Munchausen Syndrome by Proxy (MSBP) is an uncommon condition that involves the exaggeration or fabrication of a child's illness by a primary caretaker ( in most cases the mother), in order to satisfy their own psychological needs. “Munchausen Syndrom by Proxy’ presenting as battered child syndrome: a report of two cases” is the title of the case study I am writing about. The studies took place in New Delhi, India. There we’re two case reports within the case study, case study #1 really caught my attention. This case involves a 3-year-old boy with repeated incidents of nail shedding. Multiple fractures during an 11 month period were closely investigated. According to the Department of Dermatology and Venereology, the episodes of nail shedding occurred while he was sleeping. Intense pain and bleeding accompanied these episodes. On several occasions, the 3-year-old was found to be awaken by the pain of a new swelled fracture. The case study reveals the results of all the test and examinations the child was put through. Doctors found his physical examination normal, routine investigations including liver test were also normal. His vitamin levels were normal. The 3-year-old was not on any medication nor had a history of illnesses. Radio-graphs showed normal healing on the nails and bone fractures of his finger.
While hospitalized, the child was said to have episodes of nail separation on a daily basis. The mother was noticed to have an uncaring and indifferent attitude after these occurrences. According to the study, the child did not even seek his mothers attention after these new episodes happened, and was said to have a high tolerance for pain. Soon after being aware of the mothers rare behavior towards her child, the 3-year-old was put under the care of his grandparents for 3 weeks. For those 3 weeks, no new episodes of nail shedding were found. Psychiatric evaluation was preformed on both parents. Test showed the mother felt ignored by her husband... [continues]
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