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


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
StatePublished - Aug 1 2019



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

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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