The Experts below are selected from a list of 3306 Experts worldwide ranked by ideXlab platform
Takanobu Yoshii - One of the best experts on this subject based on the ideXlab platform.
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A case of intractable recurrent corneal erosion caused by Munchausen Syndrome
Nippon Ganka Gakkai zasshi, 2003Co-Authors: Noriko Tanifuji, Shigeru Kinoshita, Chie Sotozono, Masanori Kunisawa, Yukiko Kooguchi, Takanobu YoshiiAbstract:We report a case of intractable recurrent corneal erosion that was unresponsive to any medication, but was cured by psychiatric care after diagnosis of Munchausen Syndrome. The patient, a 35-year-old female, who developed pain in her left eye in July, 20 XX, was diagnosed with epidemic keratoconjunctivitis at the hospital where she worked as a nurse. Despite medication, the eye condition gradually worsened. After undergoing examination at many medical institutions, she came to our hospital on October 6, 20 XX. Her left eye manifested superficial punctate keratitis, then exhibited recurring corneal erosion. The eye condition was intractable, total corneal epithelial defect ultimately occurring on December 30. Subsequently, a bottle of hydrochloric acid oxybuprocaine eyedrops was found under her pillow. We therefore suspected that the corneal erosion was due to self-inflicted injury. She consulted a psychiatrist, and was diagnosed with Munchausen Syndrome. After about 2 months of therapy in which she was prevented from touching the eye(eye patch etc.), her eye condition improved. This case was not diagnosed as Munchausen Syndrome for 5 months. In cases of intractable corneal erosion, the possibility of self-injury should be considered.
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A case of intractable recurrent corneal erosion caused by Munchausen Syndrome
Japanese Journal of Ophthalmology, 2003Co-Authors: Noriko Tanifuji, Shigeru Kinoshita, Chie Sotozono, Masanori Kunisawa, Yukiko Kooguchi, Takanobu YoshiiAbstract:Abstract Object: We report a case of intractable recurrent corneal erosion that was unresponsive to any medication, but was cured by psychiatric care after diagnosis of Munchausen Syndrome. Case: The patient, a 35-year-old female who developed pain in her left eye in July, 20 XX, was diagnosed with epidemic keratoconjunctivitis at the hospital where she worked as a nurse. Despite medication, the eye condition gradually worsened. After undergoing examination at many medical institutions, she came to our hospital on October 6, 20 XX. Her left eye manifested superficial punctate keratitis, then exhibited recurring corneal erosion. The eye condition was intractable, total corneal epithelial defect ultimately occurring on December 30. Subsequently, a bottle of hydrochloric acid oxybuprocaine eye drops was found under her pillow. We therefore suspected that the corneal erosion was due to self-inflicted injury. She consulted a psychiatrist, and was diagnosed with Munchausen Syndrome. After about 2 months of therapy in which she was prevented from touching the eye (eye patch etc.), her eye condition improved. Conclusion: This case was not diagnosed as Munchausen Syndrome for 5 months. In cases of intractable corneal erosion, the possibility of self-inflicted injury should be considered. Nippon Ganka Gakkai Zasshi
Roy Meadow - One of the best experts on this subject based on the ideXlab platform.
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different interpretations of Munchausen Syndrome by proxy
Child Abuse & Neglect, 2002Co-Authors: Roy MeadowAbstract:The definition of Munchausen Syndrome by Proxy is reviewed and considered in the context of the overlap with other harmful behaviors of parents. The high incidence of personal abnormal illness behavior in the perpetrators is leading to increasing concern about the safety of children who are cared for by parents who have abnormal illness behavior.
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Munchausen Syndrome by proxy abuse perpetrated by men
Archives of Disease in Childhood, 1998Co-Authors: Roy MeadowAbstract:Fifteen families are described in which one or more child incurred factitious illness abuse as a result of the father's false story and actions. The degree of direct physical harm, and the chance of death, was high in those families in which the father had Munchausen Syndrome or marked somatising disorder. Eleven children died and another six survived repetitive smothering or poisoning. Although the extent of the risk to children living with a parent who has marked somatising disorder is unsure, there must be vigilance on behalf of those children.
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false allegations of abuse and Munchausen Syndrome by proxy
Archives of Disease in Childhood, 1993Co-Authors: Roy MeadowAbstract:Fourteen children from seven families are reported for whom false allegations of abuse were made by the mother. Twelve children were alleged to have incurred sexual abuse, one both sexual and physical abuse, and one physical abuse alone. Thirteen of the children had incurred, or were currently victims of, factitious illness abuse invented by the mother. The one child with no history of factitious illness abuse had a sibling who had incurred definite factitious illness abuse. The false allegations of abuse did not occur in the context of parental separation, divorce, or custody disputes concerning the children. They occurred in the context of Munchausen Syndrome by proxy abuse. The age of the children, 3 to 9 years, was older than the usual age for Munchausen Syndrome by proxy abuse. The mother was the source of the false allegations and was the person who encouraged or taught six of the children to substantiate allegations of sexual abuse.
Alexander Munchau - One of the best experts on this subject based on the ideXlab platform.
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author response Munchausen Syndrome by genetics next generation challenges for clinicians
Neurology, 2017Co-Authors: Simone Zittel, Christine Klein, Daniel Alvarezfischer, Ulrich Schweiger, Alexander MunchauAbstract:We thank Dr. Oliveira for the thoughtful commentary on our Clinical/Scientific Note.1 Dr. Oliveira raises the issue of the differential diagnosis of F68.1 (factitious disorder, Munchausen Syndrome) vs Z76.5 (feigning illness with obvious motivation). Such a differentiation would indeed be relevant for further patient management.
