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https://www.readbyqxmd.com/read/28419362/obesity-as-a-presentation-of-munchausen-syndrome-by-proxy
#1
Carlos Alberto Nogueira-de-Almeida, Carla Cristina J N de Almeida, Natália Inocêncio Pereira, Nilton Antonio de Souza Filho, Valmir Aparecido de Oliveira
Objective: To describe a case of an obese child whose weight gain was related to the Munchausen Syndrome by proxy (MSP). Methods: This is a case report including information regarding the child's clinical history and the mother's behavior. The common features of the syndrome are confronted with the description of the case, seeking to demonstrate the similarities. Results: The description ratifies the diagnosis based on the signs and symptoms presented by the child (<5 years old, frequent contacts with health system, symptoms witnessed only by the mother, confusing findings, not helped by treatments, emotionally distant father) and the attitude of the mother (concerned, interested in procedures, comfortable in the medical setting, higher medical knowledge, hostile when thwarted)...
April 17, 2017: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/28381287/munchausen-by-proxy-syndrome-mimicking-systemic-autoinflammatory-disease-case-report-and-review-of-the-literature
#2
Helmut Wittkowski, Claas Hinze, Sigrid Häfner-Harms, Vinzenz Oji, Katja Masjosthusmann, Martina Monninger, Ulrike Grenzebach, Dirk Foell
BACKGROUND: Systemic autoinflammatory diseases (SAIDs) represent a growing number of monogenic, polygenic or multifactorial disorders that are often difficult to diagnose. CASE PRESENTATION: Here we report a patient who was initially erroneously diagnosed and treated for SAID. Symptoms consisted of recurrent fever, erythematous and/or blistering skin lesions, angioedema, susceptibility to bleeding, external ear infections and reversible anisocoria in the absence of laboratory evidence of systemic inflammation...
April 5, 2017: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/28374307/medical-child-abuse-munchausen-syndrome-by-proxy-multidisciplinary-approach-from-a-pediatric-gastroenterology-perspective
#3
REVIEW
Andrea Z Ali-Panzarella, Tamika J Bryant, Hannah Marcovitch, Jeffery D Lewis
PURPOSE OF REVIEW: We highlight the need for a multidisciplinary approach to the diagnosis of medical child abuse, also known as factitious disorder imposed on another (FDIA) or Munchausen syndrome by proxy (MSP), and review our experience focusing on the variety of symptoms that often present to the pediatric gastroenterologist many months before the diagnosis is made. RECENT FINDINGS: Recent literature on medical child abuse, mostly case reports, is markedly limited, highlighting a need for increased research on this topic...
April 2017: Current Gastroenterology Reports
https://www.readbyqxmd.com/read/28159884/munchausen-syndrome-by-genetics-next-generation-challenges-for-clinicians
#4
Simone Zittel, Katja Lohmann, Peter Bauer, Christine Klein, Alexander Münchau
No abstract text is available yet for this article.
March 7, 2017: Neurology
https://www.readbyqxmd.com/read/27856413/munchausen-syndrome-by-proxy-illness-fabricated-by-another-in-older-people
#5
Marc Moreno-Ariño, Antony Bayer
No abstract text is available yet for this article.
March 1, 2017: Age and Ageing
https://www.readbyqxmd.com/read/27651853/munchausen-syndrome-disguised-as-gossypiboma-an-interesting-case
#6
Andrea Little, Heather Curtis, Brian Kellogg, Michael Harrington
No abstract text is available yet for this article.
2016: Eplasty
https://www.readbyqxmd.com/read/27570349/malingering-and-factitious-disorder-m%C3%A3-nchausen-syndrome-can-be-mitochondrial
#7
Josef Finsterer, Lässer Stefan
Malingering and factitious disorder (Münchausen-syndrome) has not been reported as a manifestation of a mitochondrial-disorder (MID). Here, we report a 46 years-old female with a MID due to a combined complex I-IV defect, manifesting in the cerebrum, muscle, bone marrow, kidneys, and the endocrine glands. Myopathy showed up as myalgia, easy fatigability, ptosis, and abnormal muscle biopsy. Endocrine involvement manifested as short stature and thyroid dysfunction. Involvement of the kidneys manifested as mild Fanconi syndrome...
July 2016: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/27567044/alimemazine-poisoning-as-evidence-of-munchausen-syndrome-by-proxy-a-pediatric-case-report
#8
Isabel Gomila, Victoria López-Corominas, Manuela Pellegrini, Loreto Quesada, Elena Miravet, Simona Pichini, Bernardino Barceló
Munchausen syndrome by proxy (MSBP), also known as fabricated or induced illness in a child by a caretaker, is a form of abuse where a caregiver deliberately produces or feigns illness in a person under his or her care, so that the proxy will receive medical care that gratifies the caregiver. The affected children are often hospitalized for long periods and endure repetitive, painful and expensive diagnostic attempts. We present an analytically confirmed case of MSBP by alimemazine. A 3-year-old boy was brought repetitively to a Pediatric Emergency Department by his mother because he presented limb tremors, dysarthria, obnubilation, and ataxia and generalized tonic-clonic seizures coinciding with intermittent fever...
