733 results match your criteria Munchausen Syndrome by Proxy


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

Clin Child Psychol Psychiatry 2019 Jan 9:1359104518816122. 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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http://dx.doi.org/10.1177/1359104518816122DOI Listing
January 2019
8 Reads

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

Lupus 2019 Jan 7:961203318821156. 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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http://dx.doi.org/10.1177/0961203318821156DOI Listing
January 2019
2 Reads

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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http://dx.doi.org/10.4103/idoj.IDOJ_28_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232996PMC
December 2018
6 Reads

[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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http://dx.doi.org/10.1007/s00103-018-2838-4DOI Listing
December 2018
3 Reads

[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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http://link.springer.com/10.1007/s00103-018-2837-5
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http://dx.doi.org/10.1007/s00103-018-2837-5DOI Listing
December 2018
11 Reads

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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https://linkinghub.elsevier.com/retrieve/pii/S00296465183004
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http://dx.doi.org/10.1016/j.cnur.2018.04.005DOI Listing
September 2018
20 Reads

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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https://linkinghub.elsevier.com/retrieve/pii/S10833188183025
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http://dx.doi.org/10.1016/j.jpag.2018.06.011DOI Listing
December 2018
13 Reads

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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https://www.amjcaserep.com/abstract/index/idArt/908770
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http://dx.doi.org/10.12659/AJCR.908770DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6053948PMC
June 2018
13 Reads

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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http://dx.doi.org/10.7417/T.2018.2067DOI Listing
October 2018
29 Reads

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

Paediatr Int Child Health 2018 Jun 8:1-3. 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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http://dx.doi.org/10.1080/20469047.2018.1466482DOI Listing
June 2018
5 Reads

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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http://www.eurekaselect.com/162028/article
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http://dx.doi.org/10.2174/1389201019666180509163603DOI Listing
October 2018
9 Reads

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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http://dx.doi.org/10.3389/fped.2018.00110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5915702PMC
April 2018
7 Reads

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

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

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

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http://dx.doi.org/10.1136/archdischild-2017-314319DOI Listing
February 2019
20 Reads

[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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March 2017
13 Reads

Munchausen syndrome and Munchausen syndrome by proxy: a narrative review.

Einstein (Sao Paulo) 2017 Oct-Dec;15(4):516-521

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

The Munchausen syndrome and Munchausen syndrome by proxy are factitious disorders characterized by fabrication or induction of signs or symptoms of a disease, as well as alteration of laboratory tests. People with this syndrome pretend that they are sick and tend to seek treatment, without secondary gains, at different care facilities. Both syndromes are well-recognized conditions described in the literature since 1951. Read More

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http://dx.doi.org/10.1590/S1679-45082017MD3746DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875173PMC
March 2018
19 Reads

Interpretation of Tramadol Findings in Hair. Concentrations After a Single Exposure and Application to a Munchausen's Syndrome by Proxy Case.

J Anal Toxicol 2018 04;42(3):e35-e37

Institut de medicine légale, 11 rue Humann, F-67000 Strasbourg, France.

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http://dx.doi.org/10.1093/jat/bkx101DOI Listing
April 2018
3 Reads

A Serial Munchausen Syndrome by Proxy.

Indian J Psychol Med 2017 Sep-Oct;39(5):671-674

Department of Psychiatry, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, Turkey.

Munchausen syndrome by proxy (MSBP) is a form of child abuse that describes children whose parents or caregivers invent illness stories and substantiate the stories by fabricating false physical signs. Through this case report, a serial MSBP case is presented along with psychiatric evaluation of the perpetrator mother who was sent to the Forensic Psychiatric Observation Department of the Council of Forensic Medicine to assess whether she has any mental disorder. Although there are several studies on MSBP, we present this case because the perpetrator mother was caught on the camera surveillance system of the hospital while closing the nose and mouth of the victim for fabricating the illness, and she also said that she had done the same thing to her two elder children to exclude their illnesses. Read More

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http://dx.doi.org/10.4103/0253-7176.217017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5688899PMC
December 2017
15 Reads

Munchausen Syndrome and the Wide Spectrum of Factitious Disorders.

