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Munchausen syndrome by proxy presenting as hearing loss

Published online by Cambridge University Press:  22 May 2014

N Ashraf  and
M S Thevasagayam
N Ashraf*
Affiliation:
Department of ENT, Sheffield Children's Hospital, UK
M S Thevasagayam
Affiliation:
Department of ENT, Sheffield Children's Hospital, UK
*
Address for correspondence: Nadia Ashraf, Sheffield Children's Hospital, Western Bank, Sheffield S10 2TH, UK E-mail: nashraf@doctors.org.uk
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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.

Keywords

Factitious DisordersMunchausen SyndromeMunchausen Syndrome By ProxyHearing LossChildDiagnosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 6 , June 2014 , pp. 540 - 542
Copyright
Copyright © JLO (1984) Limited 2014 

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References

1Asher, R. Munchausen's syndrome. Lancet 1951;1:339–41CrossRefGoogle ScholarPubMed
2Meadow, R. Munchausen syndrome by proxy. The hinterland of child abuse. Lancet 1977;2:343–5CrossRefGoogle ScholarPubMed
3Taylor, S, Hyler, SE. Update on factitious disorders. Int J Psychiatry Med 1993;23:81–94CrossRefGoogle ScholarPubMed
4Alicandri-Ciufelli, M, Moretti, V, Ruberto, M, Monzani, D, Chiarini, L, Presutti, L. Otolaryngology fantastica: the ear, nose, and throat manifestations of Munchausen's syndrome. Laryngoscope 2012;122:51–7CrossRefGoogle ScholarPubMed
5Cohen, NL, Breda, SD, Lebowitz, AS. Otogenic Munchausen syndrome. Am J Otol 1990;11:192–5Google ScholarPubMed
6Bourchier, D. Bleeding ears: case report of Munchausen syndrome by proxy. Aust Paediatr J 1983;19:256–7Google Scholar
7Zohar, Y, Avidan, G, Shvili, Y, Laurian, N. Otolaryngologic cases of Munchausen's syndrome. Laryngoscope 1987;97:201–3CrossRefGoogle ScholarPubMed
8Kahn, G, Goldman, E. Munchausen Syndrome by Proxy: Mother Fabricates Infant's Hearing Impairment. J Speech Hear Res 1991;34:957–9Google Scholar
9Magnay, AR, Debelle, G, Proops, DW, Booth, IW. Munchausen syndrome by proxy unmasked by nasal signs. J Laryngol Otol 1994;108:336–8CrossRefGoogle ScholarPubMed
10DiBiase, P, Timmis, H, Bonilla, JA, Szeremeta, W, Post, JC. Munchausen syndrome by proxy complicating ear surgery. Arch Otolaryngol Head Neck Surg 1996;122:1377–80Google Scholar
11Somani, VK. Witchcraft's syndrome: Munchausen's syndrome by proxy. Int J Dermatol 1998;37:229–30Google Scholar
12Libow, JA, Schreier, HA. Three forms of factitious illness in children: when is it Munchausen syndrome by proxy? Am J Orthopsychiatry 1986;56:602–11Google Scholar
13Masterson, J, Dunworth, R, Williams, N. Extreme illness exaggeration in pediatric patients: A variant of Munchausen's by proxy? Am J Orthopsychiatry 1988;58:188–95CrossRefGoogle ScholarPubMed