title: [Munchausen syndrome by proxy].
abstract: The term "Munchausen by proxy" denotes a special form of factitious disorder and a rare kind of child abuse. We present the case of a 12-year-old boy, whose mother's manipulations culminated in his immobilization in a wheelchair and the implantation of a pacemaker. Problems of diagnosis and clinical management of Munchausen by proxy are discussed.
authors.affiliation: Psychiatrische Klinik und Poliklinik, Universität München.
authors.forename: M
authors.initials: M
authors.lastname: Krupinski
authors.forename: E
authors.initials: E
authors.lastname: Tutsch-Bauer
authors.forename: R
authors.initials: R
authors.lastname: Frank
authors.forename: S
authors.initials: S
authors.lastname: Brodherr-Heberlein
authors.forename: M
authors.initials: M
authors.lastname: Soyka
mesh_terms: D000328:Adult; D002648:Child; D002649:Child Abuse / Q000517:prevention & control / Q000523:psychology; D004155:Diphenhydramine / Q000506:poisoning; D005260:Female; D005445:Flunitrazepam / Q000506:poisoning; D006801:Humans; D008297:Male; D016735:Munchausen Syndrome by Proxy / Q000175:diagnosis* / Q000523:psychology; D010138:Pacemaker, Artificial / Q000523:psychology; D011613:Psychotherapy; D012151:Resuscitation; D012803:Sick Role; D014188:Transposition of Great Vessels / Q000523:psychology; D014910:Wheelchairs / Q000523:psychology
chemical_list: D005445:Flunitrazepam; D004155:Diphenhydramine
vernacular_title: Münchhausen-by-proxy-Syndrom.