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Munchausen Syndrome by genetics next generation challenges for clinicians
Neurology, 2017Co-Authors: Simone Zittel, Katja Lohmann, Peter Bauer, Christine Klein, Alexander MunchauAbstract:Sixty-five years ago, Richard Asher1 was the first to describe, in The Lancet , a pattern of self-harm characterized by fabricated histories, symptoms, and signs of illness. Asher named this condition Munchausen Syndrome after the famous Baron Munchhausen, a literary character loosely based on the German nobleman Hieronymus Karl Friedrich Freiherr von Munchhausen, a model of a shameless but cunning liar toying with reality and exaggeration. Munchausen Syndrome frequently involves movement disorders2 difficult to distinguish from organic disease. Here, we describe the novel constellation of a factitious disorder presenting as a supposedly genetically confirmed hereditary disease manifesting with abnormal movements. As genetic testing plays a rapidly increasing role in diagnostics in all areas of medicine including rare and unusual conditions3,4 and is typically considered gold standard without further scrutiny, it is important to alert physicians to the possibility of manipulation of genetic testing reports by the patient in the context of somatoform disorders.
Evelyn A. Paysse - One of the best experts on this subject based on the ideXlab platform.
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Recurrent conjunctivitis as a presentation of Munchausen Syndrome by proxy.
Ophthalmology, 2003Co-Authors: Darrell E. Baskin, Fernando Stein, David K. Coats, Evelyn A. PaysseAbstract:Abstract Purpose To report a case of Munchausen Syndrome by proxy, which manifested as recurrent bilateral keratoconjunctivitis in an infant. Design Interventional case report. Intervention The patient underwent numerous diagnostic studies, including two endoscopies, skin biopsy, conjunctival pH measurement, and a skeletal survey. She underwent daily eye examinations until the corneal and conjunctival epithelial defects resolved. Main outcome measure Resolution of cutaneous, mucosal, corneal, and conjunctival epithelial defects. Results A punch biopsy of the right postauricular area was performed, and pathology subsequently determined that the findings seemed to be the result of an exogenous injury. The conjunctival pH was 8.0, consistent with exposure to an exogenous, caustic agent. The acute ocular lesions resolved. Conclusions Munchausen Syndrome by proxy can be seen with ophthalmic manifestations and should be considered in the differential diagnosis when ocular abnormalities cannot be explained after a thorough and methodical evaluation.
Noriko Tanifuji - One of the best experts on this subject based on the ideXlab platform.
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A case of intractable recurrent corneal erosion caused by Munchausen Syndrome
Nippon Ganka Gakkai zasshi, 2003Co-Authors: Noriko Tanifuji, Shigeru Kinoshita, Chie Sotozono, Masanori Kunisawa, Yukiko Kooguchi, Takanobu YoshiiAbstract:We report a case of intractable recurrent corneal erosion that was unresponsive to any medication, but was cured by psychiatric care after diagnosis of Munchausen Syndrome. The patient, a 35-year-old female, who developed pain in her left eye in July, 20 XX, was diagnosed with epidemic keratoconjunctivitis at the hospital where she worked as a nurse. Despite medication, the eye condition gradually worsened. After undergoing examination at many medical institutions, she came to our hospital on October 6, 20 XX. Her left eye manifested superficial punctate keratitis, then exhibited recurring corneal erosion. The eye condition was intractable, total corneal epithelial defect ultimately occurring on December 30. Subsequently, a bottle of hydrochloric acid oxybuprocaine eyedrops was found under her pillow. We therefore suspected that the corneal erosion was due to self-inflicted injury. She consulted a psychiatrist, and was diagnosed with Munchausen Syndrome. After about 2 months of therapy in which she was prevented from touching the eye(eye patch etc.), her eye condition improved. This case was not diagnosed as Munchausen Syndrome for 5 months. In cases of intractable corneal erosion, the possibility of self-injury should be considered.
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A case of intractable recurrent corneal erosion caused by Munchausen Syndrome
Japanese Journal of Ophthalmology, 2003Co-Authors: Noriko Tanifuji, Shigeru Kinoshita, Chie Sotozono, Masanori Kunisawa, Yukiko Kooguchi, Takanobu YoshiiAbstract:Abstract Object: We report a case of intractable recurrent corneal erosion that was unresponsive to any medication, but was cured by psychiatric care after diagnosis of Munchausen Syndrome. Case: The patient, a 35-year-old female who developed pain in her left eye in July, 20 XX, was diagnosed with epidemic keratoconjunctivitis at the hospital where she worked as a nurse. Despite medication, the eye condition gradually worsened. After undergoing examination at many medical institutions, she came to our hospital on October 6, 20 XX. Her left eye manifested superficial punctate keratitis, then exhibited recurring corneal erosion. The eye condition was intractable, total corneal epithelial defect ultimately occurring on December 30. Subsequently, a bottle of hydrochloric acid oxybuprocaine eye drops was found under her pillow. We therefore suspected that the corneal erosion was due to self-inflicted injury. She consulted a psychiatrist, and was diagnosed with Munchausen Syndrome. After about 2 months of therapy in which she was prevented from touching the eye (eye patch etc.), her eye condition improved. Conclusion: This case was not diagnosed as Munchausen Syndrome for 5 months. In cases of intractable corneal erosion, the possibility of self-inflicted injury should be considered. Nippon Ganka Gakkai Zasshi
