PEDIATRICS Vol. 80 No. 2 August 1987, pp. 220-224
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Munchausen Syndrome by Proxy: Considerations in Diagnosis and Confirmation by Video Surveillance

Mark A. Epstein MD1, Robert L Markowitz MD1, Diane M. Gallo MD1, June Walker Holmes MSW1, and Joyce D. Gryboski MD1

1 From the Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut

Munchausen syndrome by proxy is a form of abuse in which the child suffers from a factitious illness induced by a parent. A case report of an 18-month-old boy who suffered from intractable diarrhea because of the surreptitious administration of laxatives by his mother is presented. The evolution of this case is discussed, as are the legal and ethical considerations in the diagnosis of Munchausen syndrome by proxy.

Key Words: Munchausen syndrome by proxy • factitious diarrhea • child abuse

Submitted on July 14, 1986




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