Munchausen syndrome presenting as hemophilia: a convenient and economical "steal" of disease and treatment.
Munchausen's syndrome and Munchausen's syndrome by proxy (MSBP) can cause many conditions, including bleeding problems, seizures, failure to thrive and others. We report here an unusual case in which a mother presented to the hospital for her hemophiliac son's failure to thrive, subsequently for her own self-inflected mutilating wounds, and finally for self-induced simulation of her son's hemophiliac bleeding and arthritic complications.
Ayass
M
M
Department of Pediatric Hematology/Oncology, University of Florida, College of Medicine, Gainesville.
Bussing
R
R
Mehta
P
P
D000328:Adult; D002056:Burns / Q000209:etiology; D002400:Cathartics / Q000506:poisoning*; D002648:Child; D002908:Chronic Disease; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000139:chemically induced*; D005183:Failure to Thrive / Q000139:chemically induced*; D005260:Female; D005543:Forearm Injuries / Q000209:etiology; D006395:Hemarthrosis / Q000209:etiology; D002836:Hemophilia B / Q000150:complications*; D006801:Humans; D008297:Male; D009110:Munchausen Syndrome / Q000175:diagnosis / Q000523:psychology; D016735:Munchausen Syndrome by Proxy / Q000139:chemically induced / Q000175:diagnosis*; D020113:Phenolphthalein; D010635:Phenolphthaleins / Q000506:poisoning*
D002400:Cathartics; D010635:Phenolphthaleins; D020113:Phenolphthalein