Unexplained destructive nasal lesions in half-brothers: A possible case of Munchausen syndrome by proxy.
Int J Pediatr Otorhinolaryngol
; 123: 75-78, 2019 Aug.
Article
in En
| MEDLINE
| ID: mdl-31077906
ABSTRACT
Munchausen syndrome by proxy (MSBP) is a condition diagnosed when a caregiver knowingly fabricates or inflicts illness on another for his/her own gain. Typical cases of MSBP detected by otolaryngologists involve facial trauma or otologic injury, while descriptions involving the nose are rare. Destructive nasal lesions have a broad differential diagnosis and may require visits to numerous specialists, placing strain on both the patient and the healthcare system. Early recognition of MSBP in patients with chronic nasal destruction may prevent such unnecessary strain. We present a case of MSBP involving two half-brothers with unexplainable nasal destruction and discuss the literature and current recommendations for managing the diagnosis.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Epistaxis
/
Nose
/
Nose Deformities, Acquired
/
Munchausen Syndrome by Proxy
Type of study:
Diagnostic_studies
/
Guideline
Limits:
Humans
/
Infant
/
Male
Language:
En
Journal:
Int J Pediatr Otorhinolaryngol
Year:
2019
Type:
Article
Affiliation country:
United States