Otolaryngologic cases of m¨nchausen's syndrome

Authors

  • Yuval Zohar MD,

    Corresponding author
    1. Department of Otolaryngology, Hasharon Hospital, and Department of Psychiatry, Geha Hospital, Petah-Tiqva, Tel Aviv University Medical School, Israel
    • Department of Otolaryngology, Hasharon Hospital, Petah-Tiqva 49372, Israel
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  • Gideon Avidan MD,

    1. Department of Otolaryngology, Hasharon Hospital, and Department of Psychiatry, Geha Hospital, Petah-Tiqva, Tel Aviv University Medical School, Israel
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  • Yitschak Shvili MD,

    1. Department of Otolaryngology, Hasharon Hospital, and Department of Psychiatry, Geha Hospital, Petah-Tiqva, Tel Aviv University Medical School, Israel
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  • Nelo Laurian MD

    1. Department of Otolaryngology, Hasharon Hospital, and Department of Psychiatry, Geha Hospital, Petah-Tiqva, Tel Aviv University Medical School, Israel
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Abstract

Münchausen syndrome (MS) is now a well recognized and demonstrated entity. This syndrome is characterized by patients who seek hospitalization and present factitious but usually well-rehearsed histories and symptoms.

Five cases of MS, genuine by their ear-nose-throat-maxillofacial factitious signs, are presented. Two of the cases are related to the uncommon MS by proxy. In this subentity the parents fabricate pathological signs for their children. The psycho-dynamics and the clinical symptoms of our cases are described and the differential diagnoses of malingering, conversion disorders, and hypochondriasis are brought to attention.

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