Neurological Manifestations of Medical Child Abuse

Don't Judge a Book by Its Cover: Factitious Disorder Imposed on Children-Report on 2 Cases

“…The reported symptoms were mainly subjective or difficult to elicit in front of the medical staff, and indeed they were mainly described by the mothers. Epilepsy and headache are the most frequently fabricated illnesses to be reported [ 15 , 16 ], even if the victims usually present multiple complaints [ 4 ].…”

40 years of fabricated or induced illness (FII): where next for paediatricians? Paper 1: epidemiology and definition of FII

“…Feldman et al described 135 personal cases, reporting a 25% incidence of renal problems, although renal symptoms were the initial presenting complaint in only 5 of these 35. Neurological and neuropsychiatric presentations including learning difficulty and developmental delay are represented briefly in the literature 36 37. Munchausen by proxy by internet is a new phenomenon 38 39.…”

A Prospective Study to Assess the Value of Liquid Chromatography-Tandem Mass Spectrometry in the Management of Paediatric Poisoning at Red Cross War Memorial Children’s Hospital, Cape Town, South Africa

“…(1-3, 7, [12][13][14] In LMICs, neglect may present as accidental poisoning as children are often left unsupervised, while child abuse may present as intentional or occult poisoning. (15)(16)(17) The role of investigations in poisoning is controversial but may be of bene t in occult poisoning, where it is di cult to con rm the presence and cause of poisoning. Point-of-care urine drug screen (POCUDS) testing is cost effective and readily available, able to give immediate results but has several disadvantages, such as, a high false positive rate; can only screen for a limited number of drugs; inability to quantify the drug; inability to name the drug, as it can only identify the drug class and the risk of false negatives if the drug in question is below the threshold cut-off for detection.…”