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munchausen syndrome

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https://www.readbyqxmd.com/read/29151093/munchausen-syndrome-and-the-wide-spectrum-of-factitious-disorders
#1
Laurent Tatu, Selma Aybek, Julien Bogousslavsky
Since its initial description in 1851, Munchausen syndrome has been widely used interchangeably with factitious disorder. Nevertheless, this syndrome is only one form of factitious disorder that is both severe and chronic. The syndrome was named after Karl Friedrich Hieronymus, Baron von Münchhausen (1720-1797), a German nobleman who became famous as a narrator of false and exaggerated exploits. His name was progressively corrupted to Munchausen. Factitious disorders and Munchausen syndrome remain a great diagnosis challenge for physicians...
2018: Frontiers of Neurology and Neuroscience
https://www.readbyqxmd.com/read/29034650/a-complicated-case-of-resistant-hypertension
#2
Mauro Chiarito, Andrea Scotti, Carlo A Pivato, Giuseppe Cottone, Carlo Ballarotto, Cosmo Godino, Alberto Margonato
A 47-year-old woman presented with a history of resistant arterial hypertension, associated with disabling headache. She was subjected to an enormous number of tests in order to identify an underlying cause of secondary hypertension, such as pheochromocytoma or Cushing syndrome, but all the most common causes of secondary hypertension were investigated and gradually excluded. Factitious use of amphetamine or cocaine was excluded, and therapy compliance was verified by witnessed ingestion of drug therapy, in order to rule out Munchausen syndrome...
August 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28979830/a-case-of-munchausen-syndrome-presenting-with-hematemesis-a-case-report
#3
Muhammad Aadil, Aniqa Faraz, Muhammad Jahanzaib Anwar, Maria Shoaib, Usama Nasir, Anum Akhlaq
Munchausen syndrome (MS) was first reported in 1951 by Richard Alan John Asher as a factitious disorder. It is a condition in which the patient intentionally produces symptoms to assume a sick role and gain medical attention. Underdiagnosis of this disorder results in the unnecessary use of medical resources, i.e. unnecessary medical tests and evaluations. This makes it one of the most challenging diagnosis in any medical set up. We present this rare case of a patient with chronic factitious disorder who presented to the emergency with hematemesis...
June 13, 2017: Curēus
https://www.readbyqxmd.com/read/28951819/bleeding-diathesis-or-fabrication-munchausen-syndrome
#4
Syeda Naqvi, Raad Asadullah Khan, Chintan Rupareliya, Rida Hanif, Zeeshan Ali, Faiza Farooq
A case history of an 18-year-old female with a diagnosis of Munchausen syndrome is presented with a literature review of this rare syndrome. We present this case because of the young age and the patient's overwhelming response to cognitive behavioral therapy. We recommend collateral history taking, exclusion of all possible etiologies and detailed briefing of family members as it plays a vital role to reduce the mental and financial suffering of the patient.
June 12, 2017: Curēus
https://www.readbyqxmd.com/read/28800865/anaphylaxis
#5
REVIEW
Daniel LoVerde, Onyinye I Iweala, Ariana Eginli, Guha Krishnaswamy
Anaphylaxis is a systemic, life-threatening disorder triggered by mediators released by mast cells and basophils activated via allergic (IgE-mediated) or nonallergic (non-IgE-mediated) mechanisms. It is a rapidly evolving, multisystem process involving the integumentary, pulmonary, gastrointestinal, and cardiovascular systems. Anaphylaxis and angioedema are serious disorders that can lead to fatal airway obstruction and culminate in cardiorespiratory arrest, resulting in hypoxemia and/or shock. Often, these disorders can be appropriately managed in an outpatient setting; however, these conditions can be severe enough to warrant evaluation of the patient in the ED and in some cases, hospitalization, and management in an ICU...
