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Munchausen by proxy

MedGen UID:
88372
•Concept ID:
C0085277
•
Mental or Behavioral Dysfunction
Synonym: Munchausen Syndrome by Proxy
SNOMED CT: Munchausen's by proxy (95637005); Münchausen syndrome by proxy (95637005); Munchausen syndrome by proxy (95637005)
 
Monarch Initiative: MONDO:0000597

Definition

A factitious disorder that involves a care giver's deliberate exaggeration, fabrication, and/or induce physical, psychological, behavioral, and/or mental health problems in others. [from MONDO]

Professional guidelines

PubMed

Evaluation and Management of Factitious Disorder Imposed on Another.
Bursch B, Emerson ND, Sanders MJ
J Clin Psychol Med Settings 2021 Mar;28(1):67-77. doi: 10.1007/s10880-019-09668-6. PMID: 31612305
Psychological Treatment of Factitious Disorder Imposed on Another/Munchausen by Proxy Abuse.
Sanders MJ, Bursch B
J Clin Psychol Med Settings 2020 Mar;27(1):139-149. doi: 10.1007/s10880-019-09630-6. PMID: 31089919

Recent clinical studies

Etiology

Nonsexual violence against children and adolescents: a study in a Latin American tertiary and university hospital.
Campos RT, Martiniano LVM, Lirio AKS, Souza KEA, Rose N, Dias JMM, Cardoso ACA, Farhat SC, Silva CA
Rev Paul Pediatr 2022;40:e2021101. Epub 2022 May 6 doi: 10.1590/1984-0462/2022/40/2021101IN. PMID: 35544904Free PMC Article
Psychological Treatment of Factitious Disorder Imposed on Another/Munchausen by Proxy Abuse.
Sanders MJ, Bursch B
J Clin Psychol Med Settings 2020 Mar;27(1):139-149. doi: 10.1007/s10880-019-09630-6. PMID: 31089919
Hypoglycemia: factitious and felonious.
Marks V, Teale JD
Endocrinol Metab Clin North Am 1999 Sep;28(3):579-601. doi: 10.1016/s0889-8529(05)70089-x. PMID: 10500932
Munchausen by proxy victims in adulthood: a first look.
Libow JA
Child Abuse Negl 1995 Sep;19(9):1131-42. doi: 10.1016/0145-2134(95)00073-h. PMID: 8528818
Munchausen by proxy and brain damage.
Meadow R
Dev Med Child Neurol 1984 Oct;26(5):672-4. doi: 10.1111/j.1469-8749.1984.tb04508.x. PMID: 6510567

Diagnosis

Fabricated or induced illness: From "Munchausen by proxy" to child and family-oriented action.
Glaser D
Child Abuse Negl 2020 Oct;108:104649. Epub 2020 Aug 14 doi: 10.1016/j.chiabu.2020.104649. PMID: 32805620
Munchausen syndrome by proxy and pediatric nephrology.
Bertulli C, Cochat P
Nephrol Ther 2017 Nov;13(6):482-484. Epub 2017 Jun 9 doi: 10.1016/j.nephro.2016.12.006. PMID: 28606407
Criminal poisoning: Munchausen by proxy.
Holstege CP, Dobmeier SG
Clin Lab Med 2006 Mar;26(1):243-53, x. doi: 10.1016/j.cll.2006.02.002. PMID: 16567234
Munchausen by proxy.
Schreier H
Curr Probl Pediatr Adolesc Health Care 2004 Mar;34(3):126-43. doi: 10.1016/j.cppeds.2003.09.003. PMID: 15039661
"Munchausen by proxy syndrome": not only pathological parenting but also problematic doctoring?
Jureidini JN, Shafer AT, Donald TG
Med J Aust 2003 Feb 3;178(3):130-2. doi: 10.5694/j.1326-5377.2003.tb05104.x. PMID: 12558485

