Munchausen Syndrome by Proxy in a Saudi Child

Al-Jumaah, Suliman; Al-Dowaish, Abdullah; Tufenkeji, Haysam; Frayha, Husn H.

doi:10.5144/0256-4947.1993.469

Cited by 19 publications

(8 citation statements)

References 16 publications

(11 reference statements)

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“…8 illustrates a suspicious case of Munchausen syndrome by proxy, a rare form of child abuse defined as the fabrication of a child's medical history and/or medical symptoms by a parent, with the intent of securing unnecessary medical evaluations, procedures and hospitalization. 13 It is a difficult diagnosis to establish, a problem which was faced in the previous studies from this area. 12,13 Sometimes health professionals may unwittingly order a multitude of tests and procedures according to the wishes of the parents, thus perpetuating the myth that the child is indeed ill.…”

Section: Discussionmentioning

confidence: 99%

“…13 It is a difficult diagnosis to establish, a problem which was faced in the previous studies from this area. 12,13 Sometimes health professionals may unwittingly order a multitude of tests and procedures according to the wishes of the parents, thus perpetuating the myth that the child is indeed ill. The case of the two abandoned neonates is not an unusual occurrence, 16 but caused worry since no such cases had been previously seen in our ER in the past.…”

Section: Discussionmentioning

confidence: 99%

“…1 Subsequently, other reports have identified the severity and variety of child abuse in these parts. 1,[11][12][13] They have lamented the lack of policy and have admitted to hindrances towards recognition and effective management of child abuse and neglect.…”

Section: Discussionmentioning

confidence: 99%

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The Spectrum of Child Abuse Presenting to a University Hospital in Riyadh

et al. 1998

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Background: Child abuse is prevalent worldwide, although it is often underreported. We describe the pattern of child abuse and neglect presenting to the emergency room of our hospital, the sociocultural changes which brought this about, and suggest ways to deal with this emotionally sensitive issue. Patients and Methods: Thirteen cases of child abuse and neglect were seen in the emergency room of King Khalid University Hospital over a period of one year from July 1996 to June 1997. There were four cases of non-accidental injury, three of which had serious injury. There were three cases of sexual abuse, four cases of neglect, resulting in the death of one child and severe emaciation in another. There was one suspected case of Munchausen syndrome by proxy, and one case of child labor with neglect. Conclusion: Public awareness of the problem of child abuse has increased, and recent media reports reflect the significance accorded to the issue. As more information is obtained on this subject and policies and guidelines are set in place, efforts at reporting and preventing physical and psychological trauma will gather momentum.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Spectrum of Child Abuse Presenting to a University Hospital in Riyadh

et al. 1998

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“…The majority were incidental findings reported in medical cases of MSbP; oral findings were the main features in only two individuals (Table 4). 36,37 The appearance and disease course of these oral lesions were varied and unusual (Table 4), and did not resemble the usual common childhood ailments such as recurrent aphthous stomatitis, or ulcers associated with common viral childhood illnesses such as hand‐food‐mouth‐disease or herpetic gingivostomatitis. As ulcers and oral lesions can be inflicted, it may be a telltale sign of MSbP if new lesions appear whenever there is a threat of discharge, such as in the case reported by Al‐Jumaah et al 36 …”

Section: Fdia In Dentistrymentioning

confidence: 99%

Munchausen syndrome by proxy: A narrative review and update for the dentist and other healthcare professionals

Yee,

Sim,

Chow

et al. 2024

Dental Traumatology

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Munchausen syndrome by proxy (MSbP) is a form of abuse in which a caregiver with Factitious Disorder Imposed on Another (FDIA) fabricates or induces signs or symptoms in a person under their care to satisfy a self‐serving psychological need. Unnecessary clinical evaluations, procedures, and treatments that are initiated based on falsification by the abuser inadvertently add to the trauma experienced by the victim. It is a form of abuse and the impact on victims can be severe, sometimes fatal, and far‐reaching such as prolonged neglect and extension to affected siblings. The long‐term exposure to MSbP may predispose the victim to eventually developing factitious disorder imposed on self (FDIS). While MSbP often involves child victims, elderly, adults, and pets have also been reported as victims. MSbP can be a diagnostic challenge, and the important keys to timely identification of MSbP include the ability to detect deception by caregivers through awareness, clinical suspicion, and careful review of available health records; it also involves collecting collaborative information from other relevant healthcare providers including dentists, schoolteachers, and social workers. To date, there are limited published cases of MSbP with oral findings. This paper provides a narrative review of the current understanding of MSbP with a section on cases with oral findings. This paper aims to increase awareness about the clinical presentations and management considerations for MSbP among dentists and other healthcare professionals.

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“…Since the first report of child abuse in Saudi Arabia by Al-Eisa 1 in 1991, Saudi researchers have gained more skills and expertise in diagnosing and reporting children with unusual presentations of abuse. Munchausen Syndrome by proxy (MBP) was reported in Riyadh as early as 1993, 2 and the Saudi published reports now includes a large number of MBP cases with a wide range of manifestations.…”

mentioning

confidence: 99%

Intra-abdominal insertion of sewing needles: a rare method of child abuse

Al-Shamrani

Bakhswain

Zayeni

et al. 2013

Annals of Saudi Medicine

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The insertion of sewing needles into the abdominal cavity is an uncommon form of child abuse. We report a 2-and-a-half-year-old boy with 2 intra-abdominal sewing needles that were discovered during the evaluation of chronic abdominal pain and vomiting. This case report illustrates the wide range with which abusive injury can present in children. Pediatricians need to be alerted to this newly-recognized and the increasing form of child abuse so that they examine and diagnose their patients appropriately.

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Munchausen Syndrome by Proxy in a Saudi Child

Cited by 19 publications

References 16 publications

The Spectrum of Child Abuse Presenting to a University Hospital in Riyadh

The Spectrum of Child Abuse Presenting to a University Hospital in Riyadh

Munchausen syndrome by proxy: A narrative review and update for the dentist and other healthcare professionals

Intra-abdominal insertion of sewing needles: a rare method of child abuse

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