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1

Murray, John B. "Munchausen Syndrome/Munchausen Syndrome by Proxy." Journal of Psychology 131, no. 3 (1997): 343–52. http://dx.doi.org/10.1080/00223989709603520.

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2

SHELDON, STEPHEN H. "Munchausen Syndrome by Proxy." Pediatrics 76, no. 5 (1985): 855. http://dx.doi.org/10.1542/peds.76.5.855.

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To the Editor.— The article, "Munchausen Syndrome by Proxy: An Outpatient Challenge," by Vincent L. Guandolo, MD,1 was read with interest. It was a compelling description of a very worrisome problem for all professionals involved in providing for the welfare of children. Munchausen syndrome by proxy results in multiple hospitalizations and unnecessary painful, invasive, and expensive procedures. The potential consequences warrant accurate early diagnosis, management, and disposition. Seizures secondary to Munchausen syndrome by proxy may be fictitious (the parent deliberately providing a false
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3

Sharif, I., and H. M. Adam. "Munchausen Syndrome by Proxy." Pediatrics in Review 25, no. 6 (2004): 215–16. http://dx.doi.org/10.1542/pir.25-6-215.

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4

Brown, P., C. Tierney, and J. R. Serwint. "Munchausen Syndrome by Proxy." Pediatrics in Review 30, no. 10 (2009): 414–15. http://dx.doi.org/10.1542/pir.30-10-414.

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5

Blake, Paula. "Munchausen Syndrome by Proxy." Paediatric Nursing 2, no. 2 (1990): 16–18. http://dx.doi.org/10.7748/paed.2.2.16.s16.

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6

Weston, W. L., J. G. Morelli;, P. T. Siegel, and M. Bryk. "Munchausen by Proxy Syndrome." PEDIATRICS 101, no. 5 (1998): 951. http://dx.doi.org/10.1542/peds.101.5.951.

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7

Jovanovic, Aleksandar, Vesna Popovic, Slobodan Savic, Djordje Alempijevic, and Nada Jankovic. "Munchausen syndrome by proxy." Srpski arhiv za celokupno lekarstvo 133, no. 3-4 (2005): 173–79. http://dx.doi.org/10.2298/sarh0504173j.

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This review deals with bibliography on Munchausen syndrome by proxy (MSbP). The name of this disorder was introduced by English psychiatrist Roy Meadow who pointed to diagnostic difficulties as well as to serious medical and legal connotations of MSbP. MSbP was classified in DSM-IV among criteria sets provided for further study as "factitious disorder by proxy", while in ICD-10, though not explicitly cited, MSbP might be classified as "factitious disorders" F68.1. MSbP is a special form of abuse where the perpetrator induces somatic or mental symptoms of illness in the victim under his/her car
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8

GUANDOLO, VINCENT L. "Munchausen Syndrome by Proxy." Pediatrics 76, no. 5 (1985): 855–56. http://dx.doi.org/10.1542/peds.76.5.855a.

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In Reply.— There was an older sibling of the patient reported in "Munchausen Syndrome by Proxy: An Outpatient Challenge." This child's past medical history as disclosed by the mother included numerous allergies, a tonsillectomy/adenoidectomy at an early age, recurrent urinary tract infections during infancy, and chronic bouts of bronchitis and croup. These conditions predated the family's transfer to our office for pediatric care. There were infrequent office visits for minor medical problems in this child during the time that the mother concentrated on the patient described in our report.
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9

Brown, Patrick, and Cheryl Tierney. "Munchausen Syndrome by Proxy." Pediatrics In Review 30, no. 10 (2009): 414–15. http://dx.doi.org/10.1542/pir.30.10.414.

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10

Zylstra, Robert G., Karl E. Miller, and Walter E. Stephens. "Munchausen Syndrome by Proxy." Primary Care Companion to The Journal of Clinical Psychiatry 02, no. 02 (2000): 42–44. http://dx.doi.org/10.4088/pcc.v02n0202.

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11

Senner, Anne, and Mary Jane Ott. "Munchausen Syndrome by Proxy." Issues in Comprehensive Pediatric Nursing 12, no. 5 (1989): 345–57. http://dx.doi.org/10.3109/01460868909038043.

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12

HETTLER, JOELI. "Munchausen syndrome by proxy." Pediatric Emergency Care 18, no. 5 (2002): 371–74. http://dx.doi.org/10.1097/00006565-200210000-00012.

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13

Lieder, Holly S., Sharon Y. Irving, Rizalina Mauricio, and Jeanine M. Graf. "Munchausen Syndrome by Proxy." AACN Clinical Issues: Advanced Practice in Acute and Critical Care 16, no. 2 (2005): 178–84. http://dx.doi.org/10.1097/00044067-200504000-00009.

