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Arch Dis Child. 1982 February; 57(2): 92–98.
PMCID: PMC1627521

Munchausen syndrome by proxy.


Information is presented about 19 children, under age 7 years, from 17 families, whose mothers consistently gave fraudulent clinical histories and fabricated signs so causing them needless harmful medical investigations, hospital admissions, and treatment over periods of time ranging from a few months to 4 years. Episodes of bleeding, neurological abnormality, rashes, fevers, and abnormal urine were commonly simulated. Often the mothers had had previous nursing training and some had a history of fabricating symptoms or signs relating to themselves. Two children died. Of the 17 survivors, 8 were taken into care and the other 9 remained at home after arrangements had been made for their supervision. Study of these children and their families has enabled a list of warning signs to be compiled together with recommendations for dealing with suspected acts. The causes and the relationship of this form of behaviour to other forms of non-accidental injury, iatrogenic injury, and parental-induced illness are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • ASHER R. Munchausen's syndrome. Lancet. 1951 Feb 10;1(6650):339–341. [PubMed]
  • Sneed RC, Bell RF. The Dauphin of Munchausen: factitious passage of renal stones in a child. Pediatrics. 1976 Jul;58(1):127–130. [PubMed]
  • Reich P, Lazarus JM, Kelly MJ, Rogers MP. Factitious feculent urine in an adolescent boy. JAMA. 1977 Aug 1;238(5):420–421. [PubMed]
  • Meadow R. Munchausen syndrome by proxy. The hinterland of child abuse. Lancet. 1977 Aug 13;2(8033):343–345. [PubMed]
  • Lorber J, Reckless JP, Watson JB. Nonaccidental poisoning: the elusive diagnosis. Arch Dis Child. 1980 Aug;55(8):643–647. [PMC free article] [PubMed]
  • Clayton PT, Counahan R, Chantler C. Munchausen syndrome by proxy. Lancet. 1978 Jan 14;1(8055):102–103. [PubMed]
  • Verity CM, Winckworth C, Burman D, Stevens D, White RJ. Polle syndrome: children of Munchausen. Br Med J. 1979 Aug 18;2(6187):422–423. [PMC free article] [PubMed]
  • Lee DA. Munchausen syndrome by proxy in twins. Arch Dis Child. 1979 Aug;54(8):646–647. [PMC free article] [PubMed]
  • Rogers D, Tripp J, Bentovim A, Robinson A, Berry D, Goulding R. Papers and originals. Br Med J. 1976 Apr 3;1(6013):793–796. [PMC free article] [PubMed]
  • Watson JB, Davies JM, Hunter JL. Nonaccidental poisoning in childhood. Arch Dis Child. 1979 Feb;54(2):143–144. [PMC free article] [PubMed]
  • HAWKINGS JR, JONES KS, SIM M, TIBBETTS RW. Deliberate disability. Br Med J. 1956 Feb 18;1(4963):361–367. [PMC free article] [PubMed]
  • Fleisher D, Ament ME. Diarrhea, red diapers, and child abuse: clinical alertness needed for recognition; clinical skill needed for success in management. Clin Pediatr (Phila) 1977 Sep;16(9):820–824. [PubMed]
  • Kohl S, Pickering LK, Dupree E. Child abuse presenting as immunodeficiency disease. J Pediatr. 1978 Sep;93(3):466–468. [PubMed]
  • Kurlandsky L, Lukoff JY, Zinkham WH, Brody JP, Kessler RW. Munchausen syndrome by proxy: definition of factitious bleeding in an infant by 51Cr labeling of erythrocytes. Pediatrics. 1979 Feb;63(2):228–231. [PubMed]

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