A patient is described who was diagnosed as having Munchausen's Syndrome and Munchausen's by Proxy as well as Multiple Personality Disorder. Commonalities between Munchausen's and Multiple Personality Disorder include: multigenerational patterns, self-mutilating behaviors, multiple somatic symptoms, having been accused of lying, use of many different names, and fuguelike disappearances. Commonalities between Munchausen's and child abuse related behaviors include hospital peregrination and the production of inadequate explanations for inflicted injuries. The present case is one of a series of Munchausen's Syndrome case reports in which extreme abuse has been documented in the patient's childhood.
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