Front Neurol Neurosci 2018 17;42:81-86. Epub 2017 Nov 17.

Since its initial description in 1851, Munchausen syndrome has been widely used interchangeably with factitious disorder. Nevertheless, this syndrome is only one form of factitious disorder that is both severe and chronic. The syndrome was named after Karl Friedrich Hieronymus, Baron von Münchhausen (1720-1797), a German nobleman who became famous as a narrator of false and exaggerated exploits. Read More

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https://www.karger.com/Article/FullText/475682
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http://dx.doi.org/10.1159/000475682DOI Listing
July 2018
20 Reads

Munchausen by Proxy: A Qualitative Investigation into Online Perceptions of Medical Child Abuse.

J Forensic Sci 2018 May 2;63(3):771-775. Epub 2017 Aug 2.

School of Psychology, University of Central Lancashire, Preston, UK.

In Munchausen by proxy (MBP) maltreatment, increasingly termed "medical child abuse" (MCA), a caregiver fabricates or induces illness in another. The perpetrator's goal for the behavior is to meet personal emotional needs by forcing unnecessary or misguided medical or psychological treatment. Generally, a mother is the perpetrator and her child is the victim. Read More

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http://dx.doi.org/10.1111/1556-4029.13610DOI Listing
May 2018
18 Reads

The perpetrators of medical child abuse (Munchausen Syndrome by Proxy) - A systematic review of 796 cases.

Child Abuse Negl 2017 Oct 24;72:45-53. Epub 2017 Jul 24.

Department of Psychological Medicine, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom. Electronic address:

Introduction: Little is known about the perpetrators of medical child abuse (MCA) which is often described as "Munchausen's syndrome by proxy" or "factitious disorder imposed on another". The demographic and clinical characteristics of these abusers have yet to be described in a sufficiently large sample. We aimed to address this issue through a systematic review of case reports and series in the professional literature. Read More

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http://dx.doi.org/10.1016/j.chiabu.2017.07.008DOI Listing
October 2017
27 Reads

Munchausen syndrome by proxy and pediatric nephrology.

Nephrol Ther 2017 Nov 9;13(6):482-484. Epub 2017 Jun 9.

Service de néphrologie rhumatologie dermatologie pédiatriques, centre de référence des maladies rénales rares, hôpital Femme-Mère-Enfant, hospices civils de Lyon et université Claude-Bernard Lyon 1, 3, quai des Célestins, 69002 Lyon, France.

Munchausen syndrome by proxy is a persistent fabrication of illness done by a person to another. Renal and urologic forms of this syndrome are not as uncommon as can be thought; a review of all the cases of Munchausen-by-proxy syndrome reveals that 25% of the children had renal or urologic issues. This syndrome can result in a serious diagnostic dilemma for the physicians; knowing this entity can allow early recognition of falsification and limit the physical and psychological damages caused in the victim. Read More

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http://dx.doi.org/10.1016/j.nephro.2016.12.006DOI Listing
November 2017
29 Reads

Factitious Disorder Presenting with Stuttering in Two Adolescents: The Importance of Psychoeducation.

Noro Psikiyatr Ars 2017 Mar 1;54(1):87-89. Epub 2017 Mar 1.

Clinic of Child and Adolescent Psychiatry, Bakırköy Psychiatric Hospital, İstanbul, Turkey.

A factitious disorder (FD) is a diagnostic entity in which patients intentionally act physically or mentally ill without obvious benefits and without being consciously aware of a clear underlying motive. Most pediatric FD cases have been reported as Munchausen syndrome by Proxy; however, pediatric disease symptoms can also be intentionally falsified by child and adolescent patients. To our knowledge, in the medical literature, an FD patient presenting with stuttering has not been previously reported. Read More

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http://dx.doi.org/10.5152/npa.2017.12349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5439479PMC
March 2017
18 Reads

Obesity as a Presentation of Munchausen Syndrome by Proxy.