August 8, 2017: Chest
https://www.readbyqxmd.com/read/28750264/the-perpetrators-of-medical-child-abuse-munchausen-syndrome-by-proxy-a-systematic-review-of-796-cases
#6
REVIEW
Gregory Yates, Christopher Bass
INTRODUCTION: Little is known about the perpetrators of medical child abuse (MCA) which is often described as "Munchausen's syndrome by proxy" or "factitious disorder imposed on another". The demographic and clinical characteristics of these abusers have yet to be described in a sufficiently large sample. We aimed to address this issue through a systematic review of case reports and series in the professional literature. METHOD: A systematic search for case reports and series published since 1965 was undertaken using MEDLINE, Web of Science and EMBASE...
October 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28716878/author-response-munchausen-syndrome-by-genetics-next-generation-challenges-for-clinicians
#7
Simone Zittel, Daniel Alvarez-Fischer, Ulrich Schweiger, Christine Klein, Alexander Münchau
No abstract text is available yet for this article.
July 18, 2017: Neurology
https://www.readbyqxmd.com/read/28716877/letter-re-munchausen-syndrome-by-genetics-next-generation-challenges-for-clinicians
#8
João Ricardo M Oliveira
No abstract text is available yet for this article.
July 18, 2017: Neurology
https://www.readbyqxmd.com/read/28606407/munchausen%C3%A2-syndrome-by%C3%A2-proxy-and%C3%A2-pediatric%C3%A2-nephrology
#9
Cristina Bertulli, Pierre Cochat
Munchausen syndrome by proxy is a persistent fabrication of illness done by a person to another. Renal and urologic forms of this syndrome are not as uncommon as can be thought; a review of all the cases of Munchausen-by-proxy syndrome reveals that 25% of the children had renal or urologic issues. This syndrome can result in a serious diagnostic dilemma for the physicians; knowing this entity can allow early recognition of falsification and limit the physical and psychological damages caused in the victim. In this study, we reviewed the pediatric nephrology cases of Munchausen syndrome by proxy, grouping them through the principal signs of presentation...
June 9, 2017: Néphrologie & Thérapeutique
https://www.readbyqxmd.com/read/28578365/self-inflicted-eye-injury
#10
Mohammed A Gogandy, Abdulqader Aljarad, Sabah S Jastaneiah, Abdullah M Alfawaz
Individuals with a factitious ocular disorder feign or exaggerate having an eye injury or intentionally produce an eye injury so as to assume the role of a sick person. We report two cases of self-inflicted ocular injury using needle-like foreign bodies and razor that represent possible diagnoses of Munchausen syndrome. Both patients presented with different clinical pictures that misguided the clinical diagnosis and delayed proper management. Although self-inflicted ocular injuries are rare, ophthalmologists should be aware of the possibility of their existence, particularly when caring for patients with psychiatric conditions...
May 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28566966/factitious-disorder-presenting-with-stuttering-in-two-adolescents-the-importance-of-psychoeducation
#11
Nurullah Bolat, Özhan Yalçin
A factitious disorder (FD) is a diagnostic entity in which patients intentionally act physically or mentally ill without obvious benefits and without being consciously aware of a clear underlying motive. Most pediatric FD cases have been reported as Munchausen syndrome by Proxy; however, pediatric disease symptoms can also be intentionally falsified by child and adolescent patients. To our knowledge, in the medical literature, an FD patient presenting with stuttering has not been previously reported. In this case report, we aimed to discuss the diagnosis and treatment process of FDs in children and adolescents by reporting the cases of two FD patients presenting with stuttering according to the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition...
March 2017: Noro Psikiyatri Arsivi
https://www.readbyqxmd.com/read/28551963/challenges-presented-by-munchausen-syndrome
#12
Harald Schrader, Jan O Aasly, Thomas Bøhmer
No abstract text is available yet for this article.
May 2017: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
https://www.readbyqxmd.com/read/28419362/obesity-as-a-presentation-of-munchausen-syndrome-by-proxy
#13
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
#14
REVIEW
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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