Loredo-Abdalá A, Sierra-G de Quevedo J J, Oldak-Skvirsky D, Carbajal-Rodríguez L
Departamento de Medicina Interna, Instituto Nacional de Pediatría, Mexico, D.F.
Bol Med Hosp Infant Mex. 1991 Feb;48(2):121-5.
We report the existence of two cases of an infrequently know form of child abuse, Munchausen syndrome "by proxy" treated in the Department of Internal Medicine of the National Institute of Pediatrics. We have considered it necessary to emphasize the way this clinical entity is presented, pointing out the exact clinical data and how the relatives referred to them when faced with the treating physician, the number of people involved in treating the children as well as the exagerated number of laboratory and X-ray studies performed. The discrepancy in terminology to point to this disease, allows for the use of the term "Munchausen syndrome in children" to differentiate it from that used in psychiatry. The need to alert the medical community who treats these children on this rarely seen disease, will allow for its recognition and early treatment which avoid a reinforcement of the perpetrators attitudes.
我们报告了两例罕见的儿童虐待形式——代理型孟乔森综合征,这两例病例在国立儿科学研究所内科接受治疗。我们认为有必要强调这种临床实体的呈现方式,指出确切的临床数据以及亲属在面对主治医生时如何提及这些数据,参与治疗儿童的人员数量以及进行的实验室检查和X光检查数量之多。用于指代这种疾病的术语存在差异,因此可以使用“儿童孟乔森综合征”这一术语来将其与精神病学中使用的术语区分开来。提醒治疗这些儿童的医学界关注这种罕见疾病,将有助于识别和早期治疗,避免强化施虐者的行为态度。