J Trop Pediatr 2018 Feb;64(1):78-81

University of Ribeirão Preto, São Paulo 14027-150, Brazil.

Objective: To describe a case of an obese child whose weight gain was related to the Munchausen Syndrome by proxy (MSP).

Methods: This is a case report including information regarding the child's clinical history and the mother's behavior. The common features of the syndrome are confronted with the description of the case, seeking to demonstrate the similarities. Read More

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http://dx.doi.org/10.1093/tropej/fmx027DOI Listing
February 2018
19 Reads
0.860 Impact Factor

Munchausen by proxy syndrome mimicking systemic autoinflammatory disease: case report and review of the literature.

Pediatr Rheumatol Online J 2017 Apr 5;15(1):19. Epub 2017 Apr 5.

Department of Paediatric Rheumatology and Immunology, University Children's Hospital Muenster, Albert-Schweitzer-Campus 1, Bld. W30, D-48149, Muenster, Germany.

Background: Systemic autoinflammatory diseases (SAIDs) represent a growing number of monogenic, polygenic or multifactorial disorders that are often difficult to diagnose.

Case Presentation: Here we report a patient who was initially erroneously diagnosed and treated for SAID. Symptoms consisted of recurrent fever, erythematous and/or blistering skin lesions, angioedema, susceptibility to bleeding, external ear infections and reversible anisocoria in the absence of laboratory evidence of systemic inflammation. Read More

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http://dx.doi.org/10.1186/s12969-017-0152-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5382472PMC
April 2017
22 Reads

Medical Child Abuse (Munchausen Syndrome by Proxy): Multidisciplinary Approach from a Pediatric Gastroenterology Perspective.

Curr Gastroenterol Rep 2017 Apr;19(4):14

GI Care for Kids, LLC, 993-D Johnson Ferry Rd, Suite 440, Atlanta, GA, 30342, USA.

Purpose Of Review: We highlight the need for a multidisciplinary approach to the diagnosis of medical child abuse, also known as factitious disorder imposed on another (FDIA) or Munchausen syndrome by proxy (MSP), and review our experience focusing on the variety of symptoms that often present to the pediatric gastroenterologist many months before the diagnosis is made.

Recent Findings: Recent literature on medical child abuse, mostly case reports, is markedly limited, highlighting a need for increased research on this topic. Articles agree on the value of a multidisciplinary approach to these cases and the importance of involving professionals outside the hospital setting. Read More

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http://dx.doi.org/10.1007/s11894-017-0553-1DOI Listing
April 2017
23 Reads

Parents gave baby alcohol and antihistamines in case of induced illness.

Authors:
Clare Dyer

BMJ 2017 03 21;356:j1451. Epub 2017 Mar 21.

The BMJ.

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http://dx.doi.org/10.1136/bmj.j1451DOI Listing
March 2017
10 Reads

Caregiver-Fabricated Illness in a Child: A Case Report of Three Siblings.

J Forensic Nurs 2017 Jan/Mar;13(1):39-42

Author Affiliation: Department of Legal Medicine, Farhat Hached University Hospital.

Caregiver-fabricated illness in a child is a form of child maltreatment caused by a caregiver inducing a child's illness, leading to unnecessary and potentially harmful medical procedures and treatments. This condition can result in significant morbidity and mortality. We present the case of three siblings in Tunisia who were poisoned with chloralose by their own mother. Read More

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http://dx.doi.org/10.1097/JFN.0000000000000141DOI Listing
March 2017
20 Reads

[Apparent life threatening events in infants].

Authors:
Pierre Foucaud

Rev Prat 2017 02;67(2):191-196

Service de pédiatrie, centre hospitalier de Versailles, Versailles, France.

