儿童孟乔森综合征及其他做作性障碍：病例系列与文献综述
Munchausen's Syndrome and Other Factitious Disorders in Children: Case Series and Literature Review.
作者信息
Jaghab Kamil, Skodnek Kenneth B, Padder Tanveer A
机构信息
Dr. Jaghab is Associate Chairman of Psychiatry, Residency Program Director, and Director of Consultation and Liaison Psychiatry.
出版信息
Psychiatry (Edgmont). 2006 Mar;3(3):46-55.
There has been increasing recognition in the pediatric literature for the past 20 years that illness falsification by caregivers must be included in the differential diagnosis of children presenting with persistent, unexplained symptoms or laboratory findings. However, there is considerably less awareness that pediatric symptoms can also be intentionally falsified by child and adolescent patients, and this unique group has remained virtually invisible. There have been reports that many children with factitious disorders also suffer from other mental disorders, particularly personality disorders. We report an unusual case of Munchausen's syndrome in a 15-year-old patient with sickle cell disease. We also review other reported pediatric factitious disorders in literature. Our purpose is to make clinicians aware of this less known disorder in children and to discuss the similarities and differences these disorders have in children compared to adults with the same disorders.
在过去20年的儿科文献中，人们越来越认识到，对于出现持续、无法解释的症状或实验室检查结果的儿童，护理人员的疾病伪造必须纳入鉴别诊断。然而，对于儿童和青少年患者也可能故意伪造儿科症状这一点，人们的认识要少得多，而这一独特群体几乎一直不为人所知。有报告称，许多患有虚构障碍的儿童也患有其他精神障碍，尤其是人格障碍。我们报告了一例15岁镰状细胞病患者患孟乔森综合征的罕见病例。我们还回顾了文献中其他报道的儿科虚构障碍。我们的目的是让临床医生了解这种儿童中鲜为人知的疾病，并讨论这些疾病在儿童中与患有相同疾病的成人相比的异同。
Zotero 插件