Open AccessMunchausen Syndrome Masquerading as Bleeding Disorder in a Group of Pediatric Patients
Author(s) -
Srivani Sridharan,
Deepak Shukla,
Ritambhara Mehta,
Rajat Oswal
Publication year - 2011
Publication title -
indian journal of psychological medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 24
eISSN - 0975-1564
pISSN - 0253-7176
DOI - 10.4103/0253-7176.85404
Subject(s) - munchausen syndrome , girl , medicine , forehead , pediatrics , against medical advice , factitious disorder , psychiatry , child abuse , poison control , surgery , medical emergency , injury prevention , psychology , developmental psychology
This short communication is about Munchausen's syndrome in a group of pediatric patients and co morbid Munchausen's syndrome by proxy. A 7-year-old girl presented with spontaneous bleeding from forehead, eyes and scalp. The girl was investigated thoroughly by pediatricians at a tertiary care hospital in western India for all possible bleeding disorders, but there was no conclusive diagnosis. After two days, cases with similar complaints were reported among children residing in the same locality and with similar socioeconomic background. All of them were investigated in detail for possible causes of bleeding but nothing came out. There was a media reporting of the cases as a mysterious bleeding disorder. At this point of time, an expert opinion from the psychiatrist was demanded. Covert video surveillance and series of interviews revealed Munchausen's syndrome and possible Munchausen's syndrome by proxy. An in-depth literature review with special reference to Munchausen's syndrome was carried out to come to a final conclusive diagnosis.