TY  - JOUR
PY  - 2012//
TI  - Toxicological evaluation of two children diagnosed as Munchausen syndrome by proxy
JO  - Turkish journal of pediatrics
A1  - Türkmen, Zeynep
A1  - Ziyalar, Neylan
A1  - Tari, Itir
A1  - Mercan, Selda
A1  - Kayiran, Sinan Mahir
A1  - Sener, Dicle
A1  - Cengiz, Salih
A1  - Akçakaya, Necla
SP  - 283
EP  - 286
VL  - 54
IS  - 3
N2  - Munchausen syndrome by proxy is a kind of child abuse in which affected children are often hospitalized for long periods and endure repetitive, painful and expensive diagnostic attempts. We present herein two toxicologically confirmed cases of Munchausen syndrome by proxy. Case 1 is a 16-month-old male who had fever, peripheral cyanosis, tremor, and reported cardiac arrest. Symptoms recurred in the hospital when the mother administered fluids. Toxicology detected 3.5 ng/ml mercury (Hg) in the fluid and 9.4 microg Hg/g creatinine in the urine. Case 2 is a 14-year-old female who had irregular blood findings and multiple hospitalizations. Serum analysis detected warfarin. Both mothers were transferred to psychiatric care. Munchausen syndrome by proxy should be suspected when clinical/laboratory findings are negative, illness descriptions are inconsistent, and frequent hospitalization yields no diagnosis. Psychiatric evaluation and toxicological analysis are recommended.<p />  <p>Language: en</p>
LA  - en
SN  - 0041-4301
UR  - http://dx.doi.org/
ID  - ref1
ER  -