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1

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

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2

Solomon, Charles S. "MUNCHAUSEN SYNDROME." Journal of the American Dental Association 127, no. 8 (August 1996): 1152–54. http://dx.doi.org/10.14219/jada.archive.1996.0389.

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3

Anderson, Leigh G. "Munchausen Syndrome." Plastic Surgical Nursing 14, no. 4 (1994): 220–24. http://dx.doi.org/10.1097/00006527-199401440-00006.

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4

Prabhu, Angeline, Bilal Abaid, Simrat Sarai, Riley Sumner, and Steven Lippmann. "Munchausen Syndrome." Southern Medical Journal 113, no. 4 (April 2020): 198–200. http://dx.doi.org/10.14423/smj.0000000000001079.

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5

Pessina, Achille C., Valeria Bisogni, Ambrogio Fassina, and Gian Paolo Rossi. "Munchausen syndrome." Journal of Hypertension 31, no. 7 (July 2013): 1473–76. http://dx.doi.org/10.1097/hjh.0b013e328360e9ae.

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6

de Fontaine, Serge, Jean Van Geertruyden, Xavier Preud???homme, and Denis Goldschmidt. "Munchausen Syndrome." Annals of Plastic Surgery 46, no. 2 (February 2001): 153–58. http://dx.doi.org/10.1097/00000637-200102000-00012.

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7

Humphries, S. R. "Munchausen Syndrome." British Journal of Psychiatry 152, no. 3 (March 1988): 416–17. http://dx.doi.org/10.1192/bjp.152.3.416.

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A case report of a 37-year-old woman with Munchausen syndrome which differs in many respects from the classical picture is described. Attempts are made to examine the motives behind the syndrome and to make a link with the common pattern of deliberate self-harm.
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8

Cheng, T. O. "Munchausen Syndrome." Journal of Internal Medicine 245, no. 5 (May 1999): 555–56. http://dx.doi.org/10.1046/j.1365-2796.1999.00440.x.

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9

Cheng, T. O. "Munchausen syndrome." Journal of Internal Medicine 244, no. 6 (December 1998): 544–45. http://dx.doi.org/10.1111/j.1365-2796.1998.00440.x.

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10

Teller, W. M. "Munchausen syndrome." Archives of Disease in Childhood 69, no. 5 (November 1, 1993): 619. http://dx.doi.org/10.1136/adc.69.5.619-a.

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11

Smith, Kathryn, and Patricia Killam. "Munchausen Syndrome." MCN, The American Journal of Maternal/Child Nursing 19, no. 4 (July 1994): 214–21. http://dx.doi.org/10.1097/00005721-199407000-00010.

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12

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 (December 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, including case reports, case series, and review articles indexed in MEDLINE/PubMed from 1951 to 2015. Each study was reviewed by two psychiatry specialists, who selected, by consensus, the studies to be included in the review. Although Munchausen syndrome was first described more than 60 years ago, most of studies in the literature about it are case reports and literature reviews. Literature lacks more consistent studies about this syndrome epidemiology, therapeutic management and prognosis. Undoubtedly, these conditions generate high costs and unnecessary procedures in health care facilities, and their underdiagnose might be for lack of health professional's knowledge about them, and to the high incidence of countertransference to these patients and to others, who are exposed to high morbidity and mortality, is due to symptoms imposed on self or on others.
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13

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 (September 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. Munchausen Syndrome by Proxy abuse may programme a child into developing adult Munchausen Syndrome.
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14

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 (August 2014): 376–81. http://dx.doi.org/10.1016/j.jaad.2013.12.028.

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15

SNEED, R. C. "Breed or Meadow?—Munchausen or Münchhausen?" Pediatrics 83, no. 6 (June 1, 1989): 1078. http://dx.doi.org/10.1542/peds.83.6.1078.

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Salmon et al indicated that only three cases of factitious hematuria in children have been reported to date. However, there is at least a fourth report of factitious hematunia associated with factitious renal stones which was reported in Pediatrics, in 1976 by us which is not listed in the article's references. Also not listed was the review of Paperny et al of factitious hematuria in their report of Munchausen's syndrome in 1980. Another article in Pediatrics in 1983 reported that only four cases of Munchausen syndrome, all in adolescents, had been reported but did not include our earlier report of a 10-year-old child with this condition.
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16

Cheng, T. O. "Munchausen syndrome revisited." International Journal of Clinical Practice 59, no. 4 (March 21, 2005): 504–5. http://dx.doi.org/10.1111/j.1368-5031.2005.0502b.x.

