Bleeding ears: a case of Munchausen syndrome by proxy

A Preliminary Screening Instrument for Early Detection of Medical Child Abuse

“…[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] These articles often give detailed recommendations regarding how to establish an MCA diagnosis and how to manage the case once MCA is suspected or identifi ed. [21][22][23] Unfortunately, it does not seem that the problem originally stated by Rosenberg has been solved: "The largest impediment to early diagnosis of MSBP [MCA] was omission of factitious illness from the differential diagnosis."…”

Two Otolaryngologic Cases of Munchausen’s Syndrome

“…In 2001 Griffiths et al described a case of MS by proxy presenting with persistent aural bleeding, which is an uncommon symptom of chronic suppurative otitis media. 10 This aural bleeding was the result of trauma inflicted by child's mother. In 2005, Bennett et al presented a case of MS by proxy in which the child's mother spat and placed blood in her sons's ear.…”

A Case with Unexplained Bleeding from Multiple Sites: Munchausen Syndrome by Proxy

“…In MBP, the bleeding symptoms generally present as hemoptysis, gastrointestinal bleeding, vaginal bleeding, hematuria, or easy bruising/ecchymoses [6]. Bleeding from unusual multiple sites such as ears and induced hemorrhagic disorders caused by nontherapeutic administration of warfarin have also been reported [7,17,18]. In the present case, the mother, not the father or any other member in the family, is the only witness of all events said to be experienced by the patient, including bloody tears and bloody nipple discharge.…”

“…Bleeding episodes of hematuria, hemoptysis, and bleeding from ears are reported in victims of MBP, induced either by self-injury or excessive use of anticoagulants or by falsification of labarotory specimens [6,7]. Here we present a 16-year-old female with the complaints of bleeding from multiple and unusual sites, including hemoptysis, hematuria, bloody tears, and bloody nipple discharge, all of which are only witnessed by her mother.…”