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[Munchausen syndrome]

K Vondrák1, F Schneiberg, A Kolský

  • 1Klinika pediatrie IPVZ, Fakultní Thomayerova nemocnice, Praha.

Casopis Lekaru Ceskych
|May 31, 1995
PubMed
Summary

This study observed five pediatric patients with Münchhausen syndrome and Münchausen syndrome by proxy, both forms of child abuse. Immobilization and preventing hand manipulation resolved hematuria in four cases, suggesting factitious disorder.

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Area of Science:

  • Pediatric Medicine
  • Child Psychology
  • Forensic Medicine

Background:

  • Münchhausen syndrome and Münchausen syndrome by proxy are forms of child abuse.
  • These syndromes are often underdiagnosed and considered rare.

Observation:

  • Five pediatric patients (4 boys, 1 girl, aged 12-16) presented with macroscopic hematuria.
  • Extensive invasive investigations failed to identify an organic cause for the hematuria.
  • Four cases raised suspicion of Münchhausen syndrome, and one suggested Münchausen syndrome by proxy.

Findings:

  • In four patients, macroscopic hematuria resolved after immobilization and prevention of hand manipulation, indicating Münchhausen syndrome.
  • The fifth patient, presenting with recurrent hematuria, was diagnosed with Münchhausen syndrome by proxy.

Implications:

  • The resolution of hematuria upon intervention supports the diagnosis of factitious disorder in these pediatric cases.
  • The findings challenge the notion that Münchhausen syndrome and its proxy form are exceptionally rare in children.
  • Early recognition and intervention are crucial for managing these complex cases of child abuse.

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