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14

Kahn, Gerri, and Ellen Goldman. "Munchausen Syndrome by Proxy." Journal of Speech, Language, and Hearing Research 34, no. 4 (1991): 957–59. http://dx.doi.org/10.1044/jshr.3404.957.

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Munchausen syndrome by proxy is a form of child abuse in which a mother causes or simulates her child’s symptoms and presents the child for diagnosis and treatment. All previously reported cases have involved acute illnesses. This case study describes the ways in which a mother obtained a diagnosis of sensorineural hearing loss as well as amplification for her normally hearing infant.
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15

Kahan, Bernard B., and Beatrice Crofts Yorker. "Munchausen Syndrome by Proxy." Journal of School Health 60, no. 3 (1990): 108–10. http://dx.doi.org/10.1111/j.1746-1561.1990.tb05413.x.

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16

Babu, AnuradhaKakkanatt, Akbar Mohamed, and Namitha Das. "Munchausen syndrome by proxy." Indian Dermatology Online Journal 10, no. 4 (2019): 496. http://dx.doi.org/10.4103/idoj.idoj_250_18.

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17

Porter, Gerald E., Grace M. Heitsch, and Michael M. Miller. "Munchausen Syndrome by Proxy." Medical Journal of Australia 158, no. 10 (1993): 720. http://dx.doi.org/10.5694/j.1326-5377.1993.tb121938.x.

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18

FREDERICK, VICKI, GARY S. LUEDTKE, FRED F. BARRETT, S. DOUGLAS HIXSON, and KELLY BURCH. "Munchausen syndrome by proxy." Pediatric Infectious Disease Journal 9, no. 6 (1990): 440–42. http://dx.doi.org/10.1097/00006454-199006000-00015.

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19

Jani, Sushma, Mattie White, Leon A. Rosenberg, and Mohammad Maisami. "Munchausen Syndrome by Proxy." International Journal of Psychiatry in Medicine 22, no. 4 (1992): 343–49. http://dx.doi.org/10.1177/009121749202200401.

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This study examined the indicators of possible presence of Munchausen Syndrome by Proxy (MSBP) in pediatric inpatients discharged against-medical-advice (AMA), in cases transferred to another hospital, and in regular discharges. In a two-year period, there were fourteen AMA discharges and twenty-four transfer cases. These were compared to a randomly selected sample of forty-one regular discharges occurring during the same time period, matched for age, sex and pediatric service. The records were scored for the presence or absence of six MSBP characteristics, which had been developed from a revi
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20

Check, Joseph R. "Munchausen Syndrome by Proxy." Journal of Psychiatric Practice 4, no. 6 (1998): 340–45. http://dx.doi.org/10.1097/00131746-199811000-00002.

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21

Castiglia, Patricia T. "Munchausen syndrome by proxy." Journal of Pediatric Health Care 9, no. 2 (1995): 79–80. http://dx.doi.org/10.1016/s0891-5245(05)80006-9.

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22

Bosch, Joni Jacobsen. "Munchausen syndrome by proxy." Journal of Pediatric Health Care 11, no. 5 (1997): 242. http://dx.doi.org/10.1016/s0891-5245(97)90110-3.

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23

Haddad, Heskel M. "Munchausen syndrome by proxy." Ophthalmology 111, no. 2 (2004): 407. http://dx.doi.org/10.1016/j.ophtha.2003.12.004.

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24

Atoynatan, Tanash H., Elizabeth O'Reilly, and Linnea Loin. "Munchausen syndrome by proxy." Child Psychiatry & Human Development 19, no. 1 (1988): 3–13. http://dx.doi.org/10.1007/bf00713731.

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25

Headow, S. R. "Munchausen Syndrome by Proxy." Medico-Legal Journal 63, no. 3 (1995): 89–104. http://dx.doi.org/10.1177/002581729506300303.

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26

Jones, Jerry G., Helen L. Butler, Brenda Hamilton, Jeanette D. Perdue, H. Patrick Stern, and Robert C. Woody. "Munchausen syndrome by proxy." Child Abuse & Neglect 10, no. 1 (1986): 33–40. http://dx.doi.org/10.1016/0145-2134(86)90029-3.

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27

Souid, Abdul-Kader, David V. Keith, and Allan S. Cunningham. "Munchausen Syndrome by Proxy." Clinical Pediatrics 37, no. 8 (1998): 497–503. http://dx.doi.org/10.1177/000992289803700807.

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28

Sheridan, Mary S. "Munchausen Syndrome by Proxy." Health & Social Work 14, no. 1 (1989): 53–58. http://dx.doi.org/10.1093/hsw/14.1.53.

