alexa Pitfalls in the Recognition and Diagnosis of Munchausen Syndrome by Proxy
ISSN: 2090-7214

Clinics in Mother and Child Health
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Case Report

Pitfalls in the Recognition and Diagnosis of Munchausen Syndrome by Proxy

Tsunehiko Kurokami*, Yoshiyuki Tachibana, Motoko Kogure and Makiko Okuyama

Department of Psychosocial Medicine, National Center for Child Health and Development, Tokyo, Japan

*Corresponding Author:
Tsunehiko Kurokami
Department of Psychosocial Medicine
National Center for Child Health and Development, Tokyo, Japan
Tel: 03-3416-018
E-mail: [email protected]

Received Date: May 30, 2016; Accepted Date: June 24, 2016; Published Date: June 30, 2016

Citation: Kurokami T, Tachibana Y, Kogure M, Okuyama M (2016) Pitfalls in the Recognition and Diagnosis of Munchausen Syndrome by Proxy. Clinics Mother Child Health 13: 243. doi:10.4172/2090-7214.1000243

Copyright: © 2016 Kurokami T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Munchausen syndrome by proxy (MSBP) is a type of child abuse in which the perpetrator intentionally causes illness in an offspring. It remains a challenge to determine the actual medical course in MSBP. Here, we report two cases of MSBP. The pediatric patients were diagnosed with chronic organic diseases at other hospitals. Their symptoms persisted and were eventually referred to our hospital. The patients were not considered as MSBP at the time of admission. However, a series of evaluation by an interdisciplinary team led to the detection of the incompatibilities of the medical courses in the earlier period with the patients’ condition. The patients were diagnosed with MSBP. Careful evaluation of patient’s history is important in the diagnosis of MSBP

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