Allergic diseases and Munchausen’s syndrome by proxy

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  • アレルギー疾患と代理ミュンヒハウゼン症候群

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<p> Munchausen’s syndrome by proxy (MSBP) describes parental behavior that creates the appearance of or produces sicknesses in a child. Long-term follow-up is necessary because MSBP may be fatal if ignored. We need to be sensitive to this strange syndrome. It has been reported that several MSBP cases are often disguised as allergic diseases. We present the case of a nine-year-old boy who exhibited poor weight gain and vitamin B1 deficiency caused by MSBP that was disguised as various food allergies.</p><p> In daily practice, it is difficult to diagnose MSBP and to observe patients for a long time at a single medical institution. The Child Protection Team (CPT) is helping us protect children affected by this syndrome by conducting a case conference. There is an urgent need to create an information sharing mechanism to facilitate successful multi-occupational collaboration.</p>

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