Unexplained destructive nasal lesions in half-brothers: A possible case of Munchausen syndrome by proxy

Megan L. Swonke, Sarah A. Smith, Jason F. Ohlstein, Farrah Siddiqui, Wasyl Szeremeta, Harold Pine

Research output: Contribution to journalArticle

Abstract

Munchausen syndrome by proxy (MSBP)is a condition diagnosed when a caregiver knowingly fabricates or inflicts illness on another for his/her own gain. Typical cases of MSBP detected by otolaryngologists involve facial trauma or otologic injury, while descriptions involving the nose are rare. Destructive nasal lesions have a broad differential diagnosis and may require visits to numerous specialists, placing strain on both the patient and the healthcare system. Early recognition of MSBP in patients with chronic nasal destruction may prevent such unnecessary strain. We present a case of MSBP involving two half-brothers with unexplainable nasal destruction and discuss the literature and current recommendations for managing the diagnosis.

Original languageEnglish (US)
Pages (from-to)75-78
Number of pages4
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume123
DOIs
StatePublished - Aug 1 2019

Fingerprint

Munchausen Syndrome by Proxy
Nose
Siblings
Wounds and Injuries
Caregivers
Differential Diagnosis
Delivery of Health Care

Keywords

  • Child abuse
  • Factitious disorders
  • Munchausen's syndrome by proxy
  • Nasal destruction
  • Nasal erosion

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

Cite this

Unexplained destructive nasal lesions in half-brothers : A possible case of Munchausen syndrome by proxy. / Swonke, Megan L.; Smith, Sarah A.; Ohlstein, Jason F.; Siddiqui, Farrah; Szeremeta, Wasyl; Pine, Harold.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 123, 01.08.2019, p. 75-78.

Research output: Contribution to journalArticle

@article{5661f93d5ad546b19b2c0c1c3ecdc6b3,
title = "Unexplained destructive nasal lesions in half-brothers: A possible case of Munchausen syndrome by proxy",
abstract = "Munchausen syndrome by proxy (MSBP)is a condition diagnosed when a caregiver knowingly fabricates or inflicts illness on another for his/her own gain. Typical cases of MSBP detected by otolaryngologists involve facial trauma or otologic injury, while descriptions involving the nose are rare. Destructive nasal lesions have a broad differential diagnosis and may require visits to numerous specialists, placing strain on both the patient and the healthcare system. Early recognition of MSBP in patients with chronic nasal destruction may prevent such unnecessary strain. We present a case of MSBP involving two half-brothers with unexplainable nasal destruction and discuss the literature and current recommendations for managing the diagnosis.",
keywords = "Child abuse, Factitious disorders, Munchausen's syndrome by proxy, Nasal destruction, Nasal erosion",
author = "Swonke, {Megan L.} and Smith, {Sarah A.} and Ohlstein, {Jason F.} and Farrah Siddiqui and Wasyl Szeremeta and Harold Pine",
year = "2019",
month = "8",
day = "1",
doi = "10.1016/j.ijporl.2019.04.029",
language = "English (US)",
volume = "123",
pages = "75--78",
journal = "International Journal of Pediatric Otorhinolaryngology",
issn = "0165-5876",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Unexplained destructive nasal lesions in half-brothers

T2 - A possible case of Munchausen syndrome by proxy

AU - Swonke, Megan L.

AU - Smith, Sarah A.

AU - Ohlstein, Jason F.

AU - Siddiqui, Farrah

AU - Szeremeta, Wasyl

AU - Pine, Harold

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Munchausen syndrome by proxy (MSBP)is a condition diagnosed when a caregiver knowingly fabricates or inflicts illness on another for his/her own gain. Typical cases of MSBP detected by otolaryngologists involve facial trauma or otologic injury, while descriptions involving the nose are rare. Destructive nasal lesions have a broad differential diagnosis and may require visits to numerous specialists, placing strain on both the patient and the healthcare system. Early recognition of MSBP in patients with chronic nasal destruction may prevent such unnecessary strain. We present a case of MSBP involving two half-brothers with unexplainable nasal destruction and discuss the literature and current recommendations for managing the diagnosis.

AB - Munchausen syndrome by proxy (MSBP)is a condition diagnosed when a caregiver knowingly fabricates or inflicts illness on another for his/her own gain. Typical cases of MSBP detected by otolaryngologists involve facial trauma or otologic injury, while descriptions involving the nose are rare. Destructive nasal lesions have a broad differential diagnosis and may require visits to numerous specialists, placing strain on both the patient and the healthcare system. Early recognition of MSBP in patients with chronic nasal destruction may prevent such unnecessary strain. We present a case of MSBP involving two half-brothers with unexplainable nasal destruction and discuss the literature and current recommendations for managing the diagnosis.

KW - Child abuse

KW - Factitious disorders

KW - Munchausen's syndrome by proxy

KW - Nasal destruction

KW - Nasal erosion

UR - http://www.scopus.com/inward/record.url?scp=85065137182&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065137182&partnerID=8YFLogxK

U2 - 10.1016/j.ijporl.2019.04.029

DO - 10.1016/j.ijporl.2019.04.029

M3 - Article

C2 - 31077906

AN - SCOPUS:85065137182

VL - 123

SP - 75

EP - 78

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

SN - 0165-5876

ER -