Advancing Understanding of Dermatological Manifestations in Munchausen Syndrome by Proxy.

Autor:	Frasier KM; Dermatology, Northwell Health, New Hyde Park, USA., Fritts HA; Dermatology, Idaho College of Osteopathic Medicine, Meridian, USA., Li V; Medical School, Lake Erie College of Osteopathic Medicine, Erie, USA., Dudzik C; Dermatology, Touro College of Osteopathic Medicine, Middletown, USA., Sobotka M; Dermatology, Midwestern University Arizona College of Osteopathic Medicine, Glendale, USA., Click K; Dermatology, Kansas City University of Medicine and Biosciences, Kansas City, USA., Loperfito A; Dermatology, Edward Via College of Osteopathic Medicine, Blacksburg, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Oct 16; Vol. 16 (10), pp. e71616. Date of Electronic Publication: 2024 Oct 16 (Print Publication: 2024).
DOI:	10.7759/cureus.71616
Abstrakt:	This comprehensive review critically examines the complex relationship between Munchausen Syndrome by Proxy (MSBP) and its dermatological manifestations, uncovering new insights into the relatively uncharted territory of this psychiatric disorder. By synthesizing existing literature, case studies, and clinical observations, this paper reveals the multifaceted spectrum of dermatological phenomena seen in individuals affected by MSBP, ranging from self-inflicted injuries to entirely fabricated skin conditions. Additionally, we explore the psychological and behavioral mechanisms driving caregivers to induce or stimulate dermatological symptoms, shedding light on underlying psychopathologies, the nuanced dynamics of the caregiver-patient relationship, and patterns of pathological attachment and dependency. This review confronts the significant obstacles healthcare providers encounter in accurately identifying dermatological symptoms related to MSBP amidst genuine dermatologic conditions, underscoring the indispensable role of a multidisciplinary strategy and heightened clinical vigilance in these complex cases. Future investigations call for the development of standardized assessment tools, the potential of biomarkers for early detection, the exploration of the neurobiological basis of MSBP, and the utilization of specific interventions to protect susceptible populations while improving the accuracy of MSBP diagnoses. This paper calls for a more informed, sensitive, and proactive approach to better understanding and treating the dermatological manifestations of MSBP. Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Frasier et al.)
Databáze:	MEDLINE
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