Pediatrics in Review
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(Pediatrics in Review. 2009;30:414-415. doi:10.1542/10.1542/pir.30-10-414)
© 2009 American Academy of Pediatrics
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In Brief

Munchausen Syndrome by Proxy

The first 20% of the full text of this article appears below.

Diagnostic and Statistical Manual of Mental Disorders. DSM-IV-TR. Washington, DC: American Psychiatric Association; 2000:781 –783

Beyond Munchausen Syndrome by Proxy: Identification and Treatment of Child Abuse in a Medical Setting. Stirling J and the Committee on Child Abuse and Neglect. Pediatrics. 2007;119 :1026 –1030[Abstract/Free Full Text]

Munchausen Syndrome by Proxy. Hettler J. Pediatr Emerg Care. 2002;18 :371 –374[CrossRef][Medline]

Different Interpretations of Munchausen Syndrome by Proxy. Meadow R. Child Abuse Neglect. 2002;26 :501 –508[CrossRef][Medline]

The term Munchausen syndrome has long been recognized in adult patients who fabricate symptoms for the purpose of adopting the sick role and submitting themselves to unnecessary medical procedures. In pediatrics, this condition takes a different spin when a parent presents with a story of symptoms in his or her child, who then becomes the focus of medical investigation. Because the patient is not directing the signs and symptoms of the condition, the name of this condition is Munchausen syndrome by proxy (MSBP). MSBP was introduced in the medical literature in 1977 by British . . . [Full Text of this Article]


Patrick Brown, MD
Cheryl Tierney, MD, MPH
 Baystate Medical Center
Springfield, Mass

Janet R. Serwint, MD, Consulting Editor
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