title: A case with unexplained bleeding from multiple sites: munchausen syndrome by proxy.
abstract: Munchausen syndrome by proxy (MBP) is an extreme form of child abuse where children were unnecessarily treated or investigated for medical conditions that were falsified by their caregivers. Here the authors report a 16-year-old female with the complaints of bleeding from multiple and unusual sites, including hemoptysis, hematuria, bloody tears, and bloody nipple discharge, all of which are only witnessed by her mother. Extensive investigation revealed no organic etiologies for bleeding. The diagnosis of MBP was put by a multidisciplinary team. The diagnosis of MBP must be kept in mind in conditions where there is no underlying organic pathology in a bleeding patient.
authors: Department of Pediatric Hematology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey.
authors: Özlem
authors: Ö
authors: Tüfekçi
authors: Salih
authors: S
authors: Gözmen
authors: Şebnem
authors: Ş
authors: Yılmaz
authors: Tuba
authors: T
authors: Hilkay Karapınar
authors: Benhur
authors: B
authors: Çetin
authors: Onur
authors: O
authors: Burak Dursun
authors: Neslihan
authors: N
authors: Emiroğlu
authors: Hale
authors: H
authors: Ören
authors: Gülersu
authors: G
authors: Irken
mesh_terms: D000293:Adolescent; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D016735:Munchausen Syndrome by Proxy / Q000175:diagnosis*