxy: From Somatic to Psychological Diagnosis and Approach.

Acta Derm Venereol 2022 Feb 22;102:adv00654. Epub 2022 Feb 22.

Department of Dermatology, University of São Paulo, Rua Itapeva 500-3ª, 01332-000 São Paulo, SP, Brasil.

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February 2022

Fabricated Diabetes Mellitus: A Rare Presentation of Munchausen Syndrome by Proxy.

Indian J Pediatr 2022 Jan 18;89(1):88. Epub 2021 Oct 18.

Division of Pediatric Endocrinology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, 110029, India.

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January 2022

Child Maltreatment and Neglect.

Emerg Med Clin North Am 2021 Aug 11;39(3):589-603. Epub 2021 Jun 11.

Department of Emergency Medicine, University of California, San Francisco, 550 16th Street, Box 0632, San Francisco, CA 94143, USA. Electronic address:

Emergency medicine clinicians are mandated reporters, legally, which obligates clinicians to report any behavior suspicious for child maltreatment to local authorities. Pediatric patients often present to the emergency department with concern for physical injury and other pervasive complaints. In some cases, these injuries are nonaccidental. Read More

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Pediatric Factitious Disorder Perpetuated by Others: A Dermatologist's Duty Beyond the Skin.

J Clin Aesthet Dermatol 2021 May 1;14(5):22-24. Epub 2021 May 1.

Dr. Sung is with the Department of Dermatology, University of California Irvine in Irvine, California.

Factitious disorders and factitious disorders imposed on another are a prevalent encounter during dermatology visits. Here, we present a case of a pediatric patient who presented with ulcer-like lesions that, based on initial biopsy, suggested an immunobullous etiology. Further exploration revealed her underlying psychiatric disorder. Read More

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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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Fabricated or induced illness: From "Munchausen by proxy" to child and family-oriented action.

Authors:
Danya Glaser

Child Abuse Negl 2020 10 14;108:104649. Epub 2020 Aug 14.

Great Ormond Street Hospital for Children, London, WC1N 3JH, England. Electronic address:

Background: In fabricated or induced illness (FII), a child is harmed due to caregiver(s) behaviour and actions, carried out to convince mainly doctors that the child's physical and/or psychological health is more impaired than in reality. Harm is caused directly by the caregivers(s) and also often inadvertently by doctors' responses.

Objectives: To describe: dynamics underlying FII; wider definition of FII; alerting signs for early recognition of possible FII; respective responsibilities of health, social care, education. Read More

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October 2020

Pulling the Wool Off Our Eyes: Medical Child Abuse.

Authors:
Amber Hoffman

Pediatr Ann 2020 Aug;49(8):e354-e358

Medical child abuse (MCA) continues to remain a challenging form of abuse to recognize, diagnose, and manage. The perpetrators of MCA have some common features that may heighten the suspicion that a child is the victim of MCA. Once suspected, the development of a multidisciplinary care plan that incorporates all subspecialists and health care providers involved in the child's care is essential. Read More

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

CNS Spectr 2022 02 10;27(1):16-26. 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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February 2022

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

Evaluation and Management of Factitious Disorder Imposed on Another.

J Clin Psychol Med Settings 2021 03;28(1):67-77

Department of Psychiatry & Behavioral Sciences, Stanford University Medical School, Stanford, CA, USA.

Munchausen by proxy refers to an individual who abusively and compulsively falsifies physical, psychiatric or developmental disorders in a child or adult victim in order to satisfy a psychological need. Factitious disorder imposed on another refers to the psychopathology in the abuser. Psychologists in medical settings may: (1) identify patients they come to suspect as being victims or perpetrators of MBP, (2) conduct or assist in clinical or forensic evaluations; (3) offer recommendations for clinical case management, and/or (4) provide treatment or referrals. Read More

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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