Apparent lifethreatening events in infants. The apparent life-threatening event (ALTE) of the infant is a classic symptom in pediatric emergencies. It is defined as a sudden and unexpected episode involving tone disorders and coloring (pallor, cyanosis) occurring usually before 6 months. Read More

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February 2017
2 Reads

The Intersection of Medical Child Abuse and Medical Complexity.

Pediatr Clin North Am 2017 Feb;64(1):253-264

Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA.

Children with medical complexity and victims of medical child abuse may have similar clinical presentations. Atypical or unexplained signs and symptoms due to rare diseases may lead providers to suspect medical child abuse when not present. Conversely, medical child abuse may be the cause of or coexist with medical complexity. Read More

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http://dx.doi.org/10.1016/j.pcl.2016.08.016DOI Listing
February 2017
11 Reads

Munchausen syndrome by proxy-illness fabricated by another in older people.

Age Ageing 2017 03;46(2):166-167

Department of Geriatric Medicine, Cardiff University School of Medicine, University Hospital Llandough, Penarth CF64 2XX, UK.

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http://dx.doi.org/10.1093/ageing/afw217DOI Listing
March 2017
11 Reads

Alimemazine poisoning as evidence of Munchausen syndrome by proxy: A pediatric case report.

Forensic Sci Int 2016 Sep 11;266:e18-e22. Epub 2016 Aug 11.

Clinical Toxicology Unit, Clinical Analysis Department, Hospital Universitari Son Espases, Palma de Mallorca, Spain; Research Institute of Health Sciences (IdISPa), Palma de Mallorca, Spain. Electronic address:

Munchausen syndrome by proxy (MSBP), also known as fabricated or induced illness in a child by a caretaker, is a form of abuse where a caregiver deliberately produces or feigns illness in a person under his or her care, so that the proxy will receive medical care that gratifies the caregiver. The affected children are often hospitalized for long periods and endure repetitive, painful and expensive diagnostic attempts. We present an analytically confirmed case of MSBP by alimemazine. Read More

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http://dx.doi.org/10.1016/j.forsciint.2016.08.010DOI Listing
September 2016
19 Reads

Malingering by Proxy: A Literature Review and Current Perspectives.

J Forensic Sci 2016 Jan 13;61 Suppl 1:S171-6. Epub 2015 Nov 13.

The University of British Columbia, 2329 West Mall Vancouver, BC, Canada, V6T 1Z4.

Malingering by proxy (MAL-BP) is a form of maltreatment that involves a caregiver who fabricates or induces signs or symptoms in a child, dependent adult, or pet in pursuit of external, tangible incentives. Rarely studied, MAL-BP has an unknown prevalence, and is a challenging diagnosis for healthcare professionals. Therefore, a comprehensive computer literature search and review was conducted. Read More

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http://dx.doi.org/10.1111/1556-4029.12977DOI Listing
January 2016
11 Reads

Munchausen by proxy by internet and pets.

Vet Rec 2016 Jun;178(26):663-4

Department of Psychiatry and Behavioral Medicine, University of Alabama, Tuscaloosa, Alabama, USA.

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http://dx.doi.org/10.1136/vr.i3450DOI Listing
June 2016
10 Reads

The first investigative science-based evidence of Morgellons psychogenesis.

Ultrastruct Pathol 2016 Sep-Oct;40(5):249-53. Epub 2016 Jun 7.

a Department of Diagnostic and Clinical Medicine and of Public Health , University of Modena and Reggio Emilia , Modena , Italy.

Morgellons disease is an infrequent syndromic condition, that typically affects middle-aged white women, characterized by crawling sensations on and under the skin, associated with itchy rashes, stinging sores, fiber-like filaments emerging from the sores, severe fatigue, concentrating difficulty, and memory loss. The scientific community is prone to believe that Morgellons is the manifestation of various psychiatric syndromes (Munchausen, Munchausen by proxy, Ekbom, Wittmaack-Ekbom). Up until now, no investigative science-based evidence about its psychogenesis has ever been provided. Read More

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http://dx.doi.org/10.1080/01913123.2016.1190434DOI Listing
March 2017
15 Reads

Between the sanitary complacency and the factitious disorder by proxy.