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29

Day, Deborah O., and Robert L. Moseley. "Munchausen by Proxy Syndrome." Journal of Forensic Psychology Practice 10, no. 1 (2010): 13–36. http://dx.doi.org/10.1080/15228930903172981.

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30

Levin, Alex V. "MUNCHAUSEN SYNDROME BY PROXY." Pediatric Emergency Care 5, no. 4 (1989): 293. http://dx.doi.org/10.1097/00006565-198912000-00076.

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31

Meadow, Roy. "MUNCHAUSEN SYNDROME BY PROXY." Pediatric Emergency Care 7, no. 5 (1991): 311. http://dx.doi.org/10.1097/00006565-199110000-00018.

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32

Donald, T., and J. Jureidini. "Munchausen syndrome by proxy." Archives of Disease in Childhood 74, no. 3 (1996): 274–75. http://dx.doi.org/10.1136/adc.74.3.274.

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33

HOSCH, INDIA A. "Munchausen Syndrome By Proxy." MCN, The American Journal of Maternal/Child Nursing 12, no. 1 (1987): 48???53. http://dx.doi.org/10.1097/00005721-198701000-00015.

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34

Meadow, S. R. "Munchausen Syndrome by Proxy." Journal of Clinical Forensic Medicine 1, no. 3 (1994): 121–27. http://dx.doi.org/10.1016/1353-1131(94)90078-7.

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35

Donald, Terence. "Munchausen Syndrome by Proxy." Archives of Pediatrics & Adolescent Medicine 150, no. 7 (1996): 753. http://dx.doi.org/10.1001/archpedi.1996.02170320099017.

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36

Kwasman, Alan. "Munchausen Syndrome by Proxy." Archives of Pediatrics & Adolescent Medicine 151, no. 2 (1997): 211. http://dx.doi.org/10.1001/archpedi.1997.02170390101026.

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37

Sousa Filho, Daniel de, Elton Yoji Kanomata, Ricardo Jonathan Feldman, and Alfredo Maluf Neto. "Munchausen syndrome and Munchausen syndrome by proxy: a narrative review." Einstein (São Paulo) 15, no. 4 (2017): 516–21. http://dx.doi.org/10.1590/s1679-45082017md3746.

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ABSTRACT The Munchausen syndrome and Munchausen syndrome by proxy are factitious disorders characterized by fabrication or induction of signs or symptoms of a disease, as well as alteration of laboratory tests. People with this syndrome pretend that they are sick and tend to seek treatment, without secondary gains, at different care facilities. Both syndromes are well-recognized conditions described in the literature since 1951. They are frequently observed by health teams in clinics, hospital wards and emergency rooms. We performed a narrative, nonsystematic review of the literature, includin
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38

Conway, Steven Philip, and Michael Neil Pond. "Munchausen Syndrome by Proxy Abuse: A Foundation for Adult Munchausen Syndrome." Australian & New Zealand Journal of Psychiatry 29, no. 3 (1995): 504–7. http://dx.doi.org/10.3109/00048679509064961.

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Symptoms fabricated by the mother, and abnormal maternal pressurising of medical staff, resulted in misinterpretation of sweat test results and a diagnosis of cystic fibrosis in a two year old child. Her mother refused to accept later medical evidence which irrefutably showed this diagnosis to be wrong. The child was extensively investigated and for most of her childhood was treated for pancreatic malabsorption. She progressed from an innocent child victim of Munchausen Syndrome by Proxy abuse to an accomplice in her mother's deception, and finally to adult Munchausen Syndrome behaviour. Munch
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39

Boyd, Alan S., Coleman Ritchie, and Sunaina Likhari. "Munchausen syndrome and Munchausen syndrome by proxy in dermatology." Journal of the American Academy of Dermatology 71, no. 2 (2014): 376–81. http://dx.doi.org/10.1016/j.jaad.2013.12.028.

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40

Magnay, A. R., G. Debelle, D. W. Proops, and I. W. Booth. "Munchausen syndrome by proxy unmasked by nasal signs." Journal of Laryngology & Otology 108, no. 4 (1994): 336–38. http://dx.doi.org/10.1017/s0022215100126696.

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AbstractThe protean manifestations of child abuse continue to cause diagnostic difficulty. Recent observations of the high mortality in victims of Munchausen syndrome by proxy, and their siblings, reinforce the need for early diagnosis and appropriate intervention. We report the nasal manifestations which unmasked Munchausen syndrome by proxy in an infant who presented with intestinal and peri-orifical signs masquerading as Crohn's disease. The possibility of Munchausen syndrome by proxy should be considered in an infant with persistent nasal excoriation presenting as part of an undiagnosed il
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41

Flannery, Michael. "First, Do No Harm: The Use of Covert Video Surveillance to Detect Munchausen Syndrome by Proxy- An Unethical Means of "Preventing" Child Abuse." University of Michigan Journal of Law Reform, no. 32.1 (2025): 105. https://doi.org/10.36646/mjlr.32.1.first.

