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Munchausen syndrome by proxy (MSBP) or factitious disorder imposed on another (FDIA) is a bizarre psychiatric entity, consisting of the fabrication of symptoms and alteration of laboratory tests by a caregiver. It is considered a serious form of child abuse. Alarm signs are frequent medical visits and strange symptoms that are never objectified during hospitalization.

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Deodorant Spray-Induced Cold Burns: A Case of Child Abuse.

Pediatr Dermatol

December 2024

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Munchausen syndrome by proxy is extremely difficult to diagnose. A case is presented of a 17-month-old girl who repeatedly sustained cold burns caused by a spray deodorant and inflicted by her mother. A comprehensive medical investigation, including blood assessments, skin biopsies and imaging were inconclusive.

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Article Synopsis
  • This review examines the intricate link between Munchausen Syndrome by Proxy (MSBP) and its skin-related symptoms, highlighting the need for deeper understanding in this area of psychiatric disorders.
  • Through case studies and existing literature, it showcases various dermatological issues in MSBP patients, from self-inflicted wounds to fabricated conditions, and discusses the psychological motivations behind caregivers' actions.
  • The paper emphasizes the challenges healthcare providers face in identifying MSBP-related skin symptoms and advocates for a multidisciplinary approach, improved assessment tools, and further research to enhance understanding and diagnosis of MSBP.
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Article Synopsis
  • Diagnosing factitious disorder (FD) in Iran is challenging, with only 17 confirmed cases in five years, highlighting potential delays in patient care and rising costs.
  • *The study revealed most FD patients were young males (ages 20-30) with comorbidities, especially substance use disorder and personality disorders, suggesting a complex clinical picture.
  • *The findings indicate FD is often underdiagnosed, emphasizing the need for greater awareness of its signs and the importance of considering comorbid conditions in treatment plans.
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