Actas Esp Psiquiatr 2016 May 1;44(3):113-8. Epub 2016 May 1.

Clinical Psychologist. Child and Adolescent Psychiatric Hospitalization Department, Hospital Clínico Universitario. Valladolid.

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May 2016
11 Reads

A Rare Reason of Hyperinsulinism: Munchausen Syndrome by Proxy.

Horm Res Paediatr 2016 26;86(6):416-419. Epub 2016 May 26.

Department of Pediatric Endocrinology, Gülhane Military Medical Academy, Ankara, Turkey.

Hyperinsulinism, one of the most important causes of hypoglycaemia, can be congenital or acquired. Rarely, drug toxicity can be a reason for hyperinsulinism. In the context of Munchausen syndrome by proxy (MSP), toxicity usually occurs in children due to drug administration by a parent or caregiver. Read More

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http://dx.doi.org/10.1159/000446497DOI Listing
April 2017
18 Reads

Fabricated or Induced Illness Presenting as Recurrent Corneal Lesions, Cataracts, and Uveitis.

J Pediatr Ophthalmol Strabismus 2016 Feb 4;53 Online:e6-e11. Epub 2016 Feb 4.

Two siblings with ophthalmic findings, psychomotor retardation, somnolence, and seizures underwent diagnostic studies, genetic investigations, ultrasonography, biomicroscopy, and posterior and anterior optical coherence tomography. Both siblings experienced eye problems at different times from the age of 6 months to 12 years. The family pedigree and neurological problems (ie, hypotony, seizures, sleepiness, and speech and psychomotor delay) suggested a metabolic or mitochondrial pathology. Read More

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http://dx.doi.org/10.3928/01913913-20160122-01DOI Listing
February 2016
9 Reads

["Medical Child Abuse" lack scientific basis].

Authors:
Göran Högberg

Lakartidningen 2016 03 15;113. Epub 2016 Mar 15.

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March 2016
7 Reads

[Not Available].

Authors:

Fortschr Neurol Psychiatr 2016 Feb 8;84(2):99-102. Epub 2016 Mar 8.

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-101592
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http://dx.doi.org/10.1055/s-0042-101592DOI Listing
February 2016
11 Reads

Neurological Manifestations of Medical Child Abuse.

Pediatr Neurol 2016 Jan 25;54:22-8. Epub 2015 Sep 25.

Division of Child and Family Advocacy, Department of Pediatrics, The Center for Family Safety and Healing, Nationwide Children's Hospital, Columbus, Ohio; The Ohio State University College of Medicine, Columbus, Ohio. Electronic address:

Background: Medical child abuse occurs when a child receives unnecessary and harmful, or potentially harmful, medical care at the instigation of a caretaker through exaggeration, falsification, or induction of symptoms of illness in a child. Neurological manifestations are common with this type of maltreatment.

Objectives: We sought to review common reported neurological manifestations that may alert the clinician to consider medical child abuse. Read More

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http://dx.doi.org/10.1016/j.pediatrneurol.2015.09.010DOI Listing
January 2016
10 Reads

Acute kidney injury in a child: A case of Munchausen syndrome by proxy.

Saudi J Kidney Dis Transpl 2015 Nov;26(6):1279-81

Department of Pediatrics, Maulana Azad Medical College and Associated Hospitals, University of Delhi, Delhi, India.

Renal and urologic problems in pediatric condition falsification (PCF) or Munchausen by proxy (MSP) can result in serious diagnostic dilemma. Symptoms of hematuria, pyuria and recurrent urinary tract infections have occasionally been described. However, MSP presenting as azotemia has not been previously reported. Read More

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http://dx.doi.org/10.4103/1319-2442.168672DOI Listing
November 2015
35 Reads

The clinical geneticist and the evaluation of failure to thrive versus failure to feed.

