Sridharan Srivani, Shukla Deepak, Mehta Ritambhara, Oswal Rajat
Department of Psychiatry and Medicine, SMIMER Medical College, Surat, Gujarat, India.
Indian J Psychol Med. 2011 Jan;33(1):86-8. doi: 10.4103/0253-7176.85404.
This short communication is about Munchausen's syndrome in a group of pediatric patients and co morbid Munchausen's syndrome by proxy. A 7-year-old girl presented with spontaneous bleeding from forehead, eyes and scalp. The girl was investigated thoroughly by pediatricians at a tertiary care hospital in western India for all possible bleeding disorders, but there was no conclusive diagnosis. After two days, cases with similar complaints were reported among children residing in the same locality and with similar socioeconomic background. All of them were investigated in detail for possible causes of bleeding but nothing came out. There was a media reporting of the cases as a mysterious bleeding disorder. At this point of time, an expert opinion from the psychiatrist was demanded. Covert video surveillance and series of interviews revealed Munchausen's syndrome and possible Munchausen's syndrome by proxy. An in-depth literature review with special reference to Munchausen's syndrome was carried out to come to a final conclusive diagnosis.
这篇简短的通讯报道了一组儿科患者中的孟乔森综合征以及代理型孟乔森综合征。一名7岁女孩出现前额、眼睛和头皮自发性出血。印度西部一家三级医疗医院的儿科医生对该女孩进行了全面检查，排查所有可能的出血性疾病，但未得出明确诊断。两天后，在居住在同一地区且社会经济背景相似的儿童中报告了类似症状的病例。所有这些病例都针对可能的出血原因进行了详细调查，但一无所获。媒体将这些病例报道为一种神秘的出血性疾病。此时，需要精神科医生的专家意见。秘密视频监控和一系列访谈揭示了孟乔森综合征以及可能的代理型孟乔森综合征。为得出最终的确切诊断，对与孟乔森综合征特别相关的文献进行了深入综述。
