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Parents Deliberately Making Child Ill Can Be Deadly

Parents Deliberately Making Child Ill Can Be Deadly

08/26/13

MONDAY, Aug. 26 (HealthDay News) -- Parents sometimes fabricate an illness in children, and doctors and other health care providers need to be on the lookout for this type of child abuse, experts warn.

"It is probably more common than we realize" and often goes unrecognized, Dr. Harriet MacMillan, a pediatrician and child psychiatrist at McMaster University in Hamilton, Ontario, said in a university news release.

Although the occurrence is relatively rare, the death rate for children in such cases in 6 percent to 9 percent, with similar rates of permanent injury and long-term disability, said MacMillan, who conducts family violence research.

MacMillan co-authored a paper in the September issue of the journal Pediatricsthat is meant to improve doctors' understanding of this issue, which has long been referred to as Munchausen syndrome by proxy.

Doctors should be suspicious when they see a child with a persistent or recurrent illness that can't be explained, especially when their signs or symptoms don't seem believable. There is no typical fabricated illness, and a parent might bring their child in for treatment of all types of problems, including bleeding, seizures, urinary tract infections or attention-deficit/hyperactivity disorder.

"It really comes down to conducting a very careful history and physical examination, with an emphasis on communication with all health care providers who have seen the child," MacMillan said. "It's important that we are thorough in seeking comprehensive information about contact with health care providers, while adhering to privacy legislation."

Communication among health care providers is critical because a child could be seen in many different settings.

"This is the type of condition where it is essential for clinicians to review medical records and speak with other health care providers to have complete information in conducting their assessment," MacMillan said.

More information

The U.S. National Library of Medicine has more about Munchausen syndrome by proxy.

Copyright © 2013 HealthDay. All rights reserved.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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