作为代理型孟乔森综合征表现形式的肥胖症。
Obesity as a Presentation of Munchausen Syndrome by Proxy.
作者信息
Nogueira-de-Almeida Carlos Alberto, de Almeida Carla Cristina J N, Pereira Natália Inocêncio, de Souza Filho Nilton Antonio, de Oliveira Valmir Aparecido
机构信息
University of Ribeirão Preto, São Paulo 14027-150, Brazil.
出版信息
J Trop Pediatr. 2018 Feb 1;64(1):78-81. doi: 10.1093/tropej/fmx027.
OBJECTIVE
To describe a case of an obese child whose weight gain was related to the Munchausen Syndrome by proxy (MSP).
METHODS
This is a case report including information regarding the child's clinical history and the mother's behavior. The common features of the syndrome are confronted with the description of the case, seeking to demonstrate the similarities.
RESULTS
The description ratifies the diagnosis based on the signs and symptoms presented by the child (<5 years old, frequent contacts with health system, symptoms witnessed only by the mother, confusing findings, not helped by treatments, emotionally distant father) and the attitude of the mother (concerned, interested in procedures, comfortable in the medical setting, higher medical knowledge, hostile when thwarted).
CONCLUSION
The case presented points to a new etiology, the MSP, to be considered within the set of factors currently known to cause and maintain obesity in childhood.
目的
描述一例肥胖儿童，其体重增加与代理孟乔森综合征（MSP）有关。
方法
这是一份病例报告，包括有关该儿童临床病史和母亲行为的信息。将该综合征的常见特征与病例描述进行对照，以试图证明两者的相似性。
结果
根据该儿童出现的体征和症状（<5岁，频繁接触医疗系统，症状仅由母亲目睹，检查结果令人困惑，治疗无效，父亲情感疏离）以及母亲的态度（关切、对医疗程序感兴趣、在医疗机构中表现自如、医学知识较丰富、受挫时怀有敌意），该描述证实了诊断。
结论
所呈现的病例指出了一种新的病因，即代理孟乔森综合征，在目前已知的导致和维持儿童肥胖的一系列因素中应予以考虑。
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