Abstract
Munchausen syndrome by proxy MSBP is an extreme form of child abuse in which perpetrators induce life-threatening conditions in their children. A case of MSBP is described in detail. Difficulties in diagnosis and management in this part of the world are presented. Until now, no national legal guidelines exist in the Kingdom of Saudi Arabia KSA to child abuse in general and MSBP in particular. Urgent guidelines, policies, and legal system are required in the KSA.
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