September 2016: Forensic Science International
https://www.readbyqxmd.com/read/27526057/99mtc-labeled-glucagon-like-peptide-1-analogue-99mtc-glp1-scintigraphy-in-the-management-of-patients-with-occult-insulinoma
#9
Anna Sowa-Staszczak, Małgorzata Trofimiuk-Müldner, Agnieszka Stefańska, Monika Tomaszuk, Monika Buziak-Bereza, Aleksandra Gilis-Januszewska, Agata Jabrocka-Hybel, Bogusław Głowa, Maciej Małecki, Tomasz Bednarczuk, Grzegorz Kamiński, Aldona Kowalska, Renata Mikołajczak, Barbara Janota, Alicja Hubalewska-Dydejczyk
INTRODUCTION: The aim of this study was to assess the utility of [Lys40(Ahx-HYNIC-99mTc/EDDA)NH2]-exendin-4 scintigraphy in the management of patients with hypoglycemia, particularly in the detection of occult insulinoma. MATERIALS AND METHODS: Forty patients with hypoglycemia and increased/confusing results of serum insulin and C-peptide concentration and negative/inconclusive results of other imaging examinations were enrolled in the study. In all patients GLP-1 receptor imaging was performed to localise potential pancreatic lesions...
2016: PloS One
https://www.readbyqxmd.com/read/27508955/from-oliguria-to-urinary-incontinence-a-case-of-munchausen-s-syndrome-in-an-adolescent-boy
#10
Pierluigi Marzuillo, Rosaria Marotta, Andrea Apicella, Stefano Guarino, Tiziana Esposito, Nicoletta Della Vecchia, Mario Diplomatico, Cesare Polito, Laura Perrone, Angela La Manna
Factitious disorders are characterized by physical or psychological symptoms that are intentionally produced or feigned in order to assume the sick role. "Munchausen's syndrome" is one of these disorders and often is under-recognized or only suspected after unnecessary investigations. We report the case of a 15-year-old boy who came to our notice because of reduced urine output and recurrent abdominal pain during the previous 3 months. The patient attended several emergency room visits and he had been hospitalized for 1 month in an adult internal medicine department because of "oliguria"...
August 5, 2016: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/27269255/the-first-investigative-science-based-evidence-of-morgellons-psychogenesis
#11
Luca Roncati, Antonietta Morena Gatti, Teresa Pusiol, Francesco Piscioli, Giuseppe Barbolini, Antonio Maiorana
Morgellons disease is an infrequent syndromic condition, that typically affects middle-aged white women, characterized by crawling sensations on and under the skin, associated with itchy rashes, stinging sores, fiber-like filaments emerging from the sores, severe fatigue, concentrating difficulty, and memory loss. The scientific community is prone to believe that Morgellons is the manifestation of various psychiatric syndromes (Munchausen, Munchausen by proxy, Ekbom, Wittmaack-Ekbom). Up until now, no investigative science-based evidence about its psychogenesis has ever been provided...
September 2016: Ultrastructural Pathology
https://www.readbyqxmd.com/read/27221098/a-rare-reason-of-hyperinsulinism-munchausen-syndrome-by-proxy
#12
Onur Akın, Ediz Yeşilkaya, Erkan Sari, Çağdaş Akar, Gökalp Başbozkurt, Enis Macit, Ibrahim Aydin, Abdullah Taşlipinar, Hüsamettin Gül
Hyperinsulinism, one of the most important causes of hypoglycaemia, can be congenital or acquired. Rarely, drug toxicity can be a reason for hyperinsulinism. In the context of Munchausen syndrome by proxy (MSP), toxicity usually occurs in children due to drug administration by a parent or caregiver. A 7-year-old girl was referred to our department due to a hyperglycaemic period and hypoglycaemic episodes. On admission, gliclazide was initiated due to her hyperglycaemia, which we attributed to maturity onset diabetes of the young...
2016: Hormone Research in Pædiatrics
https://www.readbyqxmd.com/read/27194978/intractable-postoperative-wounds-caused-by-self-inflicted-trauma-in-a-patient-with-cutaneous-munchausen-syndrome-presenting-as-a-pyoderma-gangrenosum-like-lesion
#13
Keiko Inui, Takaaki Hanafusa, Takeshi Namiki, Makiko Ueno, Ken Igawa, Hiroo Yokozeki
A 50-year-old Japanese woman consulted the emergency department of our hospital for bleeding due to an intractable postoperative wound on the lower abdomen; the postoperative wound was owing to a laparoscopic cholecystectomy performed 1 year previously for acute cholecystitis. She presented with a painful ulcer on her right lower abdomen. She also presented with multiple scars, skin grafts on the extremities, and a missing left lower leg, the causes for all of which were unexplained. The results of her blood test were normal, except for the hemoglobin level...
