Munchausen syndrome by proxy presenting as hearing loss
1Department of ENT,Sheffield Children's Hospital,UK.
The Journal of Laryngology and Otology
|May 23, 2014
Summary
Munchausen syndrome by proxy (MSP) is a caregiver-induced illness in children, often presenting with difficult-to-diagnose symptoms. Otolaryngologists must consider MSP in persistent pediatric ENT conditions unresponsive to standard treatments.
Area of Science:
- Pediatric Medicine
- Psychiatry
- Otolaryngology
Background:
- Munchausen syndrome by proxy (MSP) is a factitious disorder where a caregiver fabricates or induces illness in a child.
- Caregivers often seek attention or sympathy by maintaining the child's sick role.
Observation:
- A case of MSP presenting with hearing loss in a child is detailed.
- The child's diagnosis was delayed by eight years from initial presentation.
- A literature review focused on MSP cases with otolaryngologic (ENT) symptoms.
Findings:
- Diagnostic challenges are inherent in identifying MSP.
- Specific factors aiding diagnosis in otolaryngology settings are highlighted.
- Recurrent or persistent pediatric ENT symptoms refractory to treatment warrant consideration of MSP.
Implications:
- Otolaryngologists should maintain a high index of suspicion for MSP.
- Early recognition and diagnosis of MSP are crucial for child welfare.
- Awareness of MSP can improve diagnostic accuracy in complex pediatric ENT cases.
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