Munchausen By Proxy

Munchausen syndrome by proxy (MSBP) is a mental health problem in which a caregiver makes up or causes an illness or injury in a person under his or her care, such as a child, an elderly adult, or a person who has a disability. Because vulnerable people are the victims, MSBP is a form of child abuse or elder abuse.


Cluster Number:
Wiki Number: PW127
Diagnosis: Munchausen by Proxy- (See Factitious Illness, PW081)
US Patients:
World Patients:
Sex Ratio:
Age Onset:
Brain Area:
Symptoms: This entry is also called, “Factitious Illness Imposed on Another.”


The world-wide medical research
reports chosen for each diagnosis 

Clicking each title opens the
PubMed article’s summary-abstract.

  • Child Maltreatment and Neglect
    by Riham Mazen Alwan on July 3, 2021

    Emergency medicine clinicians are mandated reporters, legally, which obligates clinicians to report any behavior suspicious for child maltreatment to local authorities. Pediatric patients often present to the emergency department with concern for physical injury and other pervasive complaints. In some cases, these injuries are nonaccidental. To appropriately advocate and protect children from further physical and emotional trauma, it is important for clinicians to recognize the signs and...

  • Pediatric Factitious Disorder Perpetuated by Others: A Dermatologist's Duty Beyond the Skin
    by Calvin Sung on June 30, 2021

    Factitious disorders and factitious disorders imposed on another are a prevalent encounter during dermatology visits. Here, we present a case of a pediatric patient who presented with ulcer-like lesions that, based on initial biopsy, suggested an immunobullous etiology. Further exploration revealed her underlying psychiatric disorder. Dermatologists play an integral role in recognizing and initiating "nervous system" management to establish a level of trust with the patient that will ultimately...

  • Warfarin Toxicity
    by Justin G. Deaton on January 1, 2021

    Warfarin is a vitamin K antagonist used as an anticoagulant used for treatment and prevention of a variety of coagulopathic and thromboembolic disorders. While it was initially marketed as a rodenticide, it has been used as a medication for more than a half-century. Additionally, superwarfarins are now also used as pesticides and should be considered as agents that may cause potential “warfarin toxicity” and have been noted to be one hundred times as potent compared to warfarin.

  • Pennsylvania Child Abuse Recognition and Reporting
    by Munaza Batool Rizvi on January 1, 2021

    Unfortunately, child abuse and maltreatment is a significant Pennsylvania problem. Substantial morbidity and mortality is associated with child abuse due to a child's inability to protect themselves. Healthcare providers frequently miss a large amount of child abuse cases. For the diagnosis of child abuse to be made, a reasonable cause of suspicion is needed. Pennsylvania has created a legal structure and educational approach to assure health providers are able to identify abuse and neglect and...