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Munchausen Syndrome by Proxy Presented with Multiple Bone Fractures



Munchausen Syndrome by Proxy is about the caregiver (perpetrator) who abuse and reveals signs of a disease of the victim because of her/his own psychological needs like attracting and getting attention. MSBP is a complicated child abusement form which may cause important physiological and psychological effects and has mortality risk in the long term period. In a study, 93% of the cases, perpetrator was found to be the mother, and according to the order of frequency, the other implementers were especially female babysitter and the father. Usually the symptoms dissappear during the mother’s or the care giver’s absence. In cases like our’s, with continuously repeated and constant applications should be considered in the differential diagnosis of this condition. The more frequently reported findings are bleeding, apnea, nutritional problems, vomitting, diarrhea, convulsion, cyanosis, asthma, allergies, fever and pain. In studies conducted, the death rate is reported to be between 6-10% in the victims. Common opinion is that if no response is received from the practitioners in the treatment or if insufficient progress is shown (for ex. in 6 months period), victims should be taken from their environment and shouldn’t be given back to their families. Here we are representing a case of MSBP who gives damage to her children by traumas like recurrent bone fractures and tissue damage, and as a result of a forensic notification, whose children are taken away and given to foster care.

15 Jun, 2016
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e-Published: 28 Jun, 2016


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