Munchausen syndrome by proxy

Roshan L. Koul, Alexander Chacko, Zakia Al-Lamki, Adel M. Al-Amri, Saleh Al-Khusaiby

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11 Citations (Scopus)

Abstract

Five children (3F:2M), in the age group 1 years to 11 years, with Munchausen syndrome by proxy are reported from the Sultanate of Oman. They were seen over a four years period from 1996-1999. In all these children, the mother came up with history of uncontrolled epilepsy. Carbamazepine was the most common antiepileptic drug used. One of these children remained hospitalized elsewhere for nearly 9 months, as a case of uncontrolled status epilepticus. It took 18 months to 6 years (mean 2.8 years) to establish the diagnosis and the mother was the offender in all. The main lead to diagnosis, was the disparity between history and clinical presentation to hospital. The carbamazapine levels were several times above the upper limit of therapeutic range. Munchausen syndrome by proxy very much exists here, but is possibly less recognized and needs immediate attention to formulate policies to identify and manage these children. It is necessary to create awareness even in the medical community, to recognise this problem. There is an urgent need to develop a child protection council at the national or regional level.

Original languageEnglish
Pages (from-to)482-486
Number of pages5
JournalSaudi Medical Journal
Volume21
Issue number5
Publication statusPublished - 2000

Keywords

  • Antiepileptic drugs
  • Counselling
  • Drowsiness
  • Munchausen syndrome by proxy
  • Seizures

ASJC Scopus subject areas

  • Medicine(all)

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    Koul, R. L., Chacko, A., Al-Lamki, Z., Al-Amri, A. M., & Al-Khusaiby, S. (2000). Munchausen syndrome by proxy. Saudi Medical Journal, 21(5), 482-486.