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<p>We present the case of 9‑year-old Mara who suffered from progressive physical weakness and severe cachexia as well as sensitivity to light and noise, headaches and concentration difficulties. Social contacts had been limited to close family members for months. Mara lived withdrawn in a&#xa0;room shielded from stimuli. Her mother had shown similar symptoms, which&#xa0;like Mara’s at the beginning, had been classified as chronic fatigue syndrome/myalgic encephalitis (CFS/ME).</p><p>Mara’s symptoms showed an acute decline after admission to our psychosomatic ward and separation from her mother. An organic cause as well as anorexia nervosa was ruled out. A&#xa0;detailed medical and psychosocial history as well as physical and psychological examination were followed by the systematic observation of Mara’s patterns of interaction and communication with family members, peers and staff. A&#xa0;synopsis of symptoms and signs finally led us to the diagnosis of Munchausen syndrome by proxy (FDIA) enabling a&#xa0;successful physical and gradual emotional rehabilitation of Mara supported by psychotherapy.</p>

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CFS/ME als ideale Fassade für das Münchhausen-by-Proxy-Syndrom? – „Auch Ausruhen kann anstrengend sein …“

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  • 发表日期：

    2025年1月31日

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  • Siebke Melfsen,
  • Torsten Lucas

摘要

We present the case of 9‑year-old Mara who suffered from progressive physical weakness and severe cachexia as well as sensitivity to light and noise, headaches and concentration difficulties. Social contacts had been limited to close family members for months. Mara lived withdrawn in a room shielded from stimuli. Her mother had shown similar symptoms, which like Mara’s at the beginning, had been classified as chronic fatigue syndrome/myalgic encephalitis (CFS/ME).

Mara’s symptoms showed an acute decline after admission to our psychosomatic ward and separation from her mother. An organic cause as well as anorexia nervosa was ruled out. A detailed medical and psychosocial history as well as physical and psychological examination were followed by the systematic observation of Mara’s patterns of interaction and communication with family members, peers and staff. A synopsis of symptoms and signs finally led us to the diagnosis of Munchausen syndrome by proxy (FDIA) enabling a successful physical and gradual emotional rehabilitation of Mara supported by psychotherapy.