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[Munchausen syndrome by proxy, an unusual presentation].

A M Maida1, M E Molina, R Erazo

  • 1Servicio de Neurología y Psiquiatría Infantil, Hospital Luis Calvo Mackenna, Fundación de Prevención de Violencia Intrafamiliar, Antonio Varas 360, Santiago de Chile.

Revista Medica De Chile
|October 30, 2001
PubMed
Summary

A 12-year-old girl

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Area of Science:

  • Pediatric Neurology
  • Child Abuse and Neglect

Background:

  • A 12-year-old girl presented with fever and bilateral knee arthralgias.
  • Progressive gait disturbance prompted a neurological workup.

Observation:

  • Neurological tests were incongruent with nerve or nerve root lesions, suggesting functional paralysis.
  • The patient's condition worsened to prostration, raising suspicion of maternal induction of symptoms.

Findings:

  • Hospitalization led to notable improvement, with the patient discharged walking.
  • This confirmed a diagnosis of Münchausen by proxy syndrome, mimicking a disabling neurological condition.

Implications:

  • Highlights the importance of considering fabricated or induced illnesses in pediatric neurology.
  • Underscores the diagnostic challenges and multidisciplinary approach required for Münchausen by proxy syndrome.

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