January 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27107290/rhizobium-radiobacter-infection-in-a-27-year-old-african-american-woman-with-munchausen-syndrome
#14
Sameer Sawhney, Tammey Naab, Partricia Oneal
Rhizobium radiobacter is an opportunistic, usually saprophytic, gram-negative bacillus found in agricultural soil. Isolation from blood has been reported most often in hospitalized patients harboring malignant neoplasms or human immunodeficiency virus (HIV) associated immunosuppression, who have catheter or medical device-related febrile neutropenia; treatment involves removal of the catheter or implanted medical device.(1)Herein, we report a case of a 27-year-old African American woman with sickle cell anemia who sought treatment of generalized body pain, shaking, chills, dyspnea, and fever, suggestive of sickle cell crisis...
August 2016: Laboratory Medicine
https://www.readbyqxmd.com/read/26597474/-factitious-diseases-in-oncology
#15
REVIEW
Michel Reich, Amélie Clermont, Éric Amela, Nuria Kotecki
Factitious diseases and pathomimias and particularly Munchausen's syndrome, due to their rarity, are poorly diagnosed by medical teams working in oncology. Consequences can be serious and result in unadapted surgery or non justified implementation of chemotherapy and radiotherapy regimens. These patients simulate diseases in order to attract medical attention. They might become belligerent and are likely to promptly discharge themselves from hospital if they do not get the desired attention or are unmasked...
December 2015: Bulletin du Cancer
https://www.readbyqxmd.com/read/26586073/acute-kidney-injury-in-a-child-a-case-of-munchausen-syndrome-by-proxy
#16
Mukta Mantan, Dhulika Dhingra, Aditi Gupta, Gulshan Rai Sethi
Renal and urologic problems in pediatric condition falsification (PCF) or Munchausen by proxy (MSP) can result in serious diagnostic dilemma. Symptoms of hematuria, pyuria and recurrent urinary tract infections have occasionally been described. However, MSP presenting as azotemia has not been previously reported. We describe the case of an unfortunate boy who had to undergo unnecessary hemodialysis for persistent hyperkalemia and azotemia before a final diagnosis of the falsification of investigations by the parents was made...
November 2015: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/26513547/genetic-differentials-of-child-abuse-is-your-case-rare-or-real
#17
Natasha Shur, John C Carey
The clinical geneticist can be called upon to play a role in the medical evaluation of children with clinical findings concerning for child abuse. This Introduction describes a case of suspected child abuse in an 8-month-old baby referred to clinical genetics to exclude osteogenesis imperfecta. The experience from this case raised medical and ethical considerations and prompted consideration of the role of the clinical geneticist in distinguishing rare mimics of child abuse from real cases. From this single case, and a discussion regarding similar cases, arose the idea of this issue in Seminars in Medical Genetics, Genetic Differentials of Child Abuse: Is Your Case Rare or Real? In thinking about child abuse from a clinical genetics perspective, we categorize clinical presentations into fractures, skin lesions, hemorrhage, growth disturbances, and concern for caregiver-fabricated illness (previously known as Munchausen syndrome by proxy)...
December 2015: American Journal of Medical Genetics. Part C, Seminars in Medical Genetics
https://www.readbyqxmd.com/read/26510423/-munchausen-syndrome-a-forgotten-diagnosis-in-the-spine
#18
Kedar Prashant Padhye, Kenny S David, Saumil Y Dholakia, Vivek Mathew, Yuvaraja Murugan
PURPOSE: To present the case of a patient with Munchausen's syndrome who underwent multiple surgeries in the spine before the diagnosis was made and, therefore, to highlight the importance of this obscure condition that can result in unnecessary surgical treatment. METHODS: A 44-year-old businesswoman presented with multiple episodes of low back pain and weakness in both lower limbs over past 11 years. Past history consisted of multiple hospitalizations, and three surgeries on her lumbar spine at different hospitals, with dramatic improvement in symptoms being reported each time after surgery...
May 2016: European Spine Journal
https://www.readbyqxmd.com/read/26509970/-attachment-quality-of-young-children-with-mentally-ill-parents-on-the-example-of-the-munchausen-by-proxy-syndrome
#19
REVIEW
Axel Ramberg, Sinja Feldkötter
One of the most discussed questions in clinical literature concerns the impact of child abuse by mentally ill parents (cf. Mattejat, 1998). It's obvious that most children cannot understand such a parental behaviour and that this lack of understanding along with the lack of knowledge about their parents' emotional disorder results in childrens' fear, disorientation and uncertainty. The consequences are massive interferences in the relationship between parents and children, who could develop an anxious-resistant insecure or even a disorganized/disoriented attachment...
2015: Praxis der Kinderpsychologie und Kinderpsychiatrie
https://www.readbyqxmd.com/read/26411148/m%C3%A3-nchausen-syndrome-by-proxy-the-overlooked-diagnosis
#20
Sohrab Naushad Ali, Aymon Naushad Ali, Mian Naushad Ali
Münchausen Syndrome by Proxy (MSBP) is a psychiatric disorder characterised by the adoption of bizarre behavioural-patterns by caregivers in which diseases or disorders are fabricated in individuals, usually children, for purposes which span feelings of superiority derived from deceit of persons deemed superior to the caregiver, or attention seeking. The patient under discussion was a 6 year old male brought to the hospital by his mother with complaints of repetitive and unceasing passing of stones per urethra...
April 2015: Journal of Ayub Medical College, Abbottabad: JAMC
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