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孟乔森综合征:首例关于伪造血迹的报告病例。

Munchausen Syndrome: The First Reported Case of Painted Blood.

作者信息

Manerkar Harsh U, Chalakkal Paul, Dukle Siya G, Naik Rashmi, Ramanathan Ramya

机构信息

Department of Pedodontics and Preventive Dentistry, Goa Dental College & Hospital, Bambolim, Goa, India.

出版信息

Int J Clin Pediatr Dent. 2025 Aug;18(8):1011-1013. doi: 10.5005/jp-journals-10005-3241. Epub 2025 Sep 4.

Abstract

AIM AND BACKGROUND

Munchausen syndrome (MS) or Munchausen syndrome by proxy (MSP) in relation to the oral cavity is rarely reported. This article highlights the first ever reported case of painted blood in the oral cavity, arm, nose, chest, and abdomen of an 11-year-old female child, made to resemble real blood.

CASE DESCRIPTION

The complaints were backed by images of bleeding that were sent to the pedodontist from the parents; however, no signs of bleeding were found on physical examination. Various blood tests were carried out by the parents for their child in this regard, although none were conclusive of any bleeding disorder.

CONCLUSION

The parents had never reported during a bleeding episode, and neither did they answer a video call that was made to them to assess the bleeding. Moreover, the blood on all the pictures resembled paint since they appeared pinkish-red in color. These factors helped us conclude it to be a case of MS.

CLINICAL SIGNIFICANCE

This is the first ever reported case of intraoral MS where paint had been used to mimic blood.

HOW TO CITE THIS ARTICLE

Manerkar HU, Chalakkal P, Dukle SG, . Munchausen Syndrome: The First Reported Case of Painted Blood. Int J Clin Pediatr Dent 2025;18(8):1011-1013.

摘要

目的与背景

关于口腔的孟乔森综合征(MS)或代理型孟乔森综合征(MSP)鲜有报道。本文着重介绍了首例有报道的11岁女童口腔、手臂、鼻子、胸部和腹部涂抹血液佯装真实血迹的案例。

病例描述

家长向儿童牙医发送了出血的图片以佐证孩子的症状,但体格检查未发现出血迹象。家长为此给孩子做了多项血液检查,不过均未确诊任何出血性疾病。

结论

出血发作期间家长从未报告情况,给他们打视频电话评估出血情况时他们也未接听。此外,所有图片上的血迹看起来像颜料,因为呈现出粉红色。这些因素使我们认定这是一例孟乔森综合征。

临床意义

这是首例有报道的使用颜料模拟血液的口腔孟乔森综合征病例。

如何引用本文

马内卡尔·胡、查拉卡尔·P、杜克勒·SG等。孟乔森综合征:首例涂抹血液的报道病例。《国际临床儿科牙科学杂志》2025年;18(8):1011 - 1013。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5a/12451583/4bc3b53331db/ijcpd-18-8-1011-g001.jpg

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