A Case with Unexplained Bleeding from Multiple Sites: Munchausen Syndrome by Proxy

Tufekci O., Gozmen S., Yilmaz S., Karapinar T. H. , ÇETİN B. Ş. , Dursun O. B. , ...Daha Fazla

PEDIATRIC HEMATOLOGY AND ONCOLOGY, cilt.28, sa.5, ss.439-443, 2011 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 28 Konu: 5
  • Basım Tarihi: 2011
  • Doi Numarası: 10.3109/08880018.2011.565493
  • Sayfa Sayıları: ss.439-443


Munchausen syndrome by proxy (MBP) is an extreme form of child abuse where children were unnecessarily treated or investigated for medical conditions that were falsified by their caregivers. Here the authors report a 16-year-old female with the complaints of bleeding from multiple and unusual sites, including hemoptysis, hematuria, bloody tears, and bloody nipple discharge, all of which are only witnessed by her mother. Extensive investigation revealed no organic etiologies for bleeding. The diagnosis of MBP was put by a multidisciplinary team. The diagnosis of MBP must be kept in mind in conditions where there is no underlying organic pathology in a bleeding patient.