On the 23rd, according to DXY: A 4-year-old girl was admitted to the hospital due to multi-organ pain. During hospitalization, she repeatedly provided detailed descriptions of bodily pain, including acid reflux and pain behind the breastbone, pain in teeth, esophagus, and abdomen, limited finger flexion, difficulty urinating, reduced urine output, and painful urination, among others. The doctor informed the child's mother that a 4-year-old child would normally be unable to provide such complex and accurate descriptions. The family was advised not to guide the child in the direction of pain complaints. Additionally, since all examination results showed no abnormalities, the doctor began considering Munchausen Syndrome by Proxy (MSBP) on the 7th day of hospitalization. Upon investigation, it was discovered that the girl had visited the clinic 177 times previously, with 24 visits within the past six months, sometimes visiting 2 different clinic physicians in a single day, with numerous duplicate examinations. Following diagnosis, it was determined that the daughter brought for medical treatment was not ill. The mother was diagnosed with Munchausen Syndrome by Proxy (MSBP)—a condition in which a caregiver fabricates symptoms and other means to subject the person under their care to unnecessary medical treatment, satisfying their pathological psychological need to care for a patient. The caregiver is the MSBP patient, while the person under care is the victim, typically a child. This is one of the most severe forms of child abuse, with reported mortality rates reaching nearly 10%, accompanied by significant morbidity and long-term sequelae. Victims may simultaneously experience other forms of abuse, including growth retardation, non-accidental injury, or inappropriate medication use.

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