Munchausen syndrome in a psychiatric setting: three case reports

A primarily psychiatric presentation of Munchausen Syndrome has only rarely been reported and has been assumed to be unusual. Three patients presenting to psychiatric hospitals are discussed. These patients were found to demonstrate the salient features of Munchausen Syndrome: repeated simulation of illness requiring hospital admission, pseudologia phantastica, wanderlust and the use of aliases. It is our view that such presentations are not uncommon.