Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-27T08:58:22.834Z Has data issue: false hasContentIssue false
  • English
  • Français

Munchausen syndrome by proxy unmasked by nasal signs

Published online by Cambridge University Press:  29 June 2007

A. R. Magnay ,
G. Debelle ,
D. W. Proops  and
I. W. Booth
A. R. Magnay*
Affiliation:
Institute of Child Health, the University of Birmingham, UK
G. Debelle
Affiliation:
Department of Paediatrics, The Children's Hospital, Birmingham, UK.
D. W. Proops
Affiliation:
Department of Paediatric Otolaryngology, The Children's Hospital, Birmingham, UK.
I. W. Booth
Affiliation:
Institute of Child Health, the University of Birmingham, UK
*
Dr Andrew R. Magnay, M.A., M.B., B.Chir., M.R.C.P. (UK), Institute of Child Health, Nuffield Building, Francis Road, Ladywood, Birmingham, B16 8ET. UK.
Get access Rights & Permissions [Opens in a new window]

Abstract

The 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.

Keywords

Munchausen syndrome by proxyChild abuseOtolaryngologyGastroenterology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 4 , April 1994 , pp. 336 - 338
Copyright
Copyright © JLO (1984) Limited 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bools, C. N., Neale, B. A., Meadow, S. R. (1992) Co-morbidity associated with fabricated illness (Munchausen syndrome by proxy). Archives of Disease in Childhood 67: 77–79.CrossRefGoogle ScholarPubMed
Bourchier, D. (1983) Bleeding ears: case report of Munchausen syndrome by proxy. Australian Paediatric Journal 19: 256–257.Google ScholarPubMed
Kempe, C. H., Silveiman, F. N. R., Steele, B., Droegemuller, W., Silver, H. K. (1962) The battered-child syndrome. Journal of the American Medical Association 181: 17–24.CrossRefGoogle ScholarPubMed
McGuire, T. L., Feldman, K. W. (1989) Psychological morbidity of children subjected to Munchausen syndrome by proxy. Pediatrics 83: 289–292.Google Scholar
Manning, S. C., Casselbrant, M., Lammers, D. (1990) Otolaryngologic manifestations of child abuse. International Journal of Pediatric Otorhinolaryngology 20: 7–16.CrossRefGoogle ScholarPubMed
Meadow, R. (1977) Munchausen syndrome by proxy. The hinterland of child abuse. Lancet ii: 343–345.Google Scholar
Meadow, R. (1982) Munchausen syndrome by proxy. Archives of Disease in Childhood 57: 92–98.Google Scholar
Rosenberg, D. A. (1987) Web of deceit: a literature review of Munchausen syndrome by proxy. Child Abuse and Neglect 11: 547–563.CrossRefGoogle ScholarPubMed
White, S. T. (1985) Surreptitious warfarin ingestion. Child Abuse and Neglect 9: 349–352.Google Scholar