ORAL LESIONS IN VICTIMS OF MUNCHAUSEN SYNDROME BY PROXY

Authors

  • Lidia Bravo Rodríguez Especialista en Odontología Legal y Forense. Área Medicina Legal Odontológica, Facultad de Odontología, U. de Chile.
  • Denisse Lagos Tissie Especialista en Odontología Legal y Forense. Área Medicina Legal Odontológica, Facultad de Odontología, U. de Chile.
  • Pamela Borquez Vera Médico Legista, Servicio Médico Legal de Chile.
  • José Vicente Pachar Patólogo Forense, Instituto de Medicina Legal y Ciencias Forenses de Panamá.

Keywords:

Munchausen by proxy Syndrome. Child abuse. Oral lesions. Forensic dental evaluation

Abstract

This is a literature review of published cases of children with oral manifestations of physical abuse, specifically of Munchausen Syndrome by proxy. It is intended to summarize and present the characteristics of injuries of victims of the Syndrome, using the main databases of scientific publications. 9 cases were found, all of them the perpetrator was the mother. The lesions were found in the oropharyngeal mucosa, gums, tongue, palate and lips; they were caused by toxic substances administered orally or by manual compression of the mouth. In two cases the victim died. The previous death of 6 brothers of the victims was recorded. Finally, a forensic dental evaluation scheme intends to establish or rule out that lesions of the oral cavity are part of the syndrome.

References

1. Comas J R, Vázquez V (2005) Síndrome de Munchausen: cuadro clínico, diagnóstico diferencial y una propuesta de tratamiento. Rev Fac Med UNAM 48 (1):5-9.

2. Asher, R. (1951). Munchausen’s syndrome. Lancet, 1, 339-341.

3. Burton M, Warren M, Lapid M, Bostwick J (2015). Munchausen Syndrome by Adult Proxy: A Review of the Literature. Journal of Hospital Medicine 10 (1):32-35.

4. Bartsch C, Riße M, Schütz H, Weig N, Weiler G (2003). Munchausen syndrome by proxy (MSBP): an extreme form of child abuse with a special forensic challenge. Forensic Science International 137 (2–3):147-151.

5. American Psychiatric Association (2013). Trastornos de síntomas somáticos y trastornos relacionados. In Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. (pp 324-326).

6. Organización Mundial de la Salud. Temas de Salud: Maltrato de Menores. Disponible en http://www.who.int/topics/child_abuse/es/. Acceso el día 06 de febrero, 2018.

7. Somani R, Kushwaha V, Kumar D, Khaira J (2011). Review Paper: Child abuse and its detection in the Dental Office. J Indian Acad Forensic Med 33(4): 361-365.

8. Palacios, J.; Jiménez, J.; Oliva, A. y Saldaña, D. (1998). Malos tratos a los niños en la familia. En M. J. Rodrigo y J. Palacios (Coords.), Familia y desarrollo humano (pp. 399-421). Madrid: Alianza.

9. Eminson M, Jureidini J. (2002). Concerns about research and prevention strategies in Munchausen Syndrome by Proxy (MSBP) abuse. Child Abuse & Neglect 27: 413-420.

10. Rosenberg, D. A. (1987). Web of deceit: A literature review of Munchausen syndrome by proxy. Child Abuse and Neglect, 11: 547-563.

11. Olczak-Kowalczyk D, Wolska-Kusnierz B, Bernatowska E (2015). Fabricated or induced illness in the oral cavity in children. A systematic review and personal experience. Cent Eur J Immunol. 40(1):109-14.

12. Unal E, Unal V, Gul A, Celtek M, Dıken B, Balcıoglu I (2017): A Serial Munchausen Syndrome by Proxy. Indian J Psychol Med. 39(5): 671–674.

13. Tamay Z, Akcay A, Kilic G, et al. (2007): Corrosive poisoning mimicking cicatricial pemphigoid: Munchausen by proxy.Child Care Health Dev 33: 496- 499.

14. Maida A, Molina M, Carrasco X (1999): Síndrome de Munchausen-por-poder: un diagnóstico a considerar. Rev. chil. pediatr. 70 (3):

15. Bicakci U, Dinler G, Bozkurter T, Tander B, Gunaydin M, Akbas S, Ariturk E (2010). Caustic esophagitis in two siblings: Munchausen syndrome by proxy. Journal of Pediatric Sciences 6;e62.

16. Ley 19.696 Establece Código Procesal Penal. Diario oficial de la República de Chile, publicación 12 de octubre del 2000.

17. Clin B, Ferrant O, Dupont C, Papin F (2009): Recurrent caustic esophagitis: a clinical form of Münchausen syndrome by proxy. Child Abuse Negl 33: 293-295.

18. Porter GE, Heitsch GM, Miller MD (1994): Munchausen syndrome by proxy: unusual manifestations and disturbing sequelae. Child Abuse Negl 18: 789-794.

19. Código de la Familia de la República de Panamá. Disponible en http://www.organojudicial.gob.pa/cendoj/wp-content/blogs.dir/cendoj/codigo-dela-familia-94.pdf

Published

2020-11-15

How to Cite

ORAL LESIONS IN VICTIMS OF MUNCHAUSEN SYNDROME BY PROXY. (2020). Medicina Legal De Costa Rica, 35(2). https://www.binasss.sa.cr/ojssalud/index.php/mlcr/article/view/99

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