Am J Med Genet C Semin Med Genet 2015 Dec 18;169(4):337-48. Epub 2015 Nov 18.

Common clinical genetic referrals for the pediatric patient include a single major or multiple minor anomalies, dysmorphic features, especially when accompanied by developmental delay or intellectual disability, and failure to thrive (FTT). This review provides pediatric definitions of FTT and the genetic differential for FTT, which includes chromosomal disorders, microdeletion/duplication syndromes, uniparental disomy/methylation disorder, disorders of DNA repair, teratogens, metabolic syndromes, and skeletal dysplasias. Three clinical genetics cases highlight challenges in deciphering the cause of FTT. Read More

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http://dx.doi.org/10.1002/ajmg.c.31465DOI Listing
December 2015
14 Reads

Induced illness in children.

Authors:
David Isaacs

J Paediatr Child Health 2015 Nov;51(11):1049-50

Children's Hospital at Westmead, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1111/jpc.13016DOI Listing
November 2015
11 Reads

Genetic differentials of child abuse: Is your case rare or real?

Am J Med Genet C Semin Med Genet 2015 Dec 29;169(4):281-8. Epub 2015 Oct 29.

The clinical geneticist can be called upon to play a role in the medical evaluation of children with clinical findings concerning for child abuse. This Introduction describes a case of suspected child abuse in an 8-month-old baby referred to clinical genetics to exclude osteogenesis imperfecta. The experience from this case raised medical and ethical considerations and prompted consideration of the role of the clinical geneticist in distinguishing rare mimics of child abuse from real cases. Read More

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http://dx.doi.org/10.1002/ajmg.c.31464DOI Listing
December 2015
7 Reads

[Attachment Quality of Young Children with Mentally Ill Parents on the Example of the Munchausen by Proxy Syndrome].

Prax Kinderpsychol Kinderpsychiatr 2015 ;64(9):656-72

Leibniz Universität Hannover.

One of the most discussed questions in clinical literature concerns the impact of child abuse by mentally ill parents (cf. Mattejat, 1998). It's obvious that most children cannot understand such a parental behaviour and that this lack of understanding along with the lack of knowledge about their parents' emotional disorder results in childrens' fear, disorientation and uncertainty. Read More

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http://www.vr-elibrary.de/doi/10.13109/prkk.2015.64.9.656
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http://dx.doi.org/10.13109/prkk.2015.64.9.656DOI Listing
May 2016
10 Reads

Malingering Imposed on Another: A Diagnosis That is Missing in Action?

Psychosomatics 2015 Nov-Dec;56(6):609-14. Epub 2015 Jul 31.

Creighton University School of Medicine, Phoenix Regional Campus, Phoenix, AZ; Department of Psychiatry, Creighton University School of Medicine, Phoenix Regional Campus, Phoenix, AZ. Electronic address:

Background: Descriptions of malingering imposed on another, in which an individual induces or exaggerates symptoms in another for secondary gain (including financial benefit or access to medications), are remarkably scant in the current literature. We summarize reported cases of malingering imposed on another in order to underscore its relevance to practicing physicians.

Objective: We sought to review the available literature describing the creation or exaggeration of symptoms of illness, motivated by secondary gain, in another vulnerable individual. Read More

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http://dx.doi.org/10.1016/j.psym.2015.07.006DOI Listing
December 2016
6 Reads

Case Report: When an Induced Illness Looks Like a Rare Disease.

Pediatrics 2015 Nov 5;136(5):e1361-5. Epub 2015 Oct 5.

Department of Pediatrics, University of Turin, Turin, Italy;

The recognition of fabricated illness (FI) in a child represents a diagnostic challenge. The suspicion of FI often arises from the discrepancy between laboratory tests and clinical history. For instance, (unnecessary) insulin injections by caregivers has been widely described as a common cause of factitious hypoglycemia that may be inferred from discrepancies between plasma insulin and c-peptide. Read More

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http://dx.doi.org/10.1542/peds.2014-4165DOI Listing
November 2015
10 Reads