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17

Jones, P. D. "Medical Munchausen syndrome." Lancet 345, no. 8955 (April 1995): 995. http://dx.doi.org/10.1016/s0140-6736(95)90747-5.

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18

Kitchens, Craig S. "Pulmonary Munchausen Syndrome." Chest 121, no. 5 (May 2002): 1392–93. http://dx.doi.org/10.1378/chest.121.5.1392.

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19

Mehta, Nirav J., and Ijaz A. Khan. "Cardiac Munchausen Syndrome." Chest 122, no. 5 (November 2002): 1649–53. http://dx.doi.org/10.1378/chest.122.5.1649.

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20

Shaner, Andrew, and Spencer Eth. "Pseudoadolescent Munchausen syndrome." Comprehensive Psychiatry 29, no. 6 (November 1988): 561–65. http://dx.doi.org/10.1016/0010-440x(88)90076-4.

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21

Higgins, P. M. "Temporary Munchausen Syndrome." British Journal of Psychiatry 157, no. 4 (October 1990): 613–16. http://dx.doi.org/10.1192/bjp.157.4.613.

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Over 14 years a patient was admitted at least 91 times to at least 25 general and four psychiatric hospitals and treated for a wide range of conditions that she did not have. She appears to have recovered. The medical and psychiatric care she received probably contributed to the onset of this disorder in a person already vulnerable, and to its maintenance.
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22

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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23

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

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24

Adhikari, Tika Ram, and Thinley Dorji. "Recurrent ear bleed with profound bilateral sensorineural hearing loss: A case of Munchausen syndrome." SAGE Open Medical Case Reports 9 (January 2021): 2050313X2110008. http://dx.doi.org/10.1177/2050313x211000869.

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Factitious disorders and Munchausen syndromes present with history and physical symptoms to all specialties, and they are often extensively evaluated. Diagnosis of Munchausen syndrome is a challenge and patients often do not receive the correct diagnosis and appropriate care especially in settings where access to mental health professionals is difficult. We present a case of recurrent bleed from the right ear, bilateral profound hearing loss and jerky movement of limbs that was extensively evaluated and followed up for 4 years until a diagnosis of Munchausen syndrome was reached. This case reports the risk of harm to the patient and wastage of healthcare resources unless physicians begin to actively evaluate for factitious disorders.
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25

Shevchenko, A. A. "Munchausen syndrome. The case from practice." SOVREMENNAYA PEDIATRIYA 72, no. 8 (December 30, 2015): 29–33. http://dx.doi.org/10.15574/sp.2015.72.29.

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26

SHELDON, STEPHEN H. "Munchausen Syndrome by Proxy." Pediatrics 76, no. 5 (November 1, 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 history) or may be an actual convulsive episode precipitated by an action of the parent (eg, anoxic seizures secondary to smothering).2 A misdiagnosis of epilepsy is common and consequences range from the persistence of fictitious symptoms into adulthood to death of the child.
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27

Mahiba, P. Jabalin. "Factious Syndrome or Munchausen Syndrome." International Journal of Advances in Nursing Management 7, no. 4 (2019): 381. http://dx.doi.org/10.5958/2454-2652.2019.00089.1.

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28

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 (April 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 illness.
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29

Yonge, Olive, and Mary Haase. "Munchausen Syndrome and Munchausen Syndrome by Proxy in a Student Nurse." Nurse Educator 29, no. 4 (2004): 166–69. http://dx.doi.org/10.1097/00006223-200407000-00013.

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30

Hagiwara, Toshiaki, Shinya Munakata, Shun Ishiyama, Goto Michitoshi, Rina Takahashi, Kazumasa Kure, Kumpei Honjo, Yurika Makino, and Kazuhiro Sakamoto. "Repeated Enterocutaneous Fistula in a Munchausen Syndrome Patient." Case Reports in Gastroenterology 13, no. 1 (April 9, 2019): 173–77. http://dx.doi.org/10.1159/000499443.

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Munchausen syndrome is a rare type of mental disorder in which the patient fakes illness to gain attention and sympathy. Patients may lie about symptoms, make themselves appear sick, or make themselves purposely unwell. We describe a case of repeated enterocutaneous fistula in Munchausen syndrome. A 53-year-old Japanese male was admitted to our hospital for the treatment of a high-flow enterocutaneous fistula. Surgery was performed two times, but the fistula recurred each time. Chopsticks with blood on them were coincidentally detected in the trash in the patient’s room. It was revealed that the enterocutaneous fistula was caused by self-mutilation. A psychiatrist was consulted, and the patient was diagnosed with Munchausen syndrome. The psychiatrist initiated treatment and the patient admitted the self-harm. His prolonged wound site was closed and he was able to be discharged. There has been no recurrence of the self-harm as of this writing, 3 years later. The treatment of Munchausen syndrome is difficult and early detection is important.
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31

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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32

Abed, Riadh T. "Voluntary false confessions in a Munchausen patient: a new variant of the syndrome?" Irish Journal of Psychological Medicine 12, no. 1 (March 1995): 24–26. http://dx.doi.org/10.1017/s0790966700002007.