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Since it was first identified in 1977, Munchausen Syndrome by Proxy has uniquely affected the way in which the medical and legal communities deal with the issue of child abuse. Inherent in the medical response to the disease are issues of suspicion, investigation, identification, confrontation, and, of course, the health of an innocent child. Given the deceptive dynamics of the disease, however, denial and disbelief naturally overshadow every action taken by medical professionals in pursuing these issues. Fortunately, as medical knowledge about the dynamics of the disease continues to develop,
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42

Chan, Yuan-Yu, and Wei-Che Lin. "Munchausen syndrome and munchausen syndrome by proxy: A case report." Taiwanese Journal of Psychiatry 35, no. 1 (2021): 42. http://dx.doi.org/10.4103/tpsy.tpsy_9_21.

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43

Abeln, Brittany, and Rene Love. "An Overview of Munchausen Syndrome and Munchausen Syndrome by Proxy." Nursing Clinics of North America 53, no. 3 (2018): 375–84. http://dx.doi.org/10.1016/j.cnur.2018.04.005.

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44

Ashraf, N., and M. S. Thevasagayam. "Munchausen syndrome by proxy presenting as hearing loss." Journal of Laryngology & Otology 128, no. 6 (2014): 540–42. http://dx.doi.org/10.1017/s0022215114001091.

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AbstractObjective:To review the diagnosis of Munchausen syndrome by proxy, a factitious disorder, in which symptoms are induced or feigned, usually in a child, by the caregiver. The involved caregiver seeks to gain attention or sympathy and often has a psychological need to maintain the sick role. We highlight the diagnostic difficulties and factors that may help with diagnosis in an otolaryngology setting.Method:We present the case of Munchausen syndrome by proxy presenting with hearing loss in a five-year old boy, who was diagnosed eight years after his initial presentation. A literature rev
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45

Alexander, Randell, Wilbur Smith, and Richard Stevenson. "Serial Munchausen Syndrome by Proxy." Pediatrics 86, no. 4 (1990): 581–85. http://dx.doi.org/10.1542/peds.86.4.581.

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Five cases of Munchausen syndrome by proxy (MSBP) are presented in which more than one child in the family was victimized. There was a high incidence of maternal psychiatric histories, marital difficulties, and Münchhausen syndrome in the mothers themselves. Seventy-one percent of the children in the families were known to be victims of MSBP; four of these children (31%) died. Multiple-child MSBP may reflect more significant maternal psychopathology than found in other cases of MSBP, or it may indicate the deteriorating consequences to the mother and other children in the family if this syndr
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46

Sullivan, Carolyn A., Gary L. Francis, Michael W. Bain, and John Hartz. "Munchausen Syndrome by Proxy: 1990." Clinical Pediatrics 30, no. 2 (1991): 112–16. http://dx.doi.org/10.1177/000992289103000213.

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47

Bennett, Karen, and Staff Nurse. "Munchausen Syndrome by Proxy Abuse." Journal of Child Health Care 4, no. 4 (2000): 163–66. http://dx.doi.org/10.1177/136749350000400407.

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48

Feldman, M. D., M. J. Light, L. J. Lasher, and M. S. Sheridan. "Beyond Munchausen Syndrome by Proxy." PEDIATRICS 120, no. 5 (2007): 1217–18. http://dx.doi.org/10.1542/peds.2007-1917.

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49

SIGAL, MIRCEA D., DAVID ALTMARK, and ITZCHAK CARMEL. "Munchausen Syndrome by Adult Proxy." Journal of Nervous and Mental Disease 174, no. 11 (1986): 696–98. http://dx.doi.org/10.1097/00005053-198611000-00010.

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50

Batten, Robyn. "Munchausen Syndrome by Proxy: The Need for Service Integration." Children Australia 12, no. 2 (1987): 13–14. http://dx.doi.org/10.1017/s0312897000015885.

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Baron Karl Frederick Van Munchausen was famous throughout Europe in the 18th century for tales of his adventures which were of doubtful authenticity. In 1951 the term Munchausen syndrome was coined to describe adults who fabricated histories of illness, produced false physical signs and laboratory findings to deceive doctors and receive unwarranted medical treatment and operations. Munchausen syndrome by proxy was first described by Dr. Roy Meadow (1977) as a form of child abuse in which an illness is fabricated in a child by a parent.
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