Otolaryngology fantastica: The ear, nose, and throat manifestations of munchausen's syndrome

Alicandri‐Ciufelli, Matteo; Moretti, Valentina; Ruberto, Marco; Monzani, Daniele; Chiarini, Luigi; Presutti, Livio

doi:10.1002/lary.22373

Cited by 16 publications

(16 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One case, though cited as MSB‐AP in the literature was excluded because it did not meet the criteria for the disorder. In this case, the wife of a 28‐year‐old alcoholic male poured acid on him while he was inebriated, ostensibly to vent frustration and coerce him into sobriety …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Munchausen syndrome by adult proxy: A review of the literature

et al. 2014

View full text Add to dashboard Cite

BACKGROUND Munchausen syndrome by proxy (MSBP), more formally known as factitious disorder imposed on another, is a form of abuse in which 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. Although well documented in the pediatric literature, few cases of MSBP with adult proxies (MSB‐AP) have been reported. This study reviews existing literature on MSB‐AP to provide a framework for clinicians to recognize this disorder. METHODS We searched Ovid MEDLINE, Ovid EMBASE, PubMed, Web of Knowledge, and PsychINFO, supplemented by bibliographic examination. RESULTS We identified 13 cases of MSB‐AP. Perpetrators were caregivers, most (62%) were women, and many worked in healthcare. The age range of the victims was 21 to 82 years. Most were unaware of the abuse, although in 2 cases the victim may have colluded with the perpetrator. Disease fabrication most often resulted from poisoning. CONCLUSIONS MSB‐AP should be included in the differential diagnosis of patients presenting with a complex constellation of symptoms without a unifying etiology and an overly involved caregiver with suspected psychological gain. Early identification is necessary so that healthcare providers do not unknowingly perpetuate harm through treatments that satisfy the perpetrator's psychological needs at the proxy's expense. Journal of Hospital Medicine 2015;10:32–35. © 2014 Society of Hospital Medicine

show abstract

Section: Resultsmentioning

confidence: 99%

“…In this case, the wife of a 28year-old alcoholic male poured acid on him while he was inebriated, ostensibly to vent frustration and coerce him into sobriety. 15,16 Of the 13 victims, 9 (69%) were women and 4 (31%) were men. Of the ages reported, the median age was 69 years and the mean age was 51 (range, 21-82 years).…”

Section: Resultsmentioning

confidence: 99%

Munchausen syndrome by adult proxy: A review of the literature

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Bleeding from the ears or nose, tooth loss, nasal excoriation, otorrhea, chronic external otitis, and oral lesions are symptoms manifesting within the head region [2, 3, 5–8, 10, 11, 18]. …”

Section: Introductionmentioning

confidence: 99%

Fabricated or induced illness in the oral cavity in children. A systematic review and personal experience

Olczak‐Kowalczyk

Wolska-Kuśnierz

Bernatowska

2015

cejoi

View full text Add to dashboard Cite

IntroductionMünchausen syndrome by proxy (MSBP) describes a pattern in which a caregiver induces a disease in a child. The symptoms may manifest in the oral cavity.Material and methodsPubMed was researched for articles between 1990-2014, presenting manifestations of MSPB, following PRISMA 2009 guidelines, and an in-house case of MSBP with oral manifestations was presented.ReviewAmong 66 articles presenting MSBP symptoms, four included descriptions of oral lesions in five children. They included: tooth loss, ulcerations and ulcers on oral mucosa, scars due to old, healed lesions, bleeding, black tongue, polysialia, and discolouration and swelling in the lips. Münchausen syndrome by proxy with participation of the mother was diagnosed in four cases.CaseA 13-year-old girl was hospitalised because of a non-healing ulcer of the septum, loose and lost mandibular teeth, skin lesions, and suspected immunodeficiency. She had been hospitalised numerous times at other facilities. Consultations and diagnostic tests did not confirm an organic disease. The patient and her mother agreed to undergo all examinations, and some symptoms ‘went away’ during the examinations. The behaviour of the patient and her mother during hospital stays, ambulatory care, and the psychiatric observations all pointed towards MPSB. They refused further treatment at the present facility.ConclusionsA dentist should take into account the potential ‘fabrication’ of symptoms in a child by the latter or by a caregiver. Consultations with a paediatrician or psychiatrist enable a diagnosis and treatment.

show abstract

“…This more covert form of maltreatment is difficult to detect and has a poor prognosis . The diverse range of symptoms experienced by children with FII and the importance of FII in the ENT setting is emphasised in the published literature …”

mentioning

confidence: 99%

“…14 The diverse range of symptoms experienced by children with FII and the importance of FII in the ENT setting is emphasised in the published literature. 15,16 Systematic reviews are an essential resource for clinicians in this era where it is incumbent upon healthcare professionals to practice, and stay up-to-date with evidence-based medicine. This systematic review aims to identify the features of ENT injuries as a consequence of physical child maltreatment and the features of FII presenting with ENT symptoms and signs.…”

mentioning

confidence: 99%

Child abuse and fabricated or induced illness in the ENT setting: a systematic review

Rees

Al‐Hussaini

Maguire

2016

Clinical Otolaryngology

View full text Add to dashboard Cite

All clinicians should be familiar with the signs of child maltreatment. Pharyngeal injuries, or injuries to the external ear, presenting in young children without an explicit history of witnessed injury should prompt a child protection referral for full evaluation. Likewise, children who present with recurrent, or apparently intractable symptoms and signs despite appropriate treatment, should raise the possibility of fabricated or induced illness, and discussion with a child protection specialist is advised. Early recognition of possible child maltreatment and instigation of appropriate safeguarding measures are essential to prevent repetition and escalation of injury. This is of paramount importance to otolaryngologists, who have the potential to identify these children in their practice.

show abstract

Otolaryngology fantastica: The ear, nose, and throat manifestations of munchausen's syndrome

Cited by 16 publications

References 31 publications

Munchausen syndrome by adult proxy: A review of the literature

Munchausen syndrome by adult proxy: A review of the literature

Fabricated or induced illness in the oral cavity in children. A systematic review and personal experience

Child abuse and fabricated or induced illness in the ENT setting: a systematic review

Contact Info

Product

Resources

About