Harmful Medical Intervention and Unnecessary Investigation: Munchausen Syndrome by Proxy, Report on two cases children of the same family

Child abuse related to medical dilemma when a pediatric age group exposed to nonessential invasive medical interventions and investigation due to family exaggerate their condition and put unbelievable medical story and fabricate their child medical issues or even induced the disease for the child with plan for these action due to psychological problems. A 6-year-old male and his sister 5 years old was frequently consulted to hematology clinic due to symptoms bleeding from the ear eyes and nose and hematuria. The patient wasn’t give a history of skin bruising in response to minor injury. The history of their family was unremarkable and all other family relative otherwise normal. The diagnosis of Munchausen syndrome was made by exclusion of other possibilities of unusual site of bleeding, normal all bleeding profile and from mysterious story of presentation.