학술논문

A Case with Unexplained Bleeding from Multiple Sites: Munchausen Syndrome by Proxy.
Document Type
Article
Source
Pediatric Hematology & Oncology. Jul2011, Vol. 28 Issue 5, p439-443. 5p.
Subject
*CASE studies
*MUNCHAUSEN syndrome by proxy
*HEMORRHAGE complications
Language
ISSN
0888-0018
Abstract
Munchausen syndrome by proxy (MBP) is an extreme form of child abuse where children were unnecessarily treated or investigated for medical conditions that were falsified by their caregivers. Here the authors report a 16-year-old female with the complaints of bleeding from multiple and unusual sites, including hemoptysis, hematuria, bloody tears, and bloody nipple discharge, all of which are only witnessed by her mother. Extensive investigation revealed no organic etiologies for bleeding. The diagnosis of MBP was put by a multidisciplinary team. The diagnosis of MBP must be kept in mind in conditions where there is no underlying organic pathology in a bleeding patient. [ABSTRACT FROM AUTHOR]