PEDIATRICS Vol. 85 No. 3 March 1990, pp. 370-373
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Munchausen Syndrome by Proxy: Father as a Perpetrator

ADEL F. MAKAR MD1 and PAULA J. SQUIER RN1

1 Dept of Pediatrics, St Joseph Mercy Hospital, Mason City, IA

We conclude that fathers, as well as mothers and female caretakers, can be the perpetrators in Munchausen syndrome by proxy. Those same fathers may be even more difficult to detect when they do not fit previously described personalities and traits associated with mothers. We do not know if this case was an isolated incident or if some cases go undetected because fathers are not suspected as perpetrators. We hope that the case described in this article will alert the medical community to the possibility of either parent as a perpetrator in Munchausen syndrome by proxy.

Submitted on February 28, 1989
Accepted on April 12, 1989




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