Question 123 · LEK · Other

A 5-year-old girl was hospitalized a dozen times in various pediatric wards because of unspecific symptoms and yet is undiagnosed. Acute symptoms subsided while the mother was absent at the ward. The results of numerous performed test are inconclusive and contradictory. The mother is alert and asks to repeat blood tests and to perform additional imaging examinations. The described picture may suggest:

  1. A. posttraumatic stress disorder.
  2. B. psychosomatic disorders.
  3. C. Munchausen syndrome by proxy (factitious disorder).
  4. D. physical/sexual abuse of the child.
  5. E. troublesome family situation (e.g. reaction to parents’ divorce).
Hint

Note that the symptoms resolve when one particular person is absent and that this caregiver keeps pushing for more tests.

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