At mother's mercy: the nightmare of Munchausen syndrome by proxy. 1995

T G Lesaca
Medical College of Pennsylvania, Pittsburgh, USA.

Munchausen syndrome by proxy is a form of child abuse in which a parent simulates or produces illness in a child for the purpose of engaging in a supportive relationship with a physician or other health care provider. The child suffers from the parent's actions and is subjected to significant morbidity due to extensive medical diagnostic procedures ordered by the unsuspecting physician. The purpose of this paper is to provide a better understanding of this disorder with respect to presentation, pathogenesis, and recognition.

UI MeSH Term Description Entries
D008297 Male Males
D009035 Mothers Female parents, human or animal. Mothers' Clubs,Club, Mothers',Clubs, Mothers',Mother,Mother Clubs,Mother's Clubs,Mothers Clubs,Mothers' Club
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003967 Diarrhea An increased liquidity or decreased consistency of FECES, such as running stool. Fecal consistency is related to the ratio of water-holding capacity of insoluble solids to total water, rather than the amount of water present. Diarrhea is not hyperdefecation or increased fecal weight. Diarrheas
D006470 Hemorrhage Bleeding or escape of blood from a vessel. Bleeding,Hemorrhages
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016735 Munchausen Syndrome by Proxy A phenomenon in which symptoms of a disease are fabricated by an individual other than the patient causing unnecessary, and often painful, physical examinations and treatments. This syndrome is considered a form of CHILD ABUSE, since another individual, usually a parent, is the source of the fabrication of symptoms and presents the child for medical care.

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