Abstract

BRAVO RODRIGUEZ, Lidia; LAGOS TISSIE, Denisse; BORQUEZ VERA, Pamela  and  VICENTE PACHAR, José. Oral lesions in victims of munchausen syndrome by proxy. Med. leg. Costa Rica [online]. 2018, vol.35, n.2, pp.37-44. ISSN 2215-5287.

This is a literature review of published cases of children with oral manifestations of physical abuse, specifically of Munchausen Syndrome by proxy. It is intended to summarize and present the characteristics of injuries of victims of the Syndrome, using the main databases of scientific publications. 9 cases were found, all of them the perpetrator was the mother. The lesions were found in the oropharyngeal mucosa, gums, tongue, palate and lips; they were caused by toxic substances administered orally or by manual compression of the mouth. In two cases the victim died. The previous death of 6 brothers of the victims was recorded. Finally, a forensic dental evaluation scheme intends to establish or rule out that lesions of the oral cavity are part of the syndrome.

Keywords : Munchausen by proxy Syndrome; Child abuse; Oral lesions; Forensic dental evaluation.

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