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AbstractA case of Munchausen syndrome associated with habitual voluntary false confessions is described. It is suggested that voluntary false confessions may be an overlooked feature ofMunchausen syndrome. Furthermore, it is suggested that this case raises the possibility that a yet unidentified variant of Munchausen syndrome may exist which substitutes prison for hospital.
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33

Sharif, I., and H. M. Adam. "Munchausen Syndrome by Proxy." Pediatrics in Review 25, no. 6 (June 1, 2004): 215–16. http://dx.doi.org/10.1542/pir.25-6-215.

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34

Brown, P., C. Tierney, and J. R. Serwint. "Munchausen Syndrome by Proxy." Pediatrics in Review 30, no. 10 (October 1, 2009): 414–15. http://dx.doi.org/10.1542/pir.30-10-414.

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35

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

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36

Weston, W. L., J. G. Morelli;, P. T. Siegel, and M. Bryk. "Munchausen by Proxy Syndrome." PEDIATRICS 101, no. 5 (May 1, 1998): 951. http://dx.doi.org/10.1542/peds.101.5.951.

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37

Shim, Dae moo, Young Ha Woo, Chang soo Kim, Bong jun Jang, and Jin sung Park. "Munchausen Syndrome in Orthopedics." Journal of the Korean Orthopaedic Association 53, no. 1 (2018): 76. http://dx.doi.org/10.4055/jkoa.2018.53.1.76.

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38

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 care and then persistently presents the victims for medical examinations and care. The victim is usually a preschool child and the perpetrator is the child's mother. Motivation for such pathological behavior of perpetrator is considered to be unconscious need to assume sick role by proxy while external incentives such as economic gain are absent. Conceptualization of MSbP development is still in the domain of psychodynamic speculation, its course is chronic and the prognosis is poor considering lack of consistent, efficient and specific treatment. The authors also present the case report of thirty-three year-old mother who had been abusing her nine year-old son both emotionally and physically over the last several years forcing him to, together with her, report to the police, medical and educational institutions that he had been the victim of rape, poisoning and beating by various individuals, especially teaching and medical staff. Mother manifested psychosis and her child presented with impaired cognitive development, emotional problems and conduct disorder.
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39

GUANDOLO, VINCENT L. "Munchausen Syndrome by Proxy." Pediatrics 76, no. 5 (November 1, 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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40

Brown, Patrick, and Cheryl Tierney. "Munchausen Syndrome by Proxy." Pediatrics In Review 30, no. 10 (October 1, 2009): 414–15. http://dx.doi.org/10.1542/pir.30.10.414.

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41

Hadeed, Venus. "Electronic Cancer Munchausen Syndrome." Annals of Internal Medicine 129, no. 1 (July 1, 1998): 73. http://dx.doi.org/10.7326/0003-4819-129-1-199807010-00027.

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42

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 (April 1, 2000): 42–44. http://dx.doi.org/10.4088/pcc.v02n0202.

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43

Villa¸a, P. R., R. P. Bassitt, A. K. Zeinad, D. F. Chamone, and E. A. D'Amico. "MUNCHAUSEN SYNDROME X COAGULOPATHIES." Journal of Thrombosis and Haemostasis 5 (July 2007): P—M—219—P—M—219. http://dx.doi.org/10.1111/j.1538-7836.2007.tb01154.x.

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44

Zorzi, Francesco, Oliviero Olivieri, and Francesca Pizzolo. "Comment on ‘Munchausen syndrome." Journal of Hypertension 32, no. 1 (January 2014): 200–201. http://dx.doi.org/10.1097/hjh.0000000000000053.

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45

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

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46

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

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47

Cooke, M. W., and R. H. Grace. "The Modern Munchausen Syndrome." Journal of the Royal Society of Medicine 83, no. 4 (April 1990): 272–73. http://dx.doi.org/10.1177/014107689008300423.

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48

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 (April 2005): 178–84. http://dx.doi.org/10.1097/00044067-200504000-00009.

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49

Kahn, Gerri, and Ellen Goldman. "Munchausen Syndrome by Proxy." Journal of Speech, Language, and Hearing Research 34, no. 4 (August 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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50

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

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