Bocquet N, Boileau P, Castanet M, Gautier I, Lamboley G, Richard E, de Tournemire R, Saudubray J M
Service de métabolisme, génétique, neurologie, hôpital Necker-Enfants-Malades, Paris, France.
Arch Pediatr. 1997 Aug;4(8):770-8. doi: 10.1016/s0929-693x(97)83421-5.
Munchausen syndrome by proxy is a form of child abuse presenting as a disease produced or simulated by a parent, the mother in most cases. Its diagnosis is uneasy because of its miscellaneous and unusual clinical presentation and of the misleading apparently normal attitude of the parents. Physicians may participate in the abuse by insistently looking for diagnostic and therapeutic measures, therefore contributing to the significant mortality of the syndrome. It is therefore important that physicians consider Munchausen syndrome in any ambiguous situation in order to protect the child by an early diagnosis.
代理型孟乔森综合征是一种虐待儿童的形式，表现为父母（多数情况下是母亲）制造或伪装出来的疾病。由于其临床表现复杂且不寻常，以及父母看似正常的态度具有误导性，其诊断并不容易。医生可能会因坚持寻找诊断和治疗措施而参与到这种虐待行为中，从而导致该综合征的高死亡率。因此，医生在任何模棱两可的情况下都应考虑到代理型孟乔森综合征，以便通过早期诊断来保护儿童。
