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- Title
Munchausen syndrome by proxy presenting as hearing loss.
- Authors
Ashraf, N; Thevasagayam, M S
- Abstract
Objective:To review the diagnosis of Munchausen syndrome by proxy, a factitious disorder, in which symptoms are induced or feigned, usually in a child, by the caregiver. The involved caregiver seeks to gain attention or sympathy and often has a psychological need to maintain the sick role. We highlight the diagnostic difficulties and factors that may help with diagnosis in an otolaryngology setting.Method:We present the case of Munchausen syndrome by proxy presenting with hearing loss in a five-year old boy, who was diagnosed eight years after his initial presentation. A literature review of Munchausen syndrome by proxy cases presenting with ENT symptoms is provided.Conclusion:Munchausen syndrome by proxy is a diagnosis that otolaryngologists should be aware of, particularly where recurrent or persistent illnesses in children, especially those involving otological symptoms, are refractory to the usual treatments.
- Subjects
MUNCHAUSEN syndrome by proxy; HEARING disorders; DIAGNOSIS
- Publication
Journal of Laryngology & Otology, 2014, Vol 128, Issue 6, p540
- ISSN
0022-2151
- Publication type
Article
- DOI
10.1017/S0022215114001091