Zitelli B J, Seltman M F, Shannon R M
Am J Dis Child. 1987 Oct;141(10):1099-102.
Physicians and legal and protective service agencies may unwittingly participate in Munchausen's syndrome by proxy (MSP) when they fall to recognize MSP, treat the true disorder, and effect a favorable outcome for the child. Five patients with MSP are described, emphasizing a variety of presentations, often with a delay in diagnosis. In addition, features in the family unit are identified to aid in early recognition of the disorder, and a management protocol used at Children's Hospital of Pittsburgh is presented. Finally, the need for better care, recognition, and reporting to help determine the true incidence of the disorder and aid in educating involved professionals is emphasized.
当医生以及法律和保护服务机构未能识别代理孟乔森综合征（MSP）、治疗真正的病症并为儿童带来良好结果时，他们可能会在不知情的情况下参与其中。本文描述了5例MSP患者，强调了其多种表现形式，诊断往往会延迟。此外，还确定了家庭单位中的一些特征，以帮助早期识别该病症，并介绍了匹兹堡儿童医院使用的管理方案。最后，强调了需要更好的护理、识别和报告，以帮助确定该病症的真实发病率，并有助于对相关专业人员进行教育。
