Janas-Kozik Małgorzata, Albert Joanna, Kresimon Ewa, Stokowacka-Zakrzewska Magdalena, Wawrzyniak Karina
Oddział Psychiatrii i Psychoterapii Wieku, Rozwojowego Centrum Pediatrii im. Jana Pawła II w Sosnowcu.
Przegl Lek. 2007;64 Suppl 3:72-5.
INTRODUCTIONn: The Munchausen Syndrome by Proxy occurs when parents make a child believe he or she suffers from a disease while in fact this is not true. A medical diagnosis ruling out a possible disease of the child does not calm the parents down and only confirms--in their belief--the doctor's incompetence which in turn makes them seek a second opinion. This may be repeated over and over again and be accompanied by administration of medicines, overprotection, introducing a diet, limiting exercise as well as limiting motoric and mental development.
Authors present diagnostic difficulties in diagnosing the Munchausen syndrome.
A 6-year old girl was hospitalized for the first time at the Developmental Age Psychiatry and Psychotherapy Ward of the John Paul II Pediatric Center in Sosnowiec, Poland (until then she had received psychiatric treatment at the Center on an outpatient basis only). Medical history provided by her mother as well as supplied documents show numerous hospitalizations at Pediatric Wards since the girl was 6 weeks old due to intensified vomiting and frequent diarrheas. Since the age of 4, the girl has been provoking vomiting as well as temporarily refusing meals and liquids.
Authors present diagnostic difficulties in diagnosing the Munchausen syndrome mainly caused by discharging the patient from the Ward on her mother's request as well as non-specific nature of the symptoms.
引言：代理孟乔森综合征发生在父母让孩子相信自己患有某种疾病，而实际上并非如此的情况下。排除孩子可能疾病的医学诊断并不能让父母平静下来，反而只会在他们看来证实医生的无能，这反过来又促使他们寻求第二种意见。这种情况可能会反复发生，并伴有用药、过度保护、规定饮食、限制运动以及限制运动和智力发育等行为。
作者介绍了诊断孟乔森综合征时的诊断困难。
一名6岁女孩首次在波兰索斯诺维茨的约翰·保罗二世儿科中心发育年龄精神病学和心理治疗病房住院（在此之前，她仅在该中心接受门诊精神科治疗）。她母亲提供的病史以及所提供的文件显示，自该女孩6周大以来，因剧烈呕吐和频繁腹泻，多次在儿科病房住院。自4岁起，该女孩一直在诱发呕吐，同时暂时拒绝进食和饮水。
作者介绍了诊断孟乔森综合征时的诊断困难，主要原因是应其母亲要求让患者出院以及症状的非特异性。