Therapy

Criminal poisoning: Munchausen by proxy.
Holstege CP, Dobmeier SG
Clin Lab Med 2006 Mar;26(1):243-53, x. doi: 10.1016/j.cll.2006.02.002. PMID: 16567234
Hypoglycemic seizure in Munchausen-by-proxy syndrome.
Araníbar H, Cerda M
Pediatr Emerg Care 2005 Jun;21(6):378-9. doi: 10.1097/01.pec.0000166729.86094.80. PMID: 15942516
Hypoglycemia: factitious and felonious.
Marks V, Teale JD
Endocrinol Metab Clin North Am 1999 Sep;28(3):579-601. doi: 10.1016/s0889-8529(05)70089-x. PMID: 10500932
Surreptitious warfarin ingestion.
White ST, Voter K, Perry J
Child Abuse Negl 1985;9(3):349-52. doi: 10.1016/0145-2134(85)90031-6. PMID: 4052840
Munchausen by proxy and brain damage.
Meadow R
Dev Med Child Neurol 1984 Oct;26(5):672-4. doi: 10.1111/j.1469-8749.1984.tb04508.x. PMID: 6510567

Prognosis

Repeated poisoning of the life partner by thallium - a case of questionable Munchausen by adult proxy syndrome with ensuing attempted murder.
Pragst F, Hartwig S
Int J Legal Med 2022 May;136(3):695-704. Epub 2022 Feb 22 doi: 10.1007/s00414-022-02791-4. PMID: 35190879
Munchausen by proxy: a case, chart series, and literature review of older victims.
Awadallah N, Vaughan A, Franco K, Munir F, Sharaby N, Goldfarb J
Child Abuse Negl 2005 Aug;29(8):931-41. doi: 10.1016/j.chiabu.2004.11.007. PMID: 16125235
Munchausen by proxy defined.
Schreier H
Pediatrics 2002 Nov;110(5):985-8. doi: 10.1542/peds.110.5.985. PMID: 12415040
An explanatory model for Munchausen by proxy abuse.
Rand DC, Feldman MD
Int J Psychiatry Med 2001;31(2):113-26. doi: 10.2190/GBNF-4XD7-EKVC-226P. PMID: 11760857
Munchausen by proxy victims in adulthood: a first look.
Libow JA
Child Abuse Negl 1995 Sep;19(9):1131-42. doi: 10.1016/0145-2134(95)00073-h. PMID: 8528818

Clinical prediction guides

Fabricated or induced illness: From "Munchausen by proxy" to child and family-oriented action.
Glaser D
Child Abuse Negl 2020 Oct;108:104649. Epub 2020 Aug 14 doi: 10.1016/j.chiabu.2020.104649. PMID: 32805620
Severe hypernatremia in a hospitalized child: munchausen by proxy.
Su E, Shoykhet M, Bell MJ
Pediatr Neurol 2010 Oct;43(4):270-3. doi: 10.1016/j.pediatrneurol.2010.05.002. PMID: 20837306Free PMC Article
Molecular mechanisms of neonatal hyperinsulinism.
Giurgea I, Bellanné-Chantelot C, Ribeiro M, Hubert L, Sempoux C, Robert JJ, Blankenstein O, Hussain K, Brunelle F, Nihoul-Fékété C, Rahier J, Jaubert F, de Lonlay P
Horm Res 2006;66(6):289-96. Epub 2006 Sep 26 doi: 10.1159/000095938. PMID: 17003566
Munchausen by proxy: a case, chart series, and literature review of older victims.
Awadallah N, Vaughan A, Franco K, Munir F, Sharaby N, Goldfarb J
Child Abuse Negl 2005 Aug;29(8):931-41. doi: 10.1016/j.chiabu.2004.11.007. PMID: 16125235
An explanatory model for Munchausen by proxy abuse.
Rand DC, Feldman MD
Int J Psychiatry Med 2001;31(2):113-26. doi: 10.2190/GBNF-4XD7-EKVC-226P. PMID: 11760857

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