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Open Access

Munchausen syndrome by proxy

Roshan L. Koul, Alexander Chacko, Zakia Al-Lamki, Adel M. Al-Amri and Saleh Al-Khusaiby
Saudi Medical Journal May 2000, 21 (5) 482-486;
Roshan L. Koul
Department of Child Health, College of Medicine, Sultan Qaboos University, Sultanate of Oman.
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Alexander Chacko
Department of Child Health, College of Medicine, Sultan Qaboos University, Sultan of Oman.
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Zakia Al-Lamki
Department of Child Health, College of Medicine, Sultan Qaboos University, PO Box 35, Al Khod 123, Sultanate of Oman. Tel. 00 968 515137 Fax. 00 968 515136.
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Adel M. Al-Amri
Armed Forces Hospital, Ministry of Defence, Royal Hospital, Oman.
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Saleh Al-Khusaiby
Royal Hospital, Ministry of Health, Oman.
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Abstract

Five children (3F:2M), in the age group 1 years to 11 years, with Munchausen syndrome by proxy are reported from the Sultanate of Oman. They were seen over a four years period from 1996-1999. In all these children, the mother came up with history of uncontrolled epilepsy. Carbamazepine was the most common antiepileptic drug used. One of these children remained hospitalized elsewhere for nearly 9 months, as a case of uncontrolled status epilepticus. It took 18 months to 6 years (mean 2.8 years) to establish the diagnosis and the mother was the offender in all. The main lead to diagnosis, was the disparity between history and clinical presentation to hospital. The carbamazepine levels were several times above the upper limit of therapeutic range. Munchausen syndrome by proxy very much exists here, but is possibly less recognized and needs immediate attention to formulate policies to identify and manage these children. It is necessary to create awareness even in the medical community, to recognise this problem. There is an urgent need to develop a child protection council at the national or regional level.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 21 (5)
Saudi Medical Journal
Vol. 21, Issue 5
1 May 2000
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Munchausen syndrome by proxy
Roshan L. Koul, Alexander Chacko, Zakia Al-Lamki, Adel M. Al-Amri, Saleh Al-Khusaiby
Saudi Medical Journal May 2000, 21 (5) 482-486;

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Munchausen syndrome by proxy
Roshan L. Koul, Alexander Chacko, Zakia Al-Lamki, Adel M. Al-Amri, Saleh Al-Khusaiby
Saudi Medical Journal May 2000, 21